Amelia J. Lake, Petra K. Staiger,* and Huguette Glowinski
School of Psychology, Deakin University, Melbourne, Australia
Accepted 22 April 1999
Abstract: Objective: The current study investigated the effect of culture on two factors implicated in the development of eating disorders, negative attitudes toward eating and dissatisfaction with body shape. Method: Hong Kong-born and Australian-born women from two Australian universities were surveyed using the Eating Attitudes Test (EAT) and the Figure
Rating Scale (FRS). Results: Results showed no difference between the groups in eating attitudes, but significant differences in body shape perceptions, with the Australian-born reporting greater dissatisfaction. Hong Kong-born subjects were separated into two groups based on their level of Chinese identity (Western acculturized and traditional). Their EAT and
FRS scores were compared to the Australian-born, with Western acculturized Hong Kongborn subjects reporting significantly lower EAT and FRS scores than the Australian-born, whereas the more traditional Hong Kong-born subjects reported equivalent scores. Discussion: Main implications center around the need for a cross-culturally sensitive definition of eating disorders, the effect of level of ethnic identity on eating attitudes and body image, and the importance of developing culturally appropriate measures. © 2000 by John Wiley &
Sons, Inc. Int J Eat Disord 27: 83–89, 2000.
Key words: eating attitudes; culture; body shape perceptions; ethnic identity
INTRODUCTION
Western society has been criticized for its emphasis on a slim physique and negative stereotyping of obese figures. It has been proposed that this has resulted in mass dissatisfaction with body shape and weight concerns among the female population (Tiggeman
& Rothblum, 1988). This dissatisfaction has been argued to lead to negative attitudes
References: Ahmad, S., Waller, G., & Verduyn, C. (1994). Eating attitudes among Asian schoolgirls: The role of perceived parental control Akan, G.E., & Grilo, C.M. (1995). Sociocultural influences on eating attitudes and behaviours, body image and psychological functioning: A comparison of African-American, Asian-American, and Caucasian college Altabe, M., & Thompson, J.K. (1992). Size estimation versus figural ratings of body image disturbance: Relation to body dissatisfaction and eating dysfunction American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author. Dolan, B. (1991). Cross-cultural aspects of anorexia nervosa and bulimia: A review. International Journal of Eating Disorders, 10, 67–78. Furnham, A., & Alibhai, N. (1983). Cross-cultural differences in the perception of female body shapes. Psychological Medicine, 13, 829–837. Furnham, A., & Baguma, P. (1994). Cross-cultural differences in the evaluation of male and female body shapes. Garner, D.M., & Garfinkel, P.E. (1979). The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Garner, D.M., Olmsted, M.P., Bohr, Y., & Garfinkel, P.E. (1982). The Eating Attitudes Test: Psychometric features and clinical correlates Hill, A.J., & Bhatti, R. (1995). Body shape perception and dieting in preadolescent British Asian girls: Links with eating disorders King, M.B., & Bhugra, D. (1989). Eating disorders: Lessons from a cross-cultural study. Psychological Medicine, 19, 955–958. Lee, S. (1993). How abnormal is the desire for slimness? A survey of eating attitudes and behaviour among Chinese undergraduates in Hong Kong Lee, S. (1995). Self-starvation in context: Towards a culturally sensitive understanding of anorexia nervosa. Social Science and Medicine, 41, 25–36. Lee, S., Chiu, H.F.K., & Chen, C. (1989). Anorexia nervosa in Hong Kong: Why not more in Chinese? British Journal of Psychiatry, 154, 683–688. McCourt, J., & Waller, G. (1995). Developmental role of perceived parental control in the eating psychopathology of Asian and Caucasian schoolgirls Mumford, D.M., & Whitehouse, A.M. (1988). Increased prevalence of bulimia nervosa among Asian schoolgirls. Powell, A.D., & Kahn, A.S. (1995). Racial differences in women’s desires to be thin. International Journal of Eating Disorders, 17, 191–195. Rosenthal, D.A., & Feldman, S.S. (1990). The acculturation of Chinese immigrants: Perceived effects on family functioning of length of residence in two cultural contexts Rosenthal, D.A., & Feldman, S.S. (1992). The nature and stability of ethnic identity in Chinese youth. Journal of Cross-Cultural Psychology, 23, 214–227. Thompson, J.K., & Altabe, M.N. (1991). Psychometric qualities of the figure rating scale. International Journal of Eating Disorders, 10, 615–619. Tiggeman, M., & Rothblum, E.D. (1988). Gender differences in social consequences of perceived overweight in the United States and Australia Zhu, W. (1996). Should total scores from a rating scale be used directly? Research Quarterly for exercise and Sport, 67, 363–372.