Attitudes Toward Cosmetic Surgery in Middle-Aged Women: Body Image, Aging Anxiety, and the Media

By far, the majority of studies investigating body image in adults have drawn samples from college populations within a very narrow age range. The purpose of the present paper is to review empirical research on the body image of adults older than the typical college student. There are marked changes in appearance across the adult life span, especially for women, which lead to the expectation of concomitant changes in body image. In fact, the review found that body dissatisfaction was remarkably stable across the adult life span for women, at least until they are quite elderly. In contrast, the importance of body shape, weight and appearance decreased as women aged, underscoring an important distinction between evaluation and importance of the body. However, there are many large gaps and limitations in the current literature that will need to be addressed before a more complete understanding of the development of body image across the adult life span is achieved.

Studies investigating body image satisfaction among groups of different sexual orientations (i.e., gay men, lesbian women, and heterosexual men and women) have produced equivocal findings. To synthesise the available research, 27 studies (20 published and 7 unpublished) were meta-analysed (N=5220). Comparisons between heterosexual (n=1397) and gay men (n=984) produced a small effect size, with the former being slightly more satisfied with their bodies. An even smaller difference was observed for studies comparing heterosexual (n=1391) and lesbian women (n=1448), with greater levels of body satisfaction being evidenced by the latter group. Tests of homogeneity for each effect size were found to be highly significant. In an attempt to identify variables that may be responsible for the observed heterogeneity, the following categorical factors were assessed: the measures used to evaluate body satisfaction, date of study (1980s versus 1990s+), publication status (published or unpublished), and body weight. The results of this exploratory search for potential moderator variables as well as limitations of the current meta-analysis are discussed.

The prevailing view in popular culture and the psychological literature is that White women have greater body dissatisfaction than women of color. In this meta-analysis, 6 main effect sizes were obtained for differences among Asian American, Black, Hispanic, and White women with a sample of 98 studies, yielding 222 effect sizes. The average d for the White-Black comparison was 0.29, indicating that White women are more dissatisfied, but the difference is small. All other comparisons were smaller, and many were close to zero. The findings directly challenge the belief that there are large differences in dissatisfaction between White and all non-White women and suggest that body dissatisfaction may not be the golden girl problem promoted in the literature. Implications for theory and treatment are discussed. Copyright (c) 2006 APA, all rights reserved.