Body Image and Eating Disorders Among South Asian American Women: What Are We Missing?

Qual Health Res. 2021 Nov;31(13):2512-2527. doi: 10.1177/10497323211036896. Epub 2021 Aug 12.

Abstract

This study used focus group methodology to examine South Asian (SA) American women's conceptualizations of eating disorders (EDs) and body dissatisfaction, and their perspectives regarding cultural influences on these conditions. Using a qualitative descriptive approach, seven focus groups were conducted (N = 54, mean age = 20.11 years, SD = 2.52). Themes (n = 15) were organized according to the amended objectification theory framework. Women described experiences of cultural stressors specifically related to living in the United States, and weight stigma from multiple sources, especially older women (e.g., mothers, relatives, and aunties). Participants also experienced pressures to achieve competing body and appearance ideals ("thin" and "healthy"). In addition, they reported pressures to possess light skin, dark black hair, minimal body hair, and marry young, and noted these pressures negatively impacted their body esteem. Findings indicate that a combination of "traditional" and culturally-influenced factors are important to consider when conceptualizing eating pathology and body image in young SA American women.

Keywords: South Asians; United States; body image; eating disorders; focus group; multiculturalism; qualitative; qualitative methods; thematic analysis.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Asian
  • Body Image*
  • Feeding and Eating Disorders*
  • Female
  • Focus Groups
  • Hispanic or Latino
  • Humans
  • United States
  • Young Adult