A population-based study of body image concerns among urban Chinese adults

Using a nationally representative Chinese urban sample of 930 women and 893 men aged 20-45 who were married or had a steady sexual partner, this study examines the prevalence, risk factors and sequelae of body image concerns. Women's weight loss desires begin at modest BMI levels and are more pronounced among youth, among people of urban origin, and among the educated. Women also have stronger body image concerns if they are single, living in coastal areas, taller or larger than their partner, or if their relationship with their partner is poor. Moreover, women who perceive themselves as unattractive and who want to lose weight report more psychological distress. These findings suggest that China has joined the worldwide diffusion of the thin ideal, with negative consequences for women.