Trans‐cultural comparison of disordered eating in Korean women

Jackson, Safia C.; Keel, Pamela K.; Lee, Young Ho

doi:10.1002/eat.20270

Cited by 60 publications

(36 citation statements)

References 21 publications

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“…53 A recent study of acculturation levels and eating attitudes among Korean immigrants, native Koreans, and Korean American women revealed that the Korean women most Westernized (i.e., Korean Americans) appeared to be least at risk for developing an eating disorder, implicating native Korean values in the onset of eating disorders in these women. 54 This study challenges earlier assertions on the influence of Westernization in Asian cultures; it appears that Westernization has yet to emerge as an unqualified risk or protective factor in the development of eating disorders.…”

Section: Asian Women and Eating Disorderscontrasting

confidence: 86%

Sexual Assault and Disordered Eating in Asian Women

Flair

Franko

Herzog

2008

Harvard Review of Psychiatry

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The link between sexual assault and disordered eating has yet to be clarified, especially for ethnic minority populations. Asian women, in particular, report low rates of both sexual assault and eating disorders compared to their Western counterparts, and studies suggest that these rates may be conservative. The literature indicates that there are cultural attitudes that contribute to non- and underreporting of sexual assault by Asian women and that these sociocultural factors may have an important role in the development of eating disorders as a response to sexual victimization. Research illustrates a relationship between sexual assault and eating disorders; eating disorders may serve as coping mechanisms for survivors of sexual assault by providing a mechanism for comfort, numbing, and distracting in an effort to rid the painful feelings in response to the assault. To stimulate future research, this article reviews the current literature on the development of eating disorders following a sexual assault and on the sociocultural factors linking both phenomena in Asian women, and offers avenues for investigation to increase our understanding of these relationships.

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Section: Asian Women and Eating Disorderscontrasting

confidence: 86%

Sexual Assault and Disordered Eating in Asian Women

Flair

Franko

Herzog

2008

Harvard Review of Psychiatry

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“…18,19 In those few community-based studies of eatingdisordered behavior conducted in south-east Asia, the assessment has been confined, almost entirely, to reports of mean scores on subscales of the Eating Attitudes Test (EAT) or Eating Disorders Inventory (EDI), along with the proportion of participants scoring above the suggested EAT cut-off for a probable eating disorder. [3][4][5][6][20][21][22] As suggested earlier, these studies have found that levels of body dissatisfaction and overall eating disorder psychopathology in newly industrialized Asian countries are as high as, if not higher than, those observed in Western nations. More specific information, however, is lacking.…”

Section: Introductionmentioning

confidence: 84%

Eating‐disordered behavior in Australian and Singaporean women: A comparative study

Mond

Chen

Kumar

2010

Intl J Eating Disorders

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“…The broader context seems to suggest that. As noted, deep concern with appearance is an everyday part of life in East Asia, perhaps especially so in Korea (Jackson, Keel, & Lee, 2006; Pike et al, 2014). Altering the body through dieting and cosmetic surgery, once thought to be the practice of women, is increasingly undertaken by men (Holliday and Elfving‐Hwang, 2012).…”

Section: Discussionmentioning

confidence: 99%

Weight, gender, and depressive symptoms in South Korea

Brewis

Han

SturtzSreetharan

2017

American J Hum Biol

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ObjectivesObesity consistently predicts depression risk, but the underlying mechanisms are poorly understood. Body concerns are proposed as key. South Korean society is characterized by extremely high levels of explicit weight stigma, possibly the highest globally. Using cross‐sectional Korean 2014 National Health Examination Survey (KNHANES) data, we test this proposition in a nationally representative sample of South Korean adults (N = 5,632).MethodsDepressive symptoms (outcome variable), was based on the PHQ‐9. Weight status (predictor variable), was based on direct measures of height and weight converted to BMI. Weight concern was self‐reported. Mediation analyses tested how weight concern mediated the influence of weight status on depressive symptoms for women and men.ResultsCurrent weight status influenced depressive symptoms in Korean adults, but not always directly. Concerns of being “fat” mediated that relationship. The effect increased significantly as BMI increased within “normal” and overweight/obese categories for women, and in overweight/obese categories for men. Even though women classified as underweight were significantly more depressed than those in other weight categories, there was no similar mediation effect related to weight concerns.ConclusionFor South Koreans, the stress of adhering to social norms and avoiding stigma related to body weight seems to explain the relationship between higher body weight and more depressive symptoms. Women are more vulnerable overall, but men are not immune. This study demonstrates that body concerns help explain why weight predicts depression, and more broadly supports the proposition that widespread weight‐related stigma is a potentially major, if unrecognized, driver of population‐level health disparities.

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Trans‐cultural comparison of disordered eating in Korean women

Abstract: This study supports the importance of native cultural factors in the development of eating disorders in non-Western contexts.

Cited by 60 publications

References 21 publications

Sexual Assault and Disordered Eating in Asian Women

Sexual Assault and Disordered Eating in Asian Women

Eating‐disordered behavior in Australian and Singaporean women: A comparative study

Weight, gender, and depressive symptoms in South Korea

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