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The goal of the current study was to examine associations between hormonal contraceptive use and indicators of well-being including body image, eating behavior, sleep and energy level. Drawing on a health protection framework, we expected that individuals who use hormonal contraceptives would be more attuned to health and report more positive health attitudes and behaviors on these dimensions. Undergraduate college women (N = 270; M = 19.39 years, SD = 2.43, range 18-39 years) from diverse racial/ethnic and sexual orientation groups completed a survey online. Measures included hormonal contraception use, body image, weight control behavior, breakfast consumption, sleep behavior, and daytime energy level. Nearly 1/3 (30.9%) of the sample reported current hormonal contraceptive use, with most users reporting use of birth control pills (74.7%). Women who used hormonal contraceptives reported significantly higher appearance orientation and body surveillance, lower average energy, more frequent night awakenings, and more naps. Longer duration of hormonal contraceptive use was significantly related to higher body surveillance, and engaging in more unhealthy weight control behavior. Hormonal contraceptive use is not related to indicators of greater well-being. Rather, hormonal contraceptive use is related to greater attention to appearance, lower daytime energy, and some indicators of poorer sleep quality. Clinicians who prescribe hormonal contraceptives should attend to body image, sleep and energy concerns among users.

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Objective: Although health and wellness behaviors are associated with positive body image, research is limited regarding the relationship between sleep and positive body image. We propose that negative affective states may link sleep and body image. Specifically, we examined whether better sleep may relate to positive body image through reductions in negative affective experiences. Participants: Participants were 269 undergraduate women. Methods: Cross-sectional surveys were administered. Results: We found correlations in the expected directions between sleep, positive body image variables (i.e., body appreciation, appearance evaluation, and appearance orientation), and negative affective states (i.e., depression, anxiety, and stress). There were group differences in negative affective states and body image based on adequate sleep. Data supported indirect effects of sleep through depression on appearance evaluation, and through depression and stress on body appreciation, respectively. Conclusions: Our findings indicate sleep warrants further research attention as a wellness behavior related to more positive body image.

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BACKGROUND: Sexual minority individuals are at disproportionately greater risk for eating disorders, yet little is known about the ways in which factors in the social environment relate to eating disorder symptoms in this population. Utilizing an ecological systems theory framework, we investigated the relative relationships of macro level (i.e., internalization of sociocultural attitudes about appearance) and micro level (i.e., quality of romantic relationship) social environment influences. METHODS: Men (n = 144) and women (n = 144) in committed same-gender relationships were recruited as a dyad and completed study questionnaires, including multiple measures of eating disorder symptoms. Multilevel models controlling for key variables (e.g., body mass index) were used to examine gender differences, main effects, and interactions. RESULTS: Men reported greater internalization of sociocultural attitudes and uncontrolled eating. Greater internalization of sociocultural attitudes was related to greater eating pathology across all measures. For men, greater relationship quality was related to less uncontrolled eating. CONCLUSIONS: Individuals in same-gender relationships experience macro (e.g., sociocultural) level vulnerability factors in relation to disordered eating; however, internalization of sociocultural attitudes may be greater for men. Support at the microsystem level in the form of a high quality committed romantic relationship appears to be helpful protection against uncontrolled eating for men.

Sexual minority individuals are at disproportionately greater risk for eating disorders, yet little is known about the ways in which factors in the social environment relate to eating disorder symptoms in this population. This research investigates sociocultural attitudes and romantic relationship quality as factors in the social environment in relation to eating disorder symptoms for men and women in same-gender relationships. We found differences in the occurrence of eating disorder symptoms, such that sexual minority men had more uncontrolled eating compared to sexual minority women. Across all participants, internalization of sociocultural attitudes was linked to greater disordered eating symptoms. We also investigated a potential buffering role of a romantic partner on eating disorder symptoms, and found that high quality, committed, romantic relationships were beneficially associated with less uncontrolled eating for sexual minority men.

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BACKGROUND: Breastfeeding duration has been linked with the health of both women and their children, but research that considers women's weight change postpartum and practical factors that may impact their quality of life (i.e., sleep quantity, number of children) is limited. METHOD: A survey was administered to 568 women (M age = 31.32 years; SD = 4.21) who had given birth within the past year. The survey included assessments of pre- and post-pregnancy weight and height, breastfeeding practices, current sleep quantity, presence of breastfeeding-specific support, and other demographics including their total number of children. RESULTS: Greater pre-pregnancy to postpartum weight increase was related to shorter duration of breastfeeding. Mothers who exclusively breastfed for the first six months had less postpartum weight increase (i.e., the discrepancy between their pre-pregnancy and post-pregnancy weight was smaller) than those who did not. Fewer children and greater hours of sleep were significantly associated with longer duration of breastfeeding. Sleep partially accounted for the relationship between body mass index change and breastfeeding duration. Breastfeeding-specific support did not impact the effect of low sleep on shorter breastfeeding duration. CONCLUSIONS: Duration of breastfeeding may suffer due to fatigue. Sleep plays a key role in understanding the ways in which weight change impact breastfeeding behavior. Greater holistic support for mothers in the postpartum period is needed to foster an environment that encourages breastfeeding.

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The goal of this study was to examine breastfeeding behavior and attitudes as predictors of women's body image and weight control behavior. This study extends past research by focusing on positive body image variables including body appreciation and perceived body functionality. Women (N = 597) from the United States who had recently birthed biological babies ages 0-12 months participated in an online study. Current breastfeeding rates were high (86 %), and average breastfeeding duration was approximately 3 months. Women who were currently breastfeeding indicated more positive body images and less likelihood of engaging in maladaptive weight control behaviors than women who were no longer breastfeeding or had never breastfed their baby. Women's positive attitudes toward breastfeeding were associated with awareness and appreciation of body functionality and fewer maladaptive weight control behaviors. These findings extend research on the health benefits of positive body image and suggest that breastfeeding may occur within a constellation of beliefs and behaviors indicative of positive body image.

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In the current study, we examined body image and weight management behavior as potential factors associated with young women's interest in obtaining cosmetic surgery. Research focusing on objectification theory, problem behavior syndrome, and positive body image provide support for considering these factors as predictors of interest in cosmetic surgery. Female undergraduates (N = 170; M = 20.27 years old) at a college in the northeastern United States completed assessments of interest in cosmetic surgery, body image, and weight management behavior. Regression analyses indicated that women who had higher BMIs, higher body surveillance, higher body shame, and who engaged in more unhealthy weight management behaviors were more interested in obtaining cosmetic surgery. Body appreciation was significantly negatively correlated with interest in cosmetic surgery but did not significantly predict it when other factors were considered in a regression model. Results suggest that self-objectification and engaging in a constellation of appearance-related risk behaviors may place women at risk for pursuing cosmetic surgery.

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Although the majority of adults will attempt to lose weight at some point in their lives, most weight loss behaviors are ineffective and potentially harmful. Further, weight loss behaviors often closely resemble disordered eating, and include behaviors such as fasting and purging. The current study examined potential predictors of disordered approaches to weight loss in the context of same-sex and opposite-sex romantic partnerships by investigating participants' (n = 500, Mage = 29.62 years) BMI, body image, self-esteem, relationship quality and disordered weight loss behaviors. We conducted analyses using Actor Partner Interdependence Models, which revealed that the greatest predictors of participating in disordered weight loss behavior were body dissatisfaction and having a male partner. These findings suggest that it is not sexuality, per se, that places individuals at risk for disordered weight loss behavior, but perhaps the value placed on thinness as defined by particular gender and cultural groups.

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BACKGROUND: Public health efforts to promote breastfeeding have resulted in many women expecting to exclusively breastfeed their infants. Women who plan to exclusively breastfeed but are not able to do so may experience psychological distress, including poor body image and symptoms of depression. AIM: We sought to investigate discrepancies between desired and actual breastfeeding behaviors, appreciation of the functionality of one's body, and self-compassion, in relation to symptoms of depression. METHODS: A convenience sample of women (N = 536) who had recently given birth and expected to feed their infants exclusively with breastmilk provided information on an online survey. RESULTS: There was an indirect effect of feeding discrepancies on depressive symptoms via lower appreciation of body functionality; women who expected to exclusively feed their infant breastmilk but were not able to do so had lower appreciation of body functionality. The effect of appreciation of body functionality was moderated by self-compassion such that those with the lowest self-compassion had the lowest appreciation of body functionality and the highest depressive symptoms; there was no difference in depressive symptoms for those with the highest levels of self-compassion. CONCLUSIONS: Implications of this work include the potential for interventions to bolster body image and self-compassion, which may reduce the likelihood of depressive symptoms in this population. Recommendations are provided regarding balancing the importance of increasing breastfeeding rates while also normalizing the challenges of breastfeeding and promoting body positivity and self-compassion.

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The link between body image and sexual well-being is intuitive and increasingly supported by psychological research: individuals, particularly women, with greater body satisfaction and body appreciation tend to report more positive sexual experiences. Although both perceptions of one's body and one's sexual life are central to most adults' experiences, this area of research has remained somewhat understudied. In this review, we discuss the findings that are available and suggest directions for future research and applied implications of this work. We highlight Thomas Cash's contributions to this area of study, given his significant contributions to moving our understanding of body image and sexual well-being forward.

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This study aims to explore correlates between body appreciation and mental health among a racially and ethnically diverse sample of adult women using validated measures. The sample included racially and ethnically diverse women (N = 497) from various socioeconomic levels. Linear regression results indicated that body appreciation was significantly and inversely associated with depression (b = -3.68; p < 0.001). In this sample, as body appreciation increased, depression scores decreased. Similarly, body appreciation was significantly and inversely associated with anxiety among this sample (b = -1.78; p < 0.001). This article concludes with a discussion of findings and implications.

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Communicating about sex with potential or current sex partners can lead to many positive outcomes, including fewer unplanned pregnancies and sexually transmitted infections. Although body image is related to many sexual health behaviors, the association between positive body image and comfort communicating about sex is underexplored. The purpose of the current study is to better understand this relationship among a sample of 399 18- to 25-year-old college women. Results suggest that positive body image, measured by body appreciation, is related to greater comfort communicating about sex with a current sex partner, even after accounting for body mass index (BMI).

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Research suggests the important role of romantic partners in shaping how individuals feel about their bodies (e.g., Markey & Markey, 2013, 2014), but the processes that result in changes in body satisfaction within relationships have rarely been examined. To investigate how partners may potentially affect body image, 72 lesbian couples and 72 gay male couples (total N=288) completed body image assessments on their own and with the help of their partners. Multilevel modeling revealed that both men and women reported an improvement in body satisfaction after talking with their partners while completing the body image assessment together. Improvement in body satisfaction appeared to result from participants' reconsideration of their body ideals, not their appraisal of their current bodies. Implications of these findings for improving body image in the context of relationships are discussed.

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The aim of the current study was to examine associations between body appreciation and putative correlates that focus on self-enhancement and self-expression. Students (N=261; mean age=20.16years, SD=3.68; 60.9% female) from a non-residential college in the northeastern United States completed a questionnaire measuring body appreciation, interest in cosmetic enhancements, and need for uniqueness. Individuals with higher body appreciation and African Americans/Blacks reported significantly higher self-attributed need for uniqueness and significantly higher investment in a distinctive appearance. The association between body appreciation and interest in cosmetic enhancements (e.g., hair coloring) was not significant. Results suggest that body appreciation may be linked to a desire to express one's own unique qualities.

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Tanning is often prompted by appearance concerns, yet little is known about associations between tanning and other appearance-altering behaviors. In the current study, we examined potential correlates of indoor and outdoor tanning that, like tanning, may enhance appearance but present health risks. College students (N = 284; Mage = 20.14, SD = 3.39) completed a survey. The main outcome measures were indoor tanning and outdoor sunbathing. Participants also answered questions pertaining to piercings and tattoos, healthy and unhealthy dieting behaviors, cigarette smoking, and interest in cosmetic surgery and enhancements. Results indicate that indoor tanners were more likely to have piercings, tattoos, to engage in healthy dieting behaviors, and to express interest in cosmetic enhancements. Outdoor sunbathers were more interested in cosmetic enhancements than non-outdoor sunbathers, and female outdoor sunbathers reported more unhealthy dieting behaviors than male outdoor sunbathers. These findings provide evidence for college students' engagement in a constellation of appearance-oriented risk behaviors.

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Past research often explains gender differences in sexual behavior according to differences in social norms for men and women. Yet, individuals' perceptions and internalizations of current social norms are not well understood. This study aimed to examine emerging adults' perceptions of how being male or female impacts their sexuality and how their perceptions would differ if they were another gender. Participants (N = 205) were college students, 61% female, and ranged from age 18-25 (M = 20.5, SD = 1.7). Participants answered open-ended questions about gender and responses were coded for content, positive tone, and negative tone. In describing how being female affected their sexual thoughts and feelings, women were more likely than men to focus on reputation concerns and describe limits and contexts in which sexual behavior was acceptable. In describing how being male affected their sexual thoughts and feelings, men were more likely than women to focus on issues of desire. Women's perceptions about how their sexual thoughts and feelings would differ if they were male were consistent with men's perceptions of their own gender's actual impact on sexuality, and vice versa. Women's descriptions of their own gender's impact on sexuality were more emotionally laden than men's. Finally, being older was associated with less negative and more positive emotional tone in men's and women's responses respectively.

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Positive body image has been found to be associated with various beneficial health-related indicators among women. Yet, less is known about its health-related correlates among men. The goal of the current study was to examine associations between positive body image and various mental and physical health-related indicators in both men and women. Undergraduate students (N=284) from a non-residential college in the northeastern United States participated. Individuals with greater positive body image reported less depression, higher self-esteem, fewer unhealthy dieting behaviors, lower drive for muscularity, and greater intentions to protect their skin from UV exposure and damage. Gender did not moderate these associations; thus, connections between positive body image and health-related indicators were similar for women and men. Results suggest that positive body image has significant implications for health and well-being beyond objective body size. Health care providers should encourage positive body image because of its potential health benefits.

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This study examines associations between endorsement of a sexual double standard, gender role attitudes, and sexual behaviors and beliefs. First year university students in the northeastern United States (N = 434; 52 % female; 33 % Black, 29 % Latino, 39 % White; ages 17-19) participated during their first year of college. Endorsement of a sexual double standard was associated with more conventionally gender-stereotyped sexual behaviors and beliefs, specifically, more sexual partners and fewer perceived barriers to condom use for young men, and more perceived barriers to condom use for young women. Women who were more conventional about men's roles in society tended to use condoms less, whereas women who were more conventional about women's roles tended to use condoms more. Men who were more conventional about men's roles tended to have fewer sexual partners. Findings suggest the importance of examining gender's role in sexual behaviors and beliefs by assessing multiple gendered attitudes, rather than simply considering biological sex.

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OBJECTIVES: To focus on the role of sex, race/ethnicity, and body image in HIV-protective behaviors. METHODS: Undergraduates (N = 277; 53% women; M = 19.27 years old) from the United States completed a survey on HIV-related behaviors and body image (appearance orientation and appearance evaluation). RESULTS: Women and African Americans/ Blacks were more likely to have ever had an HIV test. African Americans/Blacks and individuals who had more positive evaluations of their appearance were more likely to have ever asked a partner's HIV status and to have asked a partner to get tested for HIV. CONCLUSIONS: Findings indicate low rates of HIV testing and communication with a partner about HIV, suggesting the importance of sexual health intervention and education programs for college students.

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In American society, the sexually desirable woman is young and thin. Changes associated with aging such as wrinkled skin or weight gain often bring women further from societal ideals of attractiveness. As physical appearance is very much related to desirability, we explore sexual body image and the way that it changes as women age. Based on in-depth interviews with 95 women aged 20-68, we find women's sexuality and feelings of desirability are influenced by physical appearance, media, as well as significant others and family. We also note that sexual body image is more often negative than positive for women of all ages and that women struggle to accept changes in their bodies as a result of the aging process and life experiences; however, women in their 50s and 60s are most likely to accept their bodies and not feel influenced by social pressures.

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In the current study, we examined correlates of tanning behaviors and attitudes. Undergraduates (N = 277; 53% female; average age = 19.27 years) completed measures of appearance orientation and appearance evaluation from the Multidimensional Body-Self Relations Questionnaire, the Center for Epidemiological Studies Depression Scale, and questions addressing tanning behaviors and attitudes. Women were more likely to engage in indoor tanning and perceived greater susceptibility to photoaging than men. Body image and depression were associated with tanning behaviors and attitudes. Results suggest that psychological factors are important motivators of both indoor and outdoor tanning, although each has unique correlates. Implications for reducing risky tanning behaviors are discussed.

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