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The Breast Size Satisfaction Survey (BSSS): Breast size dissatisfaction and its antecedents and outcomes in women from 40 nations

2020; Elsevier BV; Volume: 32; Linguagem: Inglês

10.1016/j.bodyim.2020.01.006

1873-6807

Viren Swami, Ulrich S. Tran, David Barron, Reza Afhami, Annie Aimé, Carlos A. Almenara, Nursel Alp Dal, Ana Carolina Soares Amaral, Sonny Andrianto, Gulnaz Anjum, Marios Argyrides, Mohammad Atari, Mudassar Aziz, Benjamin Banai, Joanna Borowiec, Alexandra Brewis, Yeliz Çakır Koçak, Juliana Álvares Duarte Bonini Campos, Carmen Carmona Rodríguez, Trawin Chaleeraktrakoon, Hong Chen, Phatthanakit Chobthamkit, Bovornpot Choompunuch, Togas Constantinos, Aine Crumlish, Julio Eduardo Cruz, Simon E. Dalley, Devi Damayanti, Joanna Dare, Stacey M. Donofrio, Anja Draksler, Michelle Escasa‐Dorne, Elaine F. Fernandez, Maria Elisa Caputo Ferreira, David A. Frederick, Antonio Alías García, Shulamit Geller, George Alexias, Louai Ghazieh, Cosmin Goian, Colin Gorman, Caterina Grano, Jonathan E. Handelzalts, H. J. N. Horsburgh, Todd Jackson, Lady Grey Javela, Marija Jović, Marko Jović, Adam Kantanista, Sevag K. Kertechian, Loes T. E. Kessels, Magdalena Król-Zielińska, Garry Kuan, Yee Cheng Kueh, Sanjay Kumar, Ingela Lundin Kvalem, Caterina Lombardo, Ernesto Luis López Almada, Christophe Maïano, Mandar Manjary, Karlijn Massar, Camilla Matera, Juliana F. Figueiras Mereiles, Norbert Meskó, Hikari Namatame, Amanda Nerini, Félix Neto, Joana Neto, Ângela Nogueira Neves, Siu-Kuen Ng, Devi R. Nithiya, Salma Samir Omar, Mika Omori, Maria Serena Panasiti, Irena Pavela Banai, Eva Pila, Alessandra Pokrajac-Bulian, Vita Poštuvan, Ivanka Prichard, Magdalena Razmus, Catherine M. Sabiston, Reza N. Sahlan, Jacob Owusu Sarfo, Yoko Sawamiya, Stefan Stieger, Cindi SturtzSreetharan, Eugene Y. J. Tee, Gill A. ten Hoor, Kulvadee Thongpibul, Arun Tipandjan, Otilia Tudorel, Tracy L. Tylka, Zahir Vally, Juan Camilo Vargas-Nieto, Luis Diego Vega, Jose Vidal-Mollón, Mona Vintilă, Deborah Williams, Amber Wutich, Yuko Yamamiya, Danilo Zambrano, Marcelo Callegari Zanetti, Ivanka Živčić–Bećirević, Martin Voracek,

Eating Disorders and Behaviors

The Breast Size Satisfaction Survey (BSSS) was established to assess women’s breast size dissatisfaction and breasted experiences from a cross-national perspective. A total of 18,541 women were recruited from 61 research sites across 40 nations and completed measures of current-ideal breast size discrepancy, as well as measures of theorised antecedents (personality, Western and local media exposure, and proxies of socioeconomic status) and outcomes (weight and appearance dissatisfaction, breast awareness, and psychological well-being). In the total dataset, 47.5 % of women wanted larger breasts than they currently had, 23.2 % wanted smaller breasts, and 29.3 % were satisfied with their current breast size. There were significant cross-national differences in mean ideal breast size and absolute breast size dissatisfaction, but effect sizes were small (η2 = .02–.03). The results of multilevel modelling showed that greater Neuroticism, lower Conscientiousness, lower Western media exposure, greater local media exposure, lower financial security, and younger age were associated with greater breast size dissatisfaction across nations. In addition, greater absolute breast size dissatisfaction was associated with greater weight and appearance dissatisfaction, poorer breast awareness, and poorer psychological well-being across nations. These results indicate that breast size dissatisfaction is a global public health concern linked to women’s psychological and physical well-being.