#Fitspiration and Mental Health for LGBTQ+ College Students
Keywords:
LGBTQ, Fitspiration, Body dissatisfaction, Self Esteem, Disordered EatingAbstract
Introduction – Fitspiration (fitness inspiration) on social media is associated with increased risk for decreased self-esteem and body satisfaction, along with restricted and disordered eating. Historically, low self-esteem, body dissatisfaction and disordered eating also are associated with certain groups in the LGBTQ+ community. This study sought to identify if fitspiration viewing differed between LGBTQ+ college students and their peers, and if prevalence of body satisfaction, disordered eating, and body dysmorphia differed between groups.
Methods – This study used a cross-sectional survey design. Students at a small Midwestern university completed this survey, which was approved by a university IRB. The survey was distributed in person, and included sections on exercise behavior, social media use, body image, and disordered.
Results – A total of 429 students completed this survey, including 54 (13.5%) who identified as LGBTQ+. There were no differences in fitspiration viewing tendencies or self-esteem between LGBTQ+ students and their peers. With regard for body satisfaction, fitspiration viewers responded slightly less favorably, while more LGBTQ+ students reported being “not at all” satisfied with their body. Being LGBTQ+ was demonstrated to be associated with having body dysmorphic disorder (BDD), and nearly 30% of LGBTQ+ students had scored indicating BDD. This was unaffected by viewing fitspiration, however. Fitspiration viewers did, however, have significantly higher scores for restrained eating and eating concerns than those students who don’t view fitspiration. LGBTQ+ students who view fitspiration had the highest eating concern scores reported.
Discussion – Overall, there were few statistically significant differences between LGBTQ+ students and non-LGBTQ+ students and fitspiration viewers and non-viewers. Fitspiration played a role in eating concerns, as has been previously demonstrated, but being LGBTQ+ and viewing fitspiration seems to have the greatest concern. Future studies should explore qualitatively the experiences of LGBTQ+ students on social media, and assess if increased visibility online is leading to a decrease in many negative health outcomes experienced by LGBTQ+ people.
References
Boepple, L. & Thompson, J. K. (2014). A content analysis of healthy living blogs: Evidence of content thematically consistent with dysfunctional eating attitudes and behaviors. International Journal of Eating Disorders, 47(4), 362-367. doi: 10.1002/eat.22244
Boepple, L., Ata, R. N., Rum, R. & Thompson, J. K. (2016). Strong is the new skinny: A content analysis of fitspiration websites. Body Image, 17, 132-135. doi: 10.1016/j.bodyim.2016.03.001
Boyd, D. M., & Ellison, N. B. (2007). Social network sites: Definition, history, and scholarship. Journal of Computer-Mediated Communication, 13, 210–230. doi: 10.1111/j.1083-6101.2007.00393.x
Carrotte, E. R., Prichard, I., & Lim, M. S. C. (2017). “Fitspiration” on social media: A content analysis of gendered images. Journal of Medical Internet Research, 19(3), e95. doi:10.2196/jmir.6368
Cogan, J. C. (2001). Body norms in lesbian culture. The Gay and Lesbian Review Worldwide, 8(4), 26-32.
Dey, J. K., Ishii, M., Phillis, M., Byrne, P. J., Boahene, K. D., & Ishii, L. E. (2015). Body dysmorphic disorder in a facial plastic and reconstructive surgery clinic: Measuring prevalence, assessing comorbidities, and validating a feasible screening instrument. JAMA facial plastic surgery, 17(2), 137-143.
Fatt, S. J., Fardouly, J., & Rapee, R. M. (2019). # malefitspo: Links between viewing fitspiration posts, muscular-ideal internalisation, appearance comparisons, body satisfaction, and exercise motivation in men. New Media & Society, 21(6), 1311-1325.
Filiault, S. M. & Drummond, M. J. N. (2007). The hegemonic aesthetic. Gay and Lesbian Issues and Psychology Review, 3(3), 175-184.
Foster-Gimbel, O. & Engeln, R. (2016). Fat chance! Experiences and expectations of antifat bias in the gay male community. Psychology of Sexual Orientation and Gender Diversity, 3(1), 63-70. doi: 10.1037/sgd0000159
Gigi, I., Bachner-Melman, R. & Lev-Ari, L. (2016). The association between sexual orientation, susceptibility to social messages, and disordered eating in men. Appetite, 99, 25-33. doi: 10.1016/j.appet.2015.12.027
Griffiths, S., Murray, S. B., Dunn, M., & Blashill, A. J. (2017) Anabolic steroid use among gay and bisexual men living in Australia and New Zealand: Associations with demographics, body dissatisfaction, eating disorder psychopathology, and quality of life. Drug and Alcohol Dependence, 181(1), 170-176. doi: 10.1016/j.drugalcdep.2017.10.003
Henrichs-Beck, C. L., Szymanski, D. M., Feltman, C. E., & Batchelor, T. C. (2015). Exploring biculturality and beauty standards through breast discourse and breasted experience of sexual minority women. Psychology of Sexual Orientation and Gender Diversity, 2(4), 413–425. doi: 10.1037/sgd0000119
Holland, G., & Tiggemann, M. (2017). “Strong beats skinny every time”: Disordered eating and compulsive exercise in women who post fitspiration on Instagram. International Journal of Eating Disorders, 50(1), 76-79.
IBM Corp. (2017). SPSS Statistics (Version 25).
Jett, S., LaPorte, D. J., & Wanchisn, J. (2010). Impact on exposure to pro-eating disorder websites on eating behaviour in college women. European Eating Disorders Review, 18, 410-416. doi: 10.1002/erv.1009
Jones, B. A., Bouman, W. P., Haycraft, E., & Arcelus, J. (2019). Mental health and quality of life in non-binary transgender adults: A case control study. International Journal of Transgenderism, 20(2-3), 251-262. doi: 10.1080/15532739.2018.1538840
Koh, A. S., & Ross, L. K. (2006). Mental health issues: A comparison of lesbian, bisexual and heterosexual women. Journal of Homosexuality, 51, 33–57.
Leavy, P., & Hastings, L. (2010). Body image and sexual identity: An interview study with lesbian, bisexual and heterosexual college age-women. Electronic Journal of Human Sexuality, 13, 1–1.
Lewallen, J. & Behm-Morawitz, E. (2016). Pinterest or thinterest? Social comparison and body image on social media. Social Media & Society, 2(1), 1-9. doi: 10.1177/2056305116640559
McCarthy, J. (2019). Americans still greatly overestimate U.S. gay population. Retrieved December 2, 2019 from: https://news.gallup.com/poll/259571/americans-greatly-overestimate-gay-population.aspx
McGuire, J. K., Doty, J. L., Catalpa, J. M., & Ola, C. (2016). Body image in transgender young people: Findings from a qualitative, community based study. Body Image, 18, 96-107. doi: 10.1016/j.bodyim.2016.06.004
Owen-Smith, A. A., Gerth, J., Sineath, R. C., Barzilay, J., Becerra-Culqui, T. A., Getahun, D., … & Goodman, M. (2018). Association between gender confirmation treatments and perceived gender congruence, body image satisfaction, and mental health in a cohort of transgender individuals. The Journal of Sexual Medicine, 15(4), 591-600. doi: 10.1016/j.jsxm.2018.01.017
Palmer, L. (2015). ‘‘Poppin’ bottles, getting wheysted.” Exploring young men’s engagement with fitspiration content and its consequential influences on attitudes and behaviour. Journal of Promotional Communications, 3(3).
Phillips, K. A. (1996). Instruments for assessing BDD: The BDDQ: A self-report screening instrument for BDD. The Broken Mirror, 321-333.
Prichard, I., Mclachlan, A. C., Lavis, T., & Tiggemann, M. (2017). The impact of different forms of #fitspiration Imagery on body image, mood, and self-objectification among young women. Sex Roles, 78(11-12), 789–798. doi: 10.1007/s11199-017-0830-3
Ravenhill, J. P. & de Visser, R. O. (2019). “I don’t want to be seen as a screaming queen”: An interpretive phenomenological analysis of gay men’s masculine identities. Psychology of Men & Masculinities, 20(3), 324-336. doi: 10.1037/men0000163
Song, H., Omori, K., Kim, J., Tenzek, K. E., Hawkins, J. M., Lin, W. Y., ... & Jung, J. Y. (2016). Trusting social media as a source of health information: Online surveys comparing the United States, Korea, and Hong Kong. Journal of Medical Internet Research, 18(3). doi:10.2196/jmir.4193
Tiggemann, M., & Zaccardo, M. (2015). “Exercise to be fit, not skinny”: The effect of fitspiration imagery on women's body image. Body Image, 15, 61-67. doi:10.1016/j.bodyim.2015.06.003
van de Grift, T. C., Cohen-Kettenis, P. T., Elaut, E., De Cuypere, G., Richter, Appelt, H., Haraldsen, I. R., & Kreukels, B. P. C. (2016). A network analysis of body dissatisfaction of people with gender dysphoria. Body Image, 17, 184-190.
Yean, C., Benau, E., Dakanalis, A., Hormes, J. M., Perone, J., & Timko, A. (2013). The relationship of sex and sexual orientation to self-esteem, body shape satisfaction, and eating disorder symptomatology. Frontiers in Psychology, 4, 887.
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