Prevalence of body image dissatisfaction and associated factors among high school adolescent in Hawassa city, Ethiopia

Background: Adolescence is a period in which individuals are more concerned with their body image. However, little is known about the prevalence of body image dissatisfaction and its associated factors. Thus, this study aimed to assess the prevalence of body image dissatisfaction and associated fact...

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Main Authors: Zenebe Jebero, Amanuel Elias, Gemeda Billo, Mohammed Ayalew, Yonas Alemayehu, Fikre Moga
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024174324
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author Zenebe Jebero
Amanuel Elias
Gemeda Billo
Mohammed Ayalew
Yonas Alemayehu
Fikre Moga
author_facet Zenebe Jebero
Amanuel Elias
Gemeda Billo
Mohammed Ayalew
Yonas Alemayehu
Fikre Moga
author_sort Zenebe Jebero
collection DOAJ
description Background: Adolescence is a period in which individuals are more concerned with their body image. However, little is known about the prevalence of body image dissatisfaction and its associated factors. Thus, this study aimed to assess the prevalence of body image dissatisfaction and associated factors among high school adolescents in Hawassa city in 2023. Methods: A school-based cross-sectional study was conducted among 421 participants from April 30 to May 30, 2023, in Hawassa City. A stratified sampling technique was employed to select the participants. A structured, self-administered questionnaire was used to collect the data. Anthropometric measurements of body mass and stature were taken. A logistic regression model was fitted and used to identify the factors associated with body image dissatisfaction, and P < 0.05 indicated statistical significance. Results: The prevalence of body image dissatisfaction was 18.5 % [95 % CI = 14.8–22.2 %]. Being overweight/obese [Adjusted Odds Ratio(AOR) = 7.8, 95 % CI = 2.58–23.83], engaging in a small amount of exercise [AOR = 3.66, 95 % CI = 1.34–10.0], having moderate depression [AOR = 3.6, 95 % CI = 1.25–10.40], having severe depression [AOR = 6.8, 95 % CI = 1.94–24.22], late age of adolescence [AOR = 1.9, 95 % CI = 1.07–3.39], and family pressure [AOR = 2.2, 95 % CI = 1.28–4.04] were associated factors. Conclusion and recommendations: Body image dissatisfaction among adolescents in Hawassa City is prevalent, influenced by factors such as obesity, depression, limited physical activity, age, and family pressure. To address this issue, a multi-sectoral approach is necessary. The federal Ministry of Health should prioritize initiatives promoting healthy living, physical activity, and media awareness. The Public Health Authority should collaborate with families for healthier lifestyles, while schools and youth centers should implement educational programs to foster positive body image. Parents should model healthy body image behaviors and avoid negative comments. Comprehensive strategies are essential to address obesity, depression, and promote physical activity. This includes encouraging adolescents to engage in regular exercise and providing supportive family feedback.
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spelling doaj-art-ded25755187340ec871597d52285d4672025-01-17T04:51:10ZengElsevierHeliyon2405-84402025-01-01111e41401Prevalence of body image dissatisfaction and associated factors among high school adolescent in Hawassa city, EthiopiaZenebe Jebero0Amanuel Elias1Gemeda Billo2Mohammed Ayalew3Yonas Alemayehu4Fikre Moga5School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; Corresponding author. College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.School of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaSchool of Health Sciences, Hawassa University, Hawassa, EthiopiaSchool of Health Sciences, Hawassa University, Hawassa, EthiopiaSchool of Health Sciences, Hawassa University, Hawassa, EthiopiaSchool of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, EthiopiaBackground: Adolescence is a period in which individuals are more concerned with their body image. However, little is known about the prevalence of body image dissatisfaction and its associated factors. Thus, this study aimed to assess the prevalence of body image dissatisfaction and associated factors among high school adolescents in Hawassa city in 2023. Methods: A school-based cross-sectional study was conducted among 421 participants from April 30 to May 30, 2023, in Hawassa City. A stratified sampling technique was employed to select the participants. A structured, self-administered questionnaire was used to collect the data. Anthropometric measurements of body mass and stature were taken. A logistic regression model was fitted and used to identify the factors associated with body image dissatisfaction, and P < 0.05 indicated statistical significance. Results: The prevalence of body image dissatisfaction was 18.5 % [95 % CI = 14.8–22.2 %]. Being overweight/obese [Adjusted Odds Ratio(AOR) = 7.8, 95 % CI = 2.58–23.83], engaging in a small amount of exercise [AOR = 3.66, 95 % CI = 1.34–10.0], having moderate depression [AOR = 3.6, 95 % CI = 1.25–10.40], having severe depression [AOR = 6.8, 95 % CI = 1.94–24.22], late age of adolescence [AOR = 1.9, 95 % CI = 1.07–3.39], and family pressure [AOR = 2.2, 95 % CI = 1.28–4.04] were associated factors. Conclusion and recommendations: Body image dissatisfaction among adolescents in Hawassa City is prevalent, influenced by factors such as obesity, depression, limited physical activity, age, and family pressure. To address this issue, a multi-sectoral approach is necessary. The federal Ministry of Health should prioritize initiatives promoting healthy living, physical activity, and media awareness. The Public Health Authority should collaborate with families for healthier lifestyles, while schools and youth centers should implement educational programs to foster positive body image. Parents should model healthy body image behaviors and avoid negative comments. Comprehensive strategies are essential to address obesity, depression, and promote physical activity. This includes encouraging adolescents to engage in regular exercise and providing supportive family feedback.http://www.sciencedirect.com/science/article/pii/S2405844024174324AdolescentsBody imageDissatisfactionEthiopia
spellingShingle Zenebe Jebero
Amanuel Elias
Gemeda Billo
Mohammed Ayalew
Yonas Alemayehu
Fikre Moga
Prevalence of body image dissatisfaction and associated factors among high school adolescent in Hawassa city, Ethiopia
Heliyon
Adolescents
Body image
Dissatisfaction
Ethiopia
title Prevalence of body image dissatisfaction and associated factors among high school adolescent in Hawassa city, Ethiopia
title_full Prevalence of body image dissatisfaction and associated factors among high school adolescent in Hawassa city, Ethiopia
title_fullStr Prevalence of body image dissatisfaction and associated factors among high school adolescent in Hawassa city, Ethiopia
title_full_unstemmed Prevalence of body image dissatisfaction and associated factors among high school adolescent in Hawassa city, Ethiopia
title_short Prevalence of body image dissatisfaction and associated factors among high school adolescent in Hawassa city, Ethiopia
title_sort prevalence of body image dissatisfaction and associated factors among high school adolescent in hawassa city ethiopia
topic Adolescents
Body image
Dissatisfaction
Ethiopia
url http://www.sciencedirect.com/science/article/pii/S2405844024174324
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