Body Satisfaction

Effect on Thorough Skin Self-Examination


      Melanoma and obesity have both increased in recent years. Given the propensity of body dissatisfaction among the obese, the objectives of this paper were to determine how body satisfaction might influence skin examination and to examine differences in this relationship by gender among the participants of Check-It-Out, a study to increase thorough skin self-examination (TSSE).


      Through primary care offices, 2126 participants were recruited from April 2000 to November 2001 for the baseline cross-sectional telephone data from the Check-It-Out study. TSSE was defined as the self-reported examination of all seven key areas of the body. Body satisfaction was reported based on the degree of disagreement or agreement with the statement I like the way my body looks. Analyses were conducted in 2005 and 2006.


      Among participants, 18% reported performing TSSE, 34% were normal or underweight, 36% were overweight, and 30% were obese. Overall, 23% strongly agreed, 45% somewhat agreed, 19% somewhat disagreed, and 12% strongly disagreed with the statement I like the way my body looks. Body satisfaction was less common among women than men. The odds of conducting TSSE were 1.6 for the total sample (1.9 for women and 1.2 for men) for those with strong agreement that they like the way their body looks. In multivariate analysis, body satisfaction was associated with TSSE performance for women and both genders together, along with the availability of a partner (both genders together and men), the availability of a wall mirror, the advice of a physician, and the use of glasses or contacts(women only).


      Body satisfaction is an important factor in TSSE performance, especially among women, and should be considered along with other risk factors.
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        • Wyatt S.B.
        • Winters K.P.
        • Dubbert P.M.
        Overweight and obesity: prevalence, consequences, and causes of a growing public health problem.
        Am J Med Sci. 2006; 331: 166-174
        • Haines J.
        • Neumark-Sztainer D.
        Prevention of obesity and eating disorders: a consideration of shared risk factors.
        Health Educ Res. 2006; 21: 770-782
        • Grogan S.
        Body image and health: contemporary perspectives.
        J Health Psychol. 2006; 11: 523-530
        • Weinstock M.A.
        • Martin R.A.
        • Risica P.M.
        • et al.
        Thorough skin examination for the early detection of melanoma.
        Am J Prev Med. 1999; 17: 169-175
        • Weinstock M.A.
        • Risica P.M.
        • Martin R.A.
        • et al.
        Melanoma early detection with thorough skin self-examination: the “Check It Out” randomized trial.
        Am J Prev Med. 2007; 32: 517-524
        • Martin R.A.
        • Weinstock M.A.
        • Risica P.M.
        • Smith K.
        • Rakowski W.
        Factors associated with thorough skin self-examination for the early detection of melanoma.
        J Eur Acad Dermatol Venereol. 2007; 21: 1074-1081
        • Weinstock M.A.
        • Risica P.M.
        • Martin R.A.
        • et al.
        Reliability of assessment and circumstances of performance of thorough skin self-examination for the early detection of melanoma in the Check-It-Out Project.
        Prev Med. 2004; 38: 761-765
        • Clark M.A.
        • Bonacore L.
        • Wright S.J.
        • Armstrong G.
        • Rakowski W.
        The cancer screening project for women: experiences of women who partner with women and women who partner with men.
        Women Health. 2003; 38: 19-33
        • Brown C.G.
        Testicular cancer: an overview.
        Medsurg Nurs. 2003; 12 (quiz 44): 37-43
        • Risica P.M.
        • Eaton C.B.
        • Levy S.
        • Monroe A.
        Self-esteem, race, income, education and utilization of preventive health services in women: the Commonwealth Fund Women's Health Survey.
        Clin J Wom Health. 2001; 1: 139-148
        • Drury C.A.
        • Louis M.
        Exploring the association between body weight, stigma of obesity, and health care avoidance.
        J Am Acad Nurse Pract. 2002; 14: 554-561
        • Olson C.L.
        • Schumaker H.D.
        • Yawn B.P.
        Overweight women delay medical care.
        Arch Fam Med. 1994; 3: 888-892
        • Fontaine K.R.
        • Faith M.S.
        • Allison D.B.
        • Cheskin L.J.
        Body weight and health care among women in the general population.
        Arch Fam Med. 1998; 7: 381-384
        • Fontaine K.R.
        • Heo M.
        • Allison D.B.
        Body weight and cancer screening among women.
        J Womens Health Gend Based Med. 2001; 10: 463-470
        • Wee C.C.
        • McCarthy E.P.
        • Davis R.B.
        • Phillips R.S.
        Screening for cervical and breast cancer: is obesity an unrecognized barrier to preventive care?.
        Ann Intern Med. 2000; 132: 697-704
        • Wee C.C.
        • McCarthy E.P.
        • Davis R.B.
        • Phillips R.S.
        Obesity and breast cancer screening.
        J Gen Intern Med. 2004; 19: 324-331
        • Hall H.I.
        • Coates R.J.
        • Uhler R.J.
        • et al.
        Stage of breast cancer in relation to body mass index and bra cup size.
        Int J Cancer. 1999; 82: 23-27
        • Cui Y.
        • Whiteman M.K.
        • Flaws J.A.
        • Langenberg P.
        • Tkaczuk K.H.
        • Bush T.L.
        Body mass and stage of breast cancer at diagnosis.
        Int J Cancer. 2002; 98: 279-283
        • Sansone R.A.
        • Sansone L.A.
        • Wiederman M.W.
        The relationship between obesity and medical utilization among women in a primary care setting.
        Int J Eat Disord. 1998; 23: 161-167