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Eating behaviours and attitudes following prolonged exposure to television among ethnic Fijian adolescent girls

  • Anne E. Becker (a1), Rebecca A. Burwell (a1), David B. Herzog (a1), Paul Hamburg (a2) and Stephen E. Gilman (a3)...

There are no published studies evaluating the impact of introduction of television on disordered eating in media-naïve populations.


To assess the impact of novel, prolonged exposure to television on disordered eating attitudes and behaviours among ethnic Fijian adolescent girls.


A prospective, multi-wave cross-sectional design was used to compare two samples of Fijian schoolgirls before and after prolonged regional television exposure with a modified 26-item eating attitudes test, supplemented with a semi-structured interview to confirm self-reported symptoms. Narrative data from a subset of respondents from the exposed sample were analysed for content relating television exposure to body image concerns.


Key indicators of disordered eating were significantly more prevalent following exposure. Narrative data revealed subjects' interest in weight loss as a means of modelling themselves after television characters.


This naturalistic experiment suggests a negative impact of television upon disordered eating attitudes and behaviours in a media-naïve population.

Corresponding author
Dr Anne E. Becker, Massachusetts General Hospital, 15 Parkman Street, WAC 81 Boston, MA 02114. USA
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See editorial, pp. 480–482, this issue.

Declaration of interest

This study was supported by funding from the Harvard Medical School.

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American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV), p. 540. Washington, DC: APA.
Barker, C. (1997) Television and the reflexive project of the self: soaps, teenage talk and hybrid identities. british Journal of Sociology, 48, 611628.
Becker, A. E. (1995) Body, Self, and Society: the View from Fiji. Philadelphia: University of Pennsylvania Press.
Becker, A. E. & Hamburg, P. (1996) Culture, media, and the eating disorders. Harvard Review of Psychiatry, 4, 163167.
Craig, P. L., Swinburn, B. A., Matenga-Smith, T., et al (1996) Do Polynesians still believe that big is beautiful? Comparison of body size perceptions and preferences of Cook Islands, Maori and Australians. New Zealand Medical Journal, 109, 200203.
Cusumano, D. L. & Thompson, J. K. (1997) Body image and body shape ideals in magazines: exposure, awareness, and internalization. Sex Roles, 37, 701721.
Festinger, L. (1954) A theory of social comparison processes. Human Relations, 7, 117140.
Field, A. E., Cheung, L., Wolf, A. M., et al (1999) Exposure to the mass media and weight concerns among girls. Pediatrics, 103, e36.
Furnham, A. & Husain, K. (1999) The role of conflict with parents in disordered eating among British Asian females. Social Psychiatry and Psychiatric Epidemiology, 34, 498505.
Garner, D. M., Garfinkel, P. E., Schwartz, D., et al (1980) Cultural expectations of thinness in women. Psychological Reports, 47, 483491.
Garner, D. M., Olmsted, M. P., Bohr, Y., et al (1982) The eating attitudes test: psychometric features and clinical correlates. Psychological Medicine, 12, 871878.
Hamilton, K. & Waller, G. (1993) Media influences on body size estimation in anorexia and bulimia. An experimental study. british Journal of Psychiatry, 162, 837840.
Heinberg, L. J. & Thompson, J. K. (1992) Social comparison: gender, target importance ratings, and relation to body image disturbance. Journal of Social behavior and Personality, 7, 335344.
Irving, L. (1990) Mirror images: effects of the standard of beauty on the self- and body-esteem of women exhibiting varying levels of bulimic symptoms. Journal of Social and Clinical Psychology, 9, 230242.
Katzman, M. A. & Lee, S. (1997) Beyond body image: the integration offeminist and transcultural theories in the understanding of self-starvation. International Journal of Eating Disorders, 22, 385394.
Lee, S. (1998) Global modernity and eating disorders in Asia. European Eating Disorders Review, 6, 151153.
Muhr, T. (1997) ATLAS.ti. Berlin: Scientific Software Development.
Pollock, N. (1995) Cultural elaboration of obesity – fattening practices in Pacific societies. Asian Pacific Journal of Clinical Nutrition, 14, 357360.
Richins, M. L. (1991) Social comparison and the idealized images of advertising. Journal of Consumer Research, 18, 7183.
Stice, E. & Shaw, H. (1994) Adverse effects of the media portrayed thin-ideal on women and linkages to bulimic symptomatology. Journal of Social and Clinical Psychology, 13, 288308.
Striegel-Moore, R. H., Silberstein, L. R. & Rodin, J. (1986) Toward an understanding of risk factors for bulimia. American Psychologist, 41, 246263.
Tiggemann, M. & Pickering, A. S. (1996) Role of television in adolescent women's body dissatisfaction and drive for thinness. International Journal of Eating Disorders, 20, 199203.
Varan, D. (1998) The cultural erosion metaphor and the transcultural impact of media systems. Journal of Communication, 48, 5885.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
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Eating behaviours and attitudes following prolonged exposure to television among ethnic Fijian adolescent girls

  • Anne E. Becker (a1), Rebecca A. Burwell (a1), David B. Herzog (a1), Paul Hamburg (a2) and Stephen E. Gilman (a3)...
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