Preventive Medicine Reports (Aug 2025)

Sociocultural pressures and appearance ideal internalization: Their impact on body dissatisfaction in Brazilian adults

  • Camila Carla Souza do Prado,
  • Maria Cláudia Bernardes Spexoto,
  • Wanderson Roberto da Silva,
  • Deise Bresan,
  • Bruna Menegassi

DOI
https://doi.org/10.1016/j.pmedr.2025.103149
Journal volume & issue
Vol. 56
p. 103149

Abstract

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Objective: To analyze the relationship between internalization of appearance ideals, sociocultural pressures, and body dissatisfaction among Brazilian adults. Methods: A cross-sectional study was conducted in Mato Grosso do Sul, Brazil, between January and December 2023. Using convenience sampling, data were collected from 290 adults (18–64 years old; median age = 24.0, IQR25 = 21.0, and IQR75 = 34.0; 69.3 % female) through an online self-report questionnaire. The dependent variables included socioeconomic, demographic, and anthropometric data. Sociocultural pressures and the internalization of appearance ideals were measured using the SATAQ-4, with body dissatisfaction as the independent variable. Statistical analyses involved non-parametric tests (Kolmogorov-Smirnov, Mann-Whitney U, Kruskal-Wallis, Dunn's post hoc tests) and Spearman's correlation, with a significance level set at p < .05. Results: Body dissatisfaction was 84.5 % prevalent. Dissatisfaction related to excess weight was associated with pressure from family (p < .001), friends (p = .001), the media (p < .001), and internalization of the thin ideal (p < .001). The median ideal athletic/muscular body was significantly higher in males than in females (p = .015), while median media pressure was higher in females compared to males (p = .001). Conclusions: The study highlights the role of sociocultural pressures and appearance ideals in body dissatisfaction, supporting the Tripartite Influence Model.

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