THE EFFECT OF MEDIA PORTRAYAL OF OBESITY 5.1 Introduction In today’s society, achieving an “acceptable” physique is of great importance as appearance concerns have reached epidemic proportions especially among women (Borzekowski, Robinson, & Killen, 2000; Brand, Rothblum, Solomon, 1992). Concomitantly, there has been a wealth of research examining the influence of the media on body size and appearance (e.g., Mills, Polivy, Herman, & Tiggemann, 2002; Yamamiya, Cash, Melnyk, Posavac, & Posavac, 2005), resulting in numerous reports to suggest that media exposure affects body image, body satisfaction and eating pathology (e.g., Brownell et al., 2005; Harrison, 2003; Stice et al., 1994). For example, Stice et al. (1994) reported a relationship between media exposure and disordered eating, which was later supported by Bissell and Zhou (2004) who demonstrated that exposure to television depicting the thin ideal was a predictor of disordered eating in women of all races. Other research has demonstrated that there is an overrepresentation of “ideal” body sizes such as the thin ideal in the media and that over time body shapes that meet these unrepresentative standards for body appearance have increased (e.g., Greenberg et al., 2003; Griffin & Berry, 2003; Wiseman, Gray, Mosimann, & Ahrens, 1990). For example, Wiseman et al. (1990) reported that female television presenters have progressively become thinner over a 50 year period from the beginning of television and that half of those females met the criteria for anorexia nervosa. Within the media, body sizes and shapes are scrutinized and remarked on, drawing the readers’ attention to body appearance (Groesz et al., 2002). Whilst the majority of research (e.g., Agliata & Tantleff-Dunn, 2004; Hargreaves & Tiggemann, 2004) examining the effects of media ideals on body image has focused on full body concerns, other research has also examined the effects of focusing attention on body parts (e.g., a flat stomach). For example, Tiggemann and McGill (2004) reported that both body parts and full body exposure lead to 168 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY more negative mood states and greater social comparisons; however, in the condition where participants’ focus was on body parts, body dissatisfaction and state weight anxiety were at their highest. Body image disturbance is a well established area of inquiry in psychology, which has most notably been associated with females, thus, research in this area has typically used female samples (Furnham et al., 2002). Body image is of critical importance given its impact on self esteem and self concept, and its influence on psychological functioning and unhealthy behaviours intended to improve body shape and appearance (Cash & Pruzinsky, 2002; Polivy & Herman, 2002; Stice 2002; Thompson, 2004). The classic message directed to females regarding the body size to achieve is one of thinness, which is becoming thinner whilst the societal average is getting fatter, thus the discrepancy between current and ideal body sizes is becoming greater (Dittmar, 2008; Griffin & Berry, 2003). With supermodels and beauty contests placing high value on a thin physique, it is no wonder that larger body sizes are criticised. However, there is a growing appreciation that males may also suffer from body image disturbance with reports of this becoming more prevalent (Braun, Sunday, Huang, & Halmi, 1999; Cohane & Pope, 2001; Raudenbush & Zeller, 1997). The desired male physique is portrayed as muscular and whilst fewer studies have examined the value of muscularity for males, it is likely to carry a similar value to that of thinness for females (Leit, Pope, & Gray, 2001). A meta-analysis by Groesz et al. (2002) examined the impact of media images of the thin ideal on body image, demonstrating that body image was more negative when individuals were exposed to the thin ideal compared with exposure to average size models, larger size models or inanimate objects. Findings such as these are concerning given that the thin ideal is 169 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY reportedly becoming thinner (Dittmar, 2008; Griffin & Berry, 2003) and the frequency of fat stigmatisation and derogatory portrayals of obesity in the media (Puhl & Brownell, 2001). It should also be noted that negative weight commentary and teasing are related to body dissatisfaction (Thompson, Herbozo, Himes, & Yamamiya, 2005), and therefore as Himes and Thompson (2007) suggest, thin idealisation is further promoted by the negative stereotyping of the overweight and obese which may consequently result in body image disturbance and body dissatisfaction. Additionally, Griffin and Berry (2003) suggest that the discrepancy between the societal average and idealised body size is becoming greater and therefore this is also likely to lead to greater stigmatisation of the overweight and obese whilst the prevalence of body dissatisfaction and disordered eating behaviour will increase as more individuals within society become estranged from the ideal. Furthermore, Muir, Wertheim, and Paxton (1999) found that body dissatisfaction and ‘feeling fat’ were associated with dieting behaviour in adolescent girls. Thus, a number of negative consequences are associated with body dissatisfaction and negative self perception in which the media appears to have an influential role. The majority of research relating to body size has examined the effect of thin ideals portrayed in the media (e.g., Wiseman et al., 1990), reporting deleterious effects (e.g., Hawkins et al., 2004), with a limited number of studies examining the effects of exposure to obesity portrayals. Previously, Blundell and Bauer (1994) remarked that the present era is concerning with the emergence of a society that is driven towards achieving the projected thin ideal and avoidance of obesity at all costs. For example, adolescent girls place a higher importance on achieving a thin physique than performing well in education (Tiggemann, Gardiner, & Slater, 2000). Support for Blundell and Bauer’s (1994) description of the current zeitgeist comes from Himes and Thompson (2007) who suggest that the ideal body shape that society 170 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY endorses is thin. Moreover, those who achieve this standard are often projected as successful, and thin idealisation is encouraged further through the stigmatisation of the overweight and obese. Attitudes and behaviours are often shaped by social reinforcement, where those modelled by respected others become internalized (Stice, 2002). Thus, when striving to achieve the thin ideal, the actions of others such as dieting, preoccupation with weight or condemning and disparaging the overweight, serve to promote the thin ideal (Stice, 2002). There has been a dramatic increase in the attention obesity has received, and although there are movements to tackle the idealisation of thinness and striving to achieve the ideal appearance, body image concerns and eating disorders are becoming more prevalent (Borzekowski & Bayer, 2005; Field, Austin, Camargo et al., 2005). The increased attention on obesity is negative as demonstrated in previous research (e.g., Greenberg et al., 2003) and study 2. Hilbert and Reid (2009) suggest that stigmatisation and anti-fat attitudes may be generated and perpetuated as a consequence of the coverage obesity receives in daily newspapers. The media projects a constant misleading message to society through television and magazine portrayals of weight, promoting thinness as the standard for beauty and health (Price & Pecjak, 2003). Those who are thin are portrayed with positive attributes such as control (Puhl & Brownell, 2001), whereas fatness is perceived as a violation, causing disease (Cogan & Ernsberger, 1999) and those who are fat are portrayed with negative attributes such as laziness (Puhl & Brownell, 2001). As identified in study 2, newspapers portray obesity as controllable with some articles describing obesity as the result of immoral behaviours, reflecting the core values of the Protestant Ethic (Hoverd & Sibley, 2007). Whilst obesity is perceived as a ‘sin’ (Allon, 1982), which ‘invites retribution’ (Maddox et al., 1968, p. 288), thinness would, in direct opposition be the standard to achieve and an index of superior morality. With the findings of study 2 in mind revealing negative 171 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY media portrayal of obesity (e.g., the stigmatisation of the obese), in addition to the lack of research that has studied media portrayal of obesity, research is required that examines the effects obesity media portrayal on the audience. The views of Blundell and Bauer (1994) were later echoed by Brownell et al. (2005) who also argue that examining the effect of exposure to obesity is essential given the effects observed using thin models. One such study by Latner et al. (2007) examined media usage in children, assessing weekly time spent watching television, playing video games and reading magazines. An association between exposure to mass media and stigmatising attitudes was reported in children after exposure to obese boys and girls, where correlations demonstrated that negative reactions to obese boys and girls were highest in participants who reported greater total media, magazine and video game usage. Latner et al. (2007) also noted that this finding was especially prominent in relation to media reading time, where there was a greater dislike for overweight children compared to non-overweight peers. Similarly, Harrison (2000) reported that boys who view more television stereotyped overweight girls as being ‘greedy’, whilst both boys and girls who watched television the most reported increased symptoms of disordered eating. Individuals’ perceptions of their own body size are suggested to affect the likelihood of stigmatising the overweight and obese in adult populations. For example, Swami, Furnham, Amin et al. (2008) reported that stigmatisation and stereotyping of the overweight is likely to be greater as the discrepancy between the target individuals’ body size and the perceived ideal for physical attractiveness increases. Thus, with the limited efforts to examine the effect of media portrayals of obesity, research appears warranted given the increased attention to the condition in the media and prevalence of anti-fat attitudes as demonstrated in study 1 and previous research (e.g., Puhl & Brownell, 2006). 172 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY The effect the mass media has on self perception is of critical importance, as social comparisons between current and ideal are likely to occur (Botta, 1999; McCabe & Ricciadelli, 2003; Stice, 2002). Thus, it is the inadvertent messages, for example reinforcing a belief that obesity is controllable, which accompany media portrayal that are of interest. These messages may also heighten self awareness and erroneous self perception may arise and perpetuate as a result of the misrepresented body sizes that appear in the media that are distorted from the norm (Greenberg et al., 2003) and are promoted as targets to achieve (Groesz et al., 2002). McGreedy and Sadava (1999) examined the effect of television on perceptions of health, weight and physical fitness, reporting that those who watched more television perceived themselves as more overweight than those who viewed less television. Correspondingly, Tiggemann (2003) reported that those who were exposed to the most magazines reported the greatest internalisation of the thin ideal. Thus, the media acts as an important factor that may influence interpersonal perceptions, which Cook (1971) defined as how individuals feel, behave and think about others based on the way people react and respond to others. Gahagan (1984) later defined interpersonal perception suggesting that the concept is comprised of three components, one of which is how others are perceived as physical objects in an attempt to assign them to social categories, through forming impressions of their physical appearance and behaviours. For example, perceiving that all obese individuals are slothful and gluttonous (Prentice, 1995). Another component Gahagan identified is how others are perceived as psychological entities, where inferences can be made about an individual’s feelings and motives, through assigning others to a particular group (e.g., racial) and thus what kind of person they are believed to be. For example perceiving that all obese individuals are weekwilled and insecure (e.g., Puhl & Heuer, 2009; Quinn & Crocker, 1999). The final component 173 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY is the study of individuals as psychologists, where inferences are made about others and the development of intuitive theories to explain the occurrence of certain behaviours. For example, perceiving the obese to be inactive (Puhl & Heuer, 2009) and using this stereotype to explain low fitness levels in the obese. The purpose of this research was to examine the impact of media portrayal of obesity on perceptions of weight related words, implicit processing of appearance related words, self perception and body image using different media sources (newspaper and television). Another aim of the present study was to compare the effects of different media sources to determine which has a greater impact and whether these portrayals have different effects. This study was designed with the intention of increasing interpersonal awareness and the potential to make inferences about obese individuals through exposure to others’ body size and behaviour in media sources. Previous research (e.g., Groesz et al., 2002) has demonstrated that exposure to media depicting the thin ideal increases body image concerns, therefore in contrast, it was hypothesised that with exposure to media portrayal of obesity, body image concerns would decrease. 5.2 Method 5.2.1 Participants An opportunistic sample comprised of 29 participants (17 male, 12 female) aged 18-33 years (M = 22.93 ± 4.35 years) with a mean BMI of 23.39 ± 3.02kg/m2 was recruited. 174 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY 5.2.2 Measures Participants attended the laboratory on three separate occasions. On each visit, participants were required to complete a battery of questionnaires both pre and post the experimental conditions (See Procedures section 6.2.3). The battery of questionnaires was comprised of the Weight-Related Words Associated With Figure Silhouettes (Greenleaf, Starks, Gomez, Chambliss, & Martin, 2004), the Word Stem Completion Task (Tiggemann, Hargreaves, Polivy, & McFalane, 2004), the state version of the Physical Appearance State and Trait Anxiety Scale (Reed, Thompson, Bannick, & Sacco, 1991) and the Somatomorphic Matrix (Gruber et al., 1999). The Weight-Related Words Associated with Figure Silhouettes (Greenleaf et al., 2004; See Appendices 5.1 & 5.2): This measure uses the Figure Rating Scale (Stunkard, Sorenson, & Schlusinger, 1983) and consists of eight appearance related words (normal weight, slim, obese, fat, skinny, overweight, large and thin) and ten characteristics (motivated, lazy, smart, boring, stupid, unfriendly, friendly, slow, funny and physically fit). Participants are required to select the number of the figure silhouette that best represents the body shape they associate with each term. The Figure Rating Scale (Stunkard et al., 1983) consists of nine figure silhouettes ranging from very thin = 1 to 9 = very heavy. Thompson and Altabe (1991) demonstrated that the Figure Rating Scale has good test-retest reliability (.83 for affective ratings; .71 for ideal size). Scores for each of the items range from 0-9 depending on which of the figure silhouettes individuals assign to each word. The Word Stem Completion Task (Tiggemann et al., 2004; See Appendix 5.3): This scale is comprised of 20 items and assesses implicit processing of appearance related words, where participants are required to complete the first word that comes to mind after being provided 175 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY with an initial three letters (e.g., “CAL___” that may become CALL or CALORIE). This measure is scored by categorizing the words as either appearance or non-appearance related and summing the number of appearance related words out of 20. Previous research (e.g., Tiggemann & Slater, 2004) has reported that the scale correlates significantly and moderately with measures of body and general appearance dissatisfaction, whilst significant differences in response were evident after exposure to appearance stimuli. Physical Appearance State and Trait Anxiety Scale (PASATAS: Reed et al., 1991; See Appendix 5.4): The scale measures anxiety related to body image and was developed to measure trait and state anxiety for overall body image, where specific body segments scores can be calculated. Only the state version was used, which is comprised of 16 items with a 5 point Likert-type scale from 0 = not at all to 4 = exceptionally so. Scores range from 0-64 with higher scores indicative of greater physical appearance anxiety. This measure has demonstrated reliability, for example Etu and Gray (2010) recently reported a Cronbach’s alpha of .89 for the state version of the PASATAS. The Somatomorphic Matrix (Gruber et al., 1999; See Appendix 5.5): This bi-dimensional body image computer programme was developed to measure both muscularity and body fat in males and females (Gruber et al., 1999). The measure was developed using photographs and body composition data retrieved from anthropometry (Kagawa, Kerr, Dhaliwal, Hills, & Binns, 2006; Appendix 5.5) and has excellent construct validity (Cafri, Roehrig, & Thompson, 2004). Participants are required to select the image that best represents their current physique (‘current’), goal physique (‘goal’), average physique for their sex (‘average’) and ideal physique perceived by those of the opposite sex (‘ideal’) by either increasing or decreasing the muscularity and fatness of the silhouette that appears on the 176 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY screen. Participants are also required to select the physique of an individual from the opposite sex they perceive to be the most attractive. Scores reflecting muscularity and body fat are provided, and discrepancy scores can be calculated between the current (self) and the goal, average and ideal physiques (i.e., the difference the selected silhouettes). This measure has been used to examine body image in a variety of populations such as heterosexual, gay and eating disordered males (e.g., Hausmann, Mangweth, Walch, Rupp, & Pope, 2004; Kagawa et al., 2006; Mangweth, Hausmann, Walch et al., 2004). However, Cafri et al. (2004) report that scores for males’ self-body fat and ideal-muscularity ratings were unreliable (r = .64; r = .55 respectively) whilst for females self-muscularity, idealmuscularity and ideal-body fat ratings (r = .54; r = .57; r = .37 respectively) were also unreliable. Cafri et al. also reported that in addition to the above individual items demonstrating low reliability, the self-ideal discrepancy scores for muscularity and body fat in both male (r = .34; r = .57 respectively) and female (r = .35; r = .56 respectively) samples was unreliable. Thus, the programme must be used with caution. Cafri et al.’s test re-test (710 days) sample however was small consisting of only 63 participants, thus a larger scale study to examine the reliability of this programme is required. Moreover, whilst Cafri et al. have suggested that these coefficients indicate poor reliability, other authors (e.g., Dasgupta & Greenwald, 2001; Nosek et al., 2007) have reported that similar coefficients indicate acceptable reliability of the measure under consideration. 5.2.3 Procedure Prior to data collection ethical approval was granted by the University Ethics board. On the first visit, participants provided informed consent (See Appendix 5.6) and demographic details (See Appendix 5.7). There were three experimental conditions; a tabloid newspaper 177 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY article about obesity (Tabloid; See Appendix 5.8); a broadsheet newspaper article about obesity (Broadsheet; See Appendix 5.9); and a television programme about obesity (Obesity; See Appendix 5.10), all of which were randomly selected. These conditions were presented in counterbalanced order. Participants completed the weight-related words associated with figure silhouettes (Greenleaf et al., 2004), the Word Stem Completion Task (Tiggemann et al., 2004), the state version of the PASATAS (Reed et al., 1991) and the Somatomorphic Matrix (Gruber et al., 1999) pre and post condition. 5.2.4 Data Analysis To examine the influence of the four experimental conditions, a discrepancy score was calculated by subtracting the post-condition from the pre-condition score. A positive discrepancy score on the Weight-Related Words Associated with Figure Silhouettes (Greenleaf et al., 2004) indicates that a smaller figure is selected post condition than pre, with a negative score indicative of a larger figure selected post condition than pre. A positive discrepancy score on the Word Stem Completion Task (Tiggemann et al., 2004) indicates that participants construct less weight related words post condition than pre, with a negative score indicative of more weight related words constructed post condition than pre. A positive discrepancy score on the PASATAS (Reed et al., 1991) indicates that state appearance anxiety is less post condition than pre, whilst a negative score indicates that state appearance anxiety is greater post condition than pre. A positive discrepancy score on the Somatomorphic Matrix (Gruber et al., 1999) indicates that participants’ perceptions of either fat or muscle mass have decreased from pre to post condition, whereas a negative score indicates that participants perceive their fat or muscle mass as greater post condition than pre. 178 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY A number of assumptions for one way repeated measures ANOVA were violated. For example a number of dependent variables violated the assumptions of normality and homogeneity. Thus, Friedman’s ANOVA was conducted as the non-parametric equivalent, with Wilcoxon Signed Ranks Tests used as a post hoc test to examine any main effects that emerged from the analysis. As suggested by Field (2009), to account for Bonferroni correction, the critical level of significance usually set at .05 was divided by 3 (the number of comparisons), thus significance levels for post hoc tests was set at .0167. 5.3 Results 5.3.1 Descriptive Statistics The PASATAS met the assumption of normality (Z-scores: skewness = 1.20, kurtosis = .41), however, Cronbach’s alpha was low, ά = .48. 179 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY Table 5.3.1: Mean and standard deviation scores for discrepancy scores (pre-post) on dependent variables in relation to the three experimental conditions (Tabloid, Broadsheet, and Obesity related TV programme) Dependent measures Mean Tabloid Broadsheet Standard Deviation Obesity TV Tabloid Broadsheet programme Obesity TV programme Current muscle -.72 -.16 -.36 1.24 1.01 1.18 Current fat .41 .28 -1.79 2.23 2.81 4.61 Goal muscle .26 -.16 .60 1.70 .61 1.78 Goal fat .28 -.14 .14 2.60 2.50 4.21 Average muscle -.36 .45 -.12 1.48 1.97 1.20 Average fat .14 .41 -.91 4.21 4.19 4.64 Ideal muscle -.47 -.26 -.10 1.51 1.07 1.26 Ideal fat .41 -.55 .97 2.47 2.97 4.49 Attractive -.12 -.21 -.05 1.55 1.31 .85 -.28 1.52 -.83 3.19 4.06 2.48 opposite sex muscle Attractive opposite sex fat 180 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY Table 5.3.2: Mean and standard deviation scores for discrepancy scores (pre-post) on dependent variables in relation to the three experimental conditions (Tabloid, Broadsheet, and Obesity related TV programme) Dependent measures Mean Tabloid Broadsheet PASATAS .28 Normal weight Standard Deviation Tabloid Broadsheet -.41 Obesity TV programme .62 3.15 1.50 Obesity TV programme 2.34 -.14 -.03 -.03 .35 .19 .33 Slim .00 -.10 -.03 .38 .41 .33 Obese .03 .00 -.14 .42 .38 .64 Fat -.03 -.03 .00 .42 .42 .38 Skinny -.03 -.21 -.07 .57 .62 .46 Overweight -.17 -.17 -21 .76 .47 .82 Large -.03 -.31 .10 .57 .66 .72 Thin .28 .17 -.28 .75 .47 .70 Motivated -.03 -.07 -.14 .42 .53 .58 Lazy .10 -.17 .00 1.08 1.07 .89 Smart .00 -.07 -.14 .27 .26 .35 Boring -.03 .38 -.03 .78 2.38 2.01 Stupid -.21 .00 -.17 1.61 .76 1.65 Unfriendly -.17 .14 .31 .60 1.62 1.56 Friendly .03 -.03 -.14 .63 .57 1.30 Slow -.10 .00 -.10 .67 .60 .56 Funny .17 .00 .00 .71 .96 1.98 Physically fit .03 -.03 -.03 .33 .19 .33 Word Stem Completion Task -.90 -.17 .34 1.97 2.04 2.38 181 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY Table 5.3.3: Mean and standard deviation scores for discrepancy scores on the Somatomorphic Matrix in relation to the four experimental conditions (Tabloid, Broadsheet, Soap, and Obesity related TV programme) Discrepancies Tabloid Mean Broadsheet Obesity TV Tabloid Standard Deviation Broadsheet Obesity TV programme Current vs Goal programme -.98 .00 -.97 1.76 1.13 2.03 -.36 -.60 -.24 1.73 2.22 1.56 -.26 .10 -.26 1.88 1.70 1.70 .14 .41 -1.93 3.46 3.91 6.20 .28 -.14 -.88 5.23 4.84 5.45 .00 .83 -2.76 3.70 4.05 7.02 Muscle Current vs Average Muscle Current vs Ideal Muscle Current vs Goal Fat Current vs Average Fat Current vs Ideal Fat 182 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY 5.3.2 Effect of the Three Experimental Conditions A main effect was observed for participants’ responses on the PASATAS (Reed et al., 1991; χ2(2) = 7.65, P < .05). However, follow up Wilcoxon Signed Rank Tests revealed that no between conditions effects were evident. A main effect was also observed for perceptions of the fat mass of an attractive member of the opposite sex (χ2(2) = 8.40, P < .05). A follow up Wilcoxon Signed Rank Test revealed a significant difference in discrepancy scores between the broadsheet and obesity conditions where mean scores indicated that participants’ perceptions of the fat mass of an attractive member of the opposite sex decreased from pre to post in the broadsheet condition whereas in the obesity condition, perceptions of fat mass of an attractive member of the opposite sex increased from pre to post (Z = -2.56, P = < .0167; Table 5.3.1). A main effect was observed for the four experimental conditions in relation to participants’ perceptions of the figure silhouette that best represented the word thin (χ2(2) = 7.54, P < .05). A follow up Wilcoxon Signed Rank Test revealed significant differences between the obesity and tabloid conditions, where mean scores indicated that the discrepancy of perceptions of the figure silhouette that best represented the word thin was negative in the obesity condition, therefore a larger figure was selected post condition than pre, whereas in the tabloid condition the discrepancy was positive and therefore participants’ perceptions decreased and a smaller figure was selected (Z = -2.60, P < .0125; Table 5.3.2). A final main effect was observed for the four experimental conditions in relation to the prepost discrepancies between current and goal muscle (χ2(3) = 6.86, P < .05). However, follow up Wilcoxon Signed Ranks Tests revealed no significant differences between current-goal 183 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY discrepancies (pre-post) for the three conditions at the adjusted critical value of significance (.0167). 5.4 Discussion The purpose of this research was to examine the impact of media portrayal of obesity on perceptions of weight related words, implicit processing of appearance related words, self perception and body image using different media sources (newspaper and television). Another aim of the present study was to compare the effects of different media sources to determine which has a greater impact and whether these portrayals have different effects. This study was designed with the intention of increasing interpersonal awareness and the potential to make inferences about obese individuals through exposure to others’ body size and behaviour in media sources. Previous research (e.g., Groesz et al., 2002) has demonstrated that exposure to media depicting the thin ideal increases body image concerns, therefore in contrast, it was hypothesised that with exposure to media portrayal of obesity, body image concerns would decrease. An interesting finding from the present study was that participants’ perceptions of the fat mass of an attractive member of the opposite sex decreased from pre to post in the broadsheet condition and was significantly different from the obesity condition. Whilst the newspaper articles were randomly sampled from an existing collection, the broadsheet article included information that reflects the Protestant Ethic values, where obesity is referred to as an immoral behaviour and associated with deviant and illegal actions such as drug taking. Therefore, the broadsheet condition may have had a greater effect on participants’ 184 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY perceptions of the fat mass of an attractive member of the opposite sex due to the message that individuals need to take responsibility for their body shape and size and by associating obesity with sinful behaviours. Hoverd and Sibley (2007) suggest that those who hold Protestant Ethic beliefs have a lower acceptance of others who are perceived to deviate from Protestant Ethic values, thus the broadsheet newspaper article that suggests that obesity is immoral, may have lowered participants’ acceptance of obesity, causing perceptions of the fat mass of an attractive member of the opposite sex to decrease. Perceptions of body size play a key role in the stigmatisation of obesity, but previous research (e.g., McCabe, Ricciardelli, Sitaram, & Mikhail, 2006) has reported that perceptions of body size may be inaccurate. In the present study, participants’ perceptions of the body size that best represents the word thin were significantly different between the tabloid and obesity conditions. In the tabloid condition, participants’ perceptions of the body size that best represented the word thin decreased from pre to post whereas in the obesity condition perceptions of a thin body size increased from pre to post. The tabloid condition provided a very descriptive account of an obese individual whereas in the obesity condition a range of obese individuals appeared. The tabloid condition included information representative of how a girl became obese detailing her overconsumption and inactivity, two sins of the Protestant Ethic that may have lead to participants morally judging the girl as lacking personal control. Furthermore, in the obesity condition, participants’ were exposed to a number of obese individuals, which may have caused them to perceive these body shapes as more representative of the population and therefore perceptions of a thin body size may have increased. In contrast the individual discussed in the tabloid condition may have been perceived as abnormal and unrepresentative of the population, reinforcing a belief that obesity is controllable and results from immoral behaviour. 185 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY Although the present study findings require further examination and substantiation, if future research confirms that perceptions of others body size are affected portrayals of obesity in the media, then this presents a worrying occurrence given the increasing media attention directed to the condition. The present study findings do not support the hypothesis that exposure to media portrayals of obesity would reduce body image concerns as findings suggest that media portrayal of obesity only affects other perception and no differences emerged for self perception. Therefore these results provide support the earlier call by Brownell et al. (2005) for research to examine the effects of obesity media portrayals given the deleterious consequences of media portrayal of the thin ideal (e.g., Botta, 1999). Future research needs to examine whether this increased media attention of obesity does have an inadvertent effect, causing deleterious psychological effects. Fister and Smith (2004) examined the effect of media exposure on females at risk of eating disorders, reporting that when exposed to images of attractive, average weight individuals expectancies of thinness were reduced in comparison to exposure to thin models and a control condition. Although the findings of the present study do not support that of Fister and Smith (2004), they do indicate that exposure to obesity portrayals can have detrimental effects on perceptions of others and therefore as Fister and Smith (2004) suggest, average weight exposure may be more beneficial by reducing body dissatisfaction. Exposure to obesity in the tabloid condition, where obesity is portrayed as the result of gluttony and slothfulness, may have increased participants’ desire to be thinner and hence avoid obesity. Thus the findings also tentatively support the suggestion that the thin ideal is further promoted through the stigmatisation and avoidance of obesity and vice versa (Himes & Thompson, 2007). 186 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY Whilst previous research examining thin ideals in the media reports harmful effects on self perception and body image (e.g., Groesz et al., 2002), it would appear that similar effects may also be evident when individuals are exposed to obesity. Thus, media exposure to body sizes at either end of the scale, whether thin or obese, appears to have negative consequences, and therefore presentation of average body sizes may eliminate some of the potentially damaging consequences identified in previous research (e.g., Groesz et al., 2002) and the present study. Support for the use of average body sizes in the media comes from recent research by Deidrichs and Lee (2010) whose findings demonstrated that average body sizes are more advantageous than thin or obese body sizes when examining the effects of exposure to media advertisements on male and female body image. Using four advertisement conditions: no model, average-slim model, average-large model or muscular model, Deidrichs and Lee reported that males’ body image was more positive when exposed to average body size models compared with no models. Despite the surprising finding that no difference was evident when compared with exposure to muscular models, the use of average size models does appear to have a beneficial effect on male body image. Based on findings from the present study it cannot be concluded with any certainty that interpersonal awareness was heightened, however, messages that obesity is controllable appear to have affected perceptions of others as the fat mass of an attractive member of the opposite sex decreased in the broadsheet condition, whilst messages relating to the sins of gluttony and slothfulness in the tabloid condition appear to have affected perceptions of the thin body. Protestant Ethic values have been argued to provide the foundations for anti-fat attitudes (Crandall, 1994). The present study results suggest that these values may also increase negative perceptions of overweight or obese others, as the broadsheet condition 187 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY included information pertinent to the perception that obesity is immoral, whilst the tabloid condition suggests that obesity results from sinful behaviours (Prentice, 1995). A potential limitation of the present study is that self esteem and weight were not considered. As Stice (1994) reports, females with low self esteem are more likely to be vulnerable to media effects. This was later supported by Tiggemann (2003) who also reported that weight was an influential factor in the effect of the media, where those who were overweight and scored highest on internalisation of media sources were more likely to suffer from body dissatisfaction and disordered eating behaviour. Another limitation is that the Somatomorphic Matrix (Gruber et al., 1999) and non-weight related words assigned to the figure silhouettes (Greenleaf et al., 2004) may have lacked validity and reliability. The Somatomorphic Matrix (Gruber et al., 1999) enables an individual to adjust the size of the figure that appears on the screen, however, the experimenter noted that participants perceived the figures to be unlike the body shapes evident in today’s society, thus, this measure may lack ecological validity. The non-weight related words assigned to the figure silhouettes (Greenleaf et al., 2004) may limit reliability of responses as some words such as funny and smart may have been interpreted differently by participants, thus responses may have been confounded by interpretation. A third potential limitation of the present study is that exposure length was not standardised and therefore differed between conditions. It might therefore be expected that the obesity condition would have a greater effect due to the longer duration of exposure than the newspaper conditions. Finally, as identified earlier, the researcher cannot conclude that the effects observed were a reflection of the type of media as different obesity related topics were featured in the different conditions which may have produced different effects. Thus, to draw 188 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY accurate conclusions of the effect of different media sources, the focus of each condition would need to be the same. Despite the above limitations, the present study presents an initial examination of the effect of media portrayals of obesity which is required given the increasing media attention paid to the condition and the negative effects reported of exposure to the thin ideal (Brownell et al., 2005). 5.4.1 Future Research Future research is still required to examine the effects of media portrayals of obesity. The present study indicates that portrayal of obesity may impact perceptions of others and of thinness, thus research that explains this effect is required. Additionally, research that addresses the limitations of the present study is necessary to substantiate the effects observed. Until very recently, the effect of media portrayals of obesity had not been studied. McClure et al. (2011) examined exposure to news stories of obesity reporting greater anti-fat attitudes when the article was accompanied by a stereotypical image of an obese individual. The present study suggests that obesity portrayal affects perceptions of others, adding credence to the findings of McClure et al. to suggest that obesity portrayal may have negative consequences. Given the lack of research examining the effect of obesity portrayal in the media, future research to explore these effects appears warranted. Children and young people are a particularly influential population, and high levels of anti-fat attitudes (e.g., Cramer & Steinwert, 1998) and body image concerns (e.g., Dohnt & Tiggemann, 2006; Field et al., 2005) have been documented previously in this group. Research is therefore required to examine the effects of obesity portrayal in media aimed at children and adolescents. One study that has examined children’s media was conducted by Herbozo et al. (2004) who provided evidence of messages suggesting that physical 189 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY appearance is important and of the promotion of body stereotypes. Findings such as these are extremely concerning and suggest that action is required to address media messages especially those viewed by children to reduce the value placed on appearance. 5.5 Conclusion In conclusion, this study provides an important and initial indication of the potential effects of obesity portrayal in the media. This research is timely, with the increasing media attention paid to obesity thus the effects of such portrayal need to be understood. With reports of obesity prevalence increasing in the UK (e.g., James, 2008), increasing media attention may lead to negative perceptions of others and as suggested by Neighbors and Sobal (2007), a shift in perceptions of body appearance may occur. Cultivation Theory (Gerbner & Gross, 1976) suggests that a shift occurs as a result of media exposure and that those exposed the most have a greater likelihood of perceiving the world as portrayed in the media. Given the findings reported in study 2 that demonstrate that obesity is portrayed as controllable in the media, that aspects of the Protestant Ethic are evident, such as moral failings as a cause of obesity as are accounts of stigmatisation and discrimination towards the obese, individuals are likely to internalise and imitate the attitudes conveyed by the media. Thus, exposure to obesity portrayal may serve to reinforce ideal body shapes and avoidance of obesity as these portrayals are perceived as a reflection of ‘social reality’. As previously reported (e.g., Engeln-Maddox, 2005) the findings of this study demonstrate that interpersonal awareness may have detrimental effects on body image; however, unlike the majority of research that has been conducted in the past, this study increased interpersonal awareness using obesity media portrayal. The study provided evidence that media portrayal of obesity affects perceptions of others, and whilst additional research is required to 190 THE EFFECT OF MEDIA PORTRAYAL OF OBESITY substantiate the present study findings, this effect is concerning as previous research (e.g., Anton, Perry, & Riley, 2000) has reported that body size discrepancies detrimentally affect body satisfaction, eating behaviours and exercise participation. 191