@article{fdi:010084514,
  title = {{B}ody size preferences for women and adolescent girls living in {A}frica : a mixed-methods systematic review},
  author = {{P}radeilles, {R}. and {H}oldsworth, {M}ichelle and {O}laitan, {O}. and {I}rache, {A}. and {O}sei-{K}wasi, {H}. {A}. and {N}gandu, {C}. {B}. and {C}ohen, {E}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective: {T}o synthesise evidence on body size preferences for females living in {A}frica and the factors influencing these. {D}esign: {M}ixed-methods systematic review including searches on {M}edline, {CINHAL}, {ASSIA}, {W}eb of {S}cience and {P}syc{INFO} ({PROSPERO} {CRD}42015020509). {A} sequential-explanatory approach was used to integrate quantitative and qualitative findings. {S}etting: {U}rban and rural {A}frica. {P}articipants: {S}tudies of both sexes providing data on body size preferences for adolescent girls and women aged >= 10 years. {R}esults: {S}eventy-three articles from twenty-one countries were included: fifty quantitative, fifteen qualitative and eight mixed methods. {M}ost studies reported a preference for normal or overweight body sizes. {S}ome studies of adolescent girls/young women indicated a preference for underweight. {F}actors influencing preferences for large(r) body sizes included: socio-demographic (e.g. education, rural residency), health-related (e.g. current {BMI}, pubertal status), psycho-social (e.g. avoiding {HIV} stigma) and socio-cultural factors (e.g. spouse's preference, social standing, cultural norms). {F}actors influencing preferences for slim(mer) body sizes included: socio-demographic (e.g. higher socioeconomic status, urban residency, younger age), health-related (e.g. health knowledge, being nulliparous), psycho-social (e.g. appearance, body size perception as overweight/obese) and socio-cultural factors (e.g. peer pressure, media). {C}onclusions: {P}reference for overweight (not obese) body sizes among some {A}frican females means that interventions need to account for the array of factors that maintain these preferences. {T}he widespread preference for normal weight is positive in public health terms, but the valorisation of underweight in adolescent girls/young women may lead to an increase in body dissatisfaction. {E}mphasis needs to be placed on education to prevent all forms of malnutrition.},
  keywords = {{B}ody size preferences ; {W}omen ; {A}dolescent girls ; {A}frica ; {R}eview ; {AFRIQUE} {SUBSAHARIENNE}},
  booktitle = {},
  journal = {{P}ublic {H}ealth {N}utrition},
  volume = {25},
  numero = {3},
  pages = {738--759},
  ISSN = {1368-9800},
  year = {2022},
  DOI = {10.1017/s1368980021000768},
  URL = {https://www.documentation.ird.fr/hor/fdi:010084514},
}