• Ana Luísa Patrão, Maria da Conceição Almeida, Ana Henriques, M Alvim MatosSheilaSCollective Health Institute, Federal University of Bahia, R. Basílio da Gama, s/n, Canela, 40110-040 Salvador, Bahia, Brazil. Electronic address: sheilaalvim@gmail.com., Henrique Barros, Harter GriepRosaneRLaboratory of Education in the Environment and Health, Oswaldo Cruz Institute, FIOCRUZ, Av. Brasil, 4365, Manguinhos, 21040-360 Rio de Janeiro, Brazil. Electronic address: rohgriep@gmail.com., and AquinoEstela M LEMLCollective Health Institute, Federal University of Bahia, R. Basílio da Gama, s/n, Canela, 40110-040 Salvador, Bahia, Brazil. Electronic address: estela@ufba.br..
• Center for Psychology at University of Porto (CPUP), Faculty of Psychology and Education Sciences, University of Porto, R. Alfredo Allen, 4200-135 Porto, Portugal; Collective Health Institute, Federal University of Bahia, R. Basílio da Gama, s/n, Canela, 40110-040 Salvador, Bahia, Brazil. Electronic address: lispatrao@gmail.com.
• Prev Med. 2022 Nov 1; 164: 107316107316.

AbstractSolid evidence indicates that body image distortion is associated with various physical and mental health problems in women (e.g. Lee and Lee, 2016; Mölbert et al., 2017; Raj and Ploriya, 2020; Sagar, 2005; Shin et al., 2015). Furthermore, body image has been shown to vary according to life context and stage, particularly after a woman has had children. This scenario justifies the comparison between different countries and cultures. The objective of the present study was to evaluate the prevalence and associated factors of body image distortion/accuracy in Brazilian and Portuguese women with children. The study assessed women selected from two epidemiological cohorts: ELSA-Brasil in Brazil (n = 1468) and Generation XXI in Portugal (n = 3380). The data analyzed were based on multidimensional questionnaires from which sociodemographic and family characteristics as well as data associated with lifestyle and health were obtained. The results show that most women in both cohorts had an accurate perception of their own body size. In cases of distorted self-perception, the likelihood of the Brazilian women perceiving themselves as being heavier was greater if they had had cancer, whereas the Portuguese women were less likely to perceive themselves as heavier when they had less schooling. Perceiving themselves as thinner than they actually are, was associated with poorer self-perception of their own state of health in the Brazilian women and with poorer schooling in both the Brazilian and Portuguese women. The present findings contribute towards improving understanding of the influence of body image distortion on the health and wellbeing of Brazilian and Portuguese women, possibly leading to the implementation of health-promoting policies in both countries.Copyright © 2022 Elsevier Inc. All rights reserved.

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