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Advertising is pervasive in our society, and the American Academy of Pediatrics estimates that the typical child in the United States sees almost 40,000 commercial messages each year. Young people are an attractive market for advertising. Not only do they have disposable income for personal purchases, but adolescence is the life stage during which brand preferences are formed. The manifest intent of advertising is to increase brand awareness and purchase, but advertisements can have unintended effects on adolescent health. This entry examines the possible impact of advertising on eating disorders, alcohol consumption, and smoking.

Adolescence is a period of change marked by tension between childhood and adulthood. Adolescents begin to experiment with adult roles as they become increasingly oriented toward relationships with their peer groups. These new roles are accompanied by uncertainty. Because media content is attractive and easily available, adolescents may turn to the mass media for information about these new roles. The pervasiveness of advertising, along with evidence that adolescents are more susceptible to its influence, gives rise to concern that it might become a source of information about adulthood that can lead to unhealthy behaviors.

Body Image and Eating Disorders

Adolescence brings concerns about media's impact on eating disorders. The widespread incidence of anorexia (eating too little) and bulimia (inducing vomiting after overeating) has led scholars to examine media messages about body images. In American culture, physical attractiveness is linked to thinness. Analyses of Playboy centerfolds, female characters on television, women in magazine ads, and even Miss America contestants indicate that the ideal female form has become slimmer over the years. The increase in women's fitness magazines, the number of magazine articles about dieting and weight loss issues, and the number of advertisements for diet products illustrate further reinforcement of the thin ideal.

There are several explanations why advertisements and other media content are expected to influence adolescents' body image. Albert Bandura's social learning theory holds that attractive and rewarded characters are more likely to be modeled. So, adolescents are likely to try to look like the thin characters they see in the media. Leon Festinger's social comparison theory contends that people compare themselves to others they believe represent ideal or reasonable models. So, attraction to slim media characters and celebrities can be linked to body dissatisfaction, the drive for thinness, and symptoms of disordered eating.

Adolescent girls are believed to be especially susceptible to media influence on disordered eating. During puberty, estrogen causes adolescent girls to acquire more fat, especially in the breasts and hips. Adolescence is also a time when girls tend to view their bodies critically and begin to feel negatively about their physical appearance.

Researchers have found some connections between media use and disordered eating. Symptoms of eating disorders have been linked most consistently to thin female magazine models and fitness magazine reading. These effects are not direct, however—that is, scholars have not found that exposure to these models translates directly into eating disorders. Instead, exposure is linked to dissatisfaction with one's body, the drive to be thin, and various eating disorder symptomatology. Self-esteem appears to affect the relationship between exposure to thinness-promoting media content and development of eating disorders. Adolescent girls with lower self-esteem are more likely to be dissatisfied with their bodies and more likely to compare themselves with media images.

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