Time spent on social media, type of content reviewed, and body image issues among medical undergraduate students in a tertiary care hospital in Navi Mumbai
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20262737Keywords:
Body image perception, Medical undergraduates, Social comparison, Social media influenceAbstract
Background: Body image concerns are an escalating public health issue among medical undergraduate students, a cohort facing intense academic pressure and heightened social scrutiny. Social media exposes this vulnerable group to idealized appearance standards, contributing to body dissatisfaction and detrimental social comparisons.
Methods: A cross-sectional study was conducted among 352 medical students. Data was analysed using Jamovi 2.6. One-way ANOVA, Chi-square tests, and binomial logistic regression was applied.
Results: 60.2% of students reported requiring a break from social media due to mental health impact. ANOVA found that mere usage duration was not a significant predictor of body image perception (p=0.361). Chi-square confirmed strong behavioural links between following influencers and the intention to modify appearance (χ2(2)=47.6, p<0.001). Regression identified photo-editing (aOR=2.90, p<0.001), following influencers (aOR=2.34, p=0.001), and higher BMI (aOR=1.67, p=0.043) as significant positive predictors of body image dissatisfaction. Conversely, following influencers (aOR= 0.50, p=0.015; SCS: aOR=0.40, p=0.003) and photo-editing (aOR=0.39, p=0.001) acted as significant negative predictors of social comparison and body shape concerns, suggesting a complex, paradoxical effect in these domains.
Conclusions: Content quality and active engagement are the primary influences, not duration. High distress prevalence and an observed Gen Z digital literacy paradox highlight the urgent need for colleges to implement targeted digital health literacy and de-stigmatized student wellness programs to foster healthier self-perception.
References
Meta Statistics 2026. How many users does Meta have? Available at: https://www.getpanto.ai/blog/meta-platforms-statistics. Accessed on 12 June 2026.
Kapoor A, Upadhyay MK, Saini NK. Prevalence, patterns, and determinants of body image dissatisfaction among female undergraduate students of University of Delhi. J Fam Med Prim Care. 2022;11(5):2002-7.
Festinger L. A theory of social comparison processes. Human Relat. 1954;7(2):117-40.
Aruna R, Anandh L, Manickam P. Eating habit, body image, and gender- is there any association among medical students? J Educ Health Promot. 2024;13:189.
Holland G, Tiggemann M. A systematic review of the impact of the use of social networking sites on body image and disordered eating outcomes. Body Image. 2016;17:100-10
Huang C. Social network site use and body image disturbances: A meta-analysis. Cyberpsychol Behav Soc Netw. 2020;23(6):346-54
Myers TA, Crowther JH. Social comparison as a predictor of body dissatisfaction: a meta-analytic review. J Abnorm Psychol. 2009;118(4):683-98
Rodgers RF, Slater A, Gordon CS, McLean SA, Jarman HK, Paxton SJ. A biopsychosocial model of social media use and body image concerns, disordered eating, and muscle-building behaviors among adolescents. Psychol Health. 2020;35(6):1-26.
Warren CS, Holland S, Billings H, Parker A. The relationships between academic stress, body dissatisfaction, and disordered eating among college women. Coll Stud J. 2012;46(2):331-46.
Choukas-Bradley S, Nesi J, Widman L, Higgins MK. Social media use and adolescent body image: a systematic review. Curr Opin Psychol. 2020;36:33-41.
Fardouly J, Vartanian LR. Social media and body image concerns: current research and future directions. Curr Opin Psychol. 2016;9:1-5.
Fatt SJ, Mond JM, Bussey K, Griffiths S, Murray SB, Lonergan AR. Predictors of male body image dissatisfaction: the role of media use and internalization of appearance ideals. Psychol Men Mascul. 2021;22(2):322-33.
Sharma M, Singh SK, Tiwari P, Chauhan N. Body image perception, eating attitude and influence of media among undergraduate students of medical college in Delhi: a cross sectional study. Int J Res Med Sci. 2019;7(12):4627.
Siraj M, Palappillil MB, Varghese M, Manivarnan M, Alexander MS, Varghese B, et al. Body image dissatisfaction among medical students in the Southern district of Kerala: a cross-sectional study. Int J Community Med Public Health. 2022;9:3166-70.
Sekhar MA, Edward S, Priscilla SE, Devi S. Exploring the link: social media usage and body image dissatisfaction in female medical students of Chengalpattu District, Chennai. Indian J Community Health. 2025;37(1):1-7.
Divecha CA, Joshi V, Prasad K. Body image perceptions and body image dissatisfaction among medical students in western India. Cureus. 2022;14(5):e24864.
Mathew MS, Vijayakarthikeyan M, Sowmya A, Sangeetha S. Exploring the digital mirror: Problematic social media usage and its influence on body shape among medical students in a South Indian tertiary care setting. J Fam Med Prim Care. 2025;14(9):3692-7.