Men’s Baldness Stigma and Body Dissatisfaction

Main Article Content

Glen Jankowski
Michael Sherwin
Nova Deighton-Smith


Introduction: Head hair forms a central component of the sociocultural male appearance ideal (e.g.,
mesomorphic, tall, young and not bald) and carries masculine connotations and stigma. Immense pressures to conform to this male appearance ideal gives rise to body dissatisfaction. Previous assessments of body dissatisfaction are too narrow, ignoring dissatisfaction beyond mesomorphy such as baldness dissatisfaction. Our study involved two research questions: (i) Do the facial expressions assigned to images of bald and non-bald men differ? and (ii) What forms of body dissatisfaction, including baldness dissatisfaction, do men have and are these related to men’s wellbeing and muscularity behaviours?

Method: Eighty-six male participants aged 18–58 years (mean = 23.62; standard deviation = 7.80) were randomly exposed to 10 images of smiling men (half balding and half not) and were asked to rate the facial expression displayed. Participants also rated their body dissatisfaction and wellbeing. Ethics statement: Institutional ethics approval was granted.

Results: We found that participants interpreted the facial expressions of images of bald men slightly more negatively than non-bald men. Most participants reported some form of body dissatisfaction correlated with wellbeing and muscularity enhancing behaviours, albeit weakly. Participants also disclosed a range of body dissatisfaction aspects (including surrounding muscularity, body fat, teeth alignment, skin tone and facial hair amount) though generally were not impacted heavily nor highly dissatisfied.

Conclusion: These findings underscore the complex challenge in producing a complete assessment of men’s body dissatisfaction and the general resilience men experience with extant appearance pressures around their bodies and head hair.


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How to Cite
Jankowski, G., Sherwin, M., & Deighton-Smith, N. (2021). Men’s Baldness Stigma and Body Dissatisfaction. International Journal of Mens Social and Community Health, 4(1), e68-e82.
Author Biographies

Glen Jankowski, Leeds Beckett University, UK

Leeds Beckett University, Leeds, United Kingdom

Michael Sherwin, Leeds Beckett University

Leeds Beckett University, Leeds, United Kingdom

Nova Deighton-Smith, Leeds Beckett University

Leeds Beckett University, Leeds, United Kingdom


1. Jankowski GS, Fawkner H, Slater A, Tiggemann M. “Appearance potent”? Are gay men’s magazines more “appearance potent” than straight men’s magazines in the UK? Body Image. 2014;11(4):474–81.
2. Labre MP. Burn fat, build muscle: A content analysis of men’s health and men’s fitness. Int J Mens Health. 2005;4(2):187–200.
3. Jankowski GS, Slater A, Tiggemann M, Fawkner H. The appearance potency of gay and straight men’s websites. Psychol Sex Rev. 2016;7(2):48–62.
4. Law C, Labre MP. Cultural standards of attractiveness: A 30-year look at changes in male images in magazines. J Mass Commun Q. 2002;79(3):697–711.
5. Leit RA, Pope HG, Jr., Gray JJ. Cultural expectations of muscularity in men: The evolution of playgirl centrefolds. Int J Eat Disord. 2001;29(1):90–3.;2-F
6. Pope HG, Jr., Olivardia R, Gruber A, Borowiecki J. Evolving ideals of male body image as seen through action toys. Int J Eat Disord. 1999;26:65–72. http://dx.doi. org/10.1002/(SICI)1098-108X(199907)26:1%3C65::AID-EAT8%3E3.0.CO;2-D
7. Buote VM, Wilson AE, Strahan EJ, Gazzola SB, Papps F. Setting the bar: Divergent sociocultural norms for women’s and men’s ideal appearance in real-world contexts. Body Image. 2011;8(4):322–34.
8. Deighton-Smith N, Bell BT. Objectifying fitness: A content and thematic analysis of #fitspiration images on social media. Psychol Pop Media Cult. 2018;7(4):467–83.
9. Lanzieri N, Cook BJ. Examination of muscularity and body fat depictions in magazines that target heterosexual and gay men. Body Image. 2013;10(2):251–4.
10. Rohlinger DA. Eroticizing men: Cultural influences on advertising and male objectification. Sex Roles. 2002;46(3):61–74.
11. Barlett CP, Vowels CL, Saucier DA. Meta-analyses of the effects of media images on men’s body-image concerns. J Soc Clin Psychol. 2008;27(3):279–310.
12. Blond A. Impacts of exposure to images of ideal bodies on male body dissatisfaction: A review. Body Image. 2008 Sep;5(3):244–50. bodyim.2008.02.003
13. Bordo S. The male body: A new look at men in public and in private. 1st ed paperback. New York: Farrar, Straus & Giroux Inc; 1999. 358 p.
14. Frederick DA, Essayli JH. Male body image: The roles of sexual orientation and body mass index across five national U.S. studies. Psychol Men Masculinity. 2016;17(4):336–51.
15. Pope HG, Jr., Gruber AJ, Mangweth B, Bureau B, deCol C, Jouvent R. Body image perception among men in three countries. Am J Psychiatry. 2000;157:1297–301.
16. Tiggemann M, Martins Y, Kirkbride A. Oh to be lean and muscular: Body image ideals in gay and heterosexual men. Psychol Men Masculinity. 2007;8(1):15–24.
17. Griffiths S, Hay P, Mitchison D, Mond JM, McLean SA, Rodgers B, et al. Sex differences in the relation-ships between body dissatisfaction, quality of life and psychological distress. Aust N Z J Public Health. 2016; 40(6):518–22.
18. Jacobi C, Fittig E. Psychosocial risk factors for eating disorders. In: Stewart Agras W, editor. The Oxford handbook of eating disorders. New York: Oxford University Press; 2010. p. 123–36.
19. Kanayama G, Barry S, Hudson JI, Pope HG, Jr. Body image and attitudes toward male roles in anabolic-androgenic steroid users. Am J Psychiatry. 2006;163(4):697–703.
20. Olivardia R, Pope HG, Jr., Borowiecki JJ, Cohane GH. Biceps and body image: The relationship between muscularity and self-esteem, depression, and eating disorder symptoms. Psychol Men Masculinity. 2004;5(2):112–20.
21. Pope HG, Kanayama G, Hudson JI. Risk factors for illicit anabolic-androgenic steroid use in male weight-lifters: A cross-sectional cohort study. Biol Psychiatry. 2012 Feb;71(3):254–61.
22. Gough B, Seymour-Smith S, Matthews CR. Body dissatisfaction, appearance investment, and wellbe-ing: How older obese men orient to “aesthetic health.” Psychol Men Masculinity. 2015;17(1):84–91.
23. Pope HG, Jr., Phillips KA, Olivardia R. The Adonis complex: The secret crisis of male body obsession. New York: Free Press; 2000. 314 p.
24. Bennett E, Gough B. In pursuit of leanness: The management of appearance, affect and masculinities within a men’s weight loss forum. Health Interdiscip J Soc Study Health Illn Med. 2012 Jul;17(3):284–99.
25. East J. I hope protein world are installing sentient devices into reality stars’ brains [Internet]. [cited 2014 Oct 17]. Available from: mrjamieeast/i-hope-protein-world-are-installing-sentient-devic
26. Karazsia BT, Crowther JH, Galioto R. Undergraduate men’s use of performance- and appearance-enhancing substances: An examination of the gateway hypothesis. Psychol Men Masculinity. 2013;(2):129.
27. Diedrichs PC, Lee C, Kelly M. Seeing the beauty in everyday people: A qualitative study of young Australians’ opinions on body image, the mass media and models. Body Image. 2011;8(3):259–66.
28. Adams G, Turner H, Bucks R. The experience of body dissatisfaction in men. Body Image. 2005 Sep;2(3):271– 83.
29. Cafri G, Thompson JK. Measuring male body image: A review of the current methodology. Psychol Men Masculinity. 2004;5(1):18–29.
30. Halliwell E, Dittmar H. Associations between appearance-related self-discrepancies and young women’s and men’s affect, body satisfaction and emotional eating: A comparison of fixed-item and participant-generated self-discrepancies. Personal Psychol Bull. 2006;32:447–58.
31. Thompson JK. The (mis)measurement of body image: Ten strategies to improve assessment for applied and research purposes. Body Image. 2004 Jan;1(1):7–14.
32. Tiggemann M, Martins Y, Churchett L. Beyond muscles: Unexplored parts of men’s body image. J Health Psychol. 2008;13(8):1163–72.
33. NHS. Hair loss [Internet]. [cited 2020 Mar 17]. Available from: 34. Blumeyer A, Tosti A, Messenger A, Reygagne P,
Del Marmol V, Spuls PI, et al. Evidence-based (S3) guideline for the treatment of androgenetic alopecia in women and in men. J Dtsch Dermatol Ges J Ger Soc Dermatol JDDG. 2011 Oct;9 (Suppl 6):S1–57.
35. DeMuro-Mercon C, Rhodes T, Girman CJ, Vatten L. Male-pattern hair loss in Norwegian men: A community-based study. Dermatology. 2000;200(3):219–22.
36. Ricciardelli R. Masculinity, consumerism, and ap-pearance: A look at men’s hair. Can Rev Sociol Can Sociol. 2011;48(2):181–201.
37. Frith H, Jankowski GS. Psychosocial impact of androgenetic alopecia on men: A systematic review & meta analysis [Internet]. [cited 2020 Dec 15]. Available from:
38. Kranz D. Young men’s coping with androgenetic alopecia: Acceptance counts when hair gets thinner. Body Image. 2011 Sep;8(4):343–8.
39. Jankowski GS, Gough B, Fawkner H, Halliwell E, Diedrichs PC. Young men’s minimisation of their body dissatisfaction. Psychol Health. 2018;33 (11):1343-1363.
40. Harvey K. Medicalisation, pharmaceutical promotion and the Internet: A critical multimodal discourse analysis of hair loss websites. Soc Semiot. 2013 Nov;23(5):691–714. 0330.2013.777596
41. Muscarella F, Cunningham MR. The evolutionary significance and social perception of male pattern baldness and facial hair. Ethol Sociobiol. 1996;17(2):99–117.
42. Butler J, Pryor B, Grieder M. Impression formation as a function of male baldness. Percept Mot Skills. 1998;86(1):347–50. pms.1998.86.1.347
43. Kranz D, Nadarevic L, Erdfelder E. Bald and bad? Exp Psychol. 2019;66(5):331–45.
44. Mannes AE. Shorn scalps and perceptions of male domi-nance. Soc Psychol Personal Sci. 2013 Mar;4(2):198–205.
45. Hankins NE, McKinnie WT, Bailey RC. Effects of height, physique and cranial hair on job-related at-tributes. Psychol Rep. 1979 Dec;45(3):853–4. http://
46. Gupta AK, Ivanova IA. Analysis of YouTube hair loss treatment information: What makes for engaging content? Dermatol Ther [Internet]. [cited 2021 Feb 23]. Available from: doi/10.1111/dth.14244
47. Dixon A. Seduced by the illusion: The truth about transformation photos [Internet]. [cited 2014 Nov 20]. Available from: andrew-dixon/weight-loss-secrets_b_3643898.html
48. McFarland MB, Petrie TA. Male body satisfaction: Factorial and construct validity of the body parts satis-faction scale for men. J Couns Psychol. 2012;59(2):329.
49. Dittmar H, Halliwell E. Think “ideal” and feel bad? Using self-discrepancies to understand negative me-dia effects. In: Dittmar H, editor. Consumer culture, identity and well-being. New York: Psychology Press; 2008. p. 147–72.
50. McCreary DR, Sasse DK. An exploration of the drive for muscularity in adolescent boys and girls. J Am Coll Health. 2000;48(6):297–304.
51. McPherson KE, McCarthy P, McCreary DR, McMillan S. Psychometric evaluation of the Drive for Muscularity Scale in a community-based sample of Scottish men participating in an organized sporting event. Body Image, 7(4), 368–371. bodyim.2010.06.001
52. WHO Collaborating Centre in Mental Health. WHO (five) well-being index (1998 version) [Internet]. The WHO-5 website. 1998. Available from:
53. Heun R, Bonsignore M, Barkow K, Jessen F. Validity of the five-item WHO well-being index (WHO-5) in an elderly population. Eur Arch Psychiatry Clin Neurosci. 2001 Jun;251(2):27–31. BF03035123
54. Topp CW, Østergaard SD, Søndergaard S, Bech P. The WHO-5 well-being index: A systematic review of the literature. Psychother Psychosom. 2015;84(3):167–76.
55. Hair J, Black B, Babin B, Anderson R, Tatham R. Multivariate data analysis: With readings. 6th ed. Oklahoma, NJ: PPC Books; 2006.
56. Pallant J. SPSS survival manual: A step by step guide to data analysis using IBM SPSS. Crows Nest, Australia: Allen & Unwin; 2016. 369 p.
57. Matsumoto D, Hwang HS. Reading facial expressions of emotion [Internet]. [cited 2019 Apr 3]. Available from: facial-expressions
58. Carando G. Public relations problems and cases: The Dove campaign for real beauty [Internet]. [cited 2014 Oct 9]. Available from: http://psucomm473.blogspot.
59. Center for Appearance Research. Recent funding [Inter-net]. [cited 2021 Feb 24]. Available from: https://www. about/recent-funding
60. Cash TF. Attitudes, behaviors, and expectations of men seeking medical treatment for male pattern hair loss: Results of a multinational survey. Curr Med Res Opin. 2009 Jul;25(7):1811–20. http://dx.doi. org/10.1185/03007990903005201
61. Passchier J, Erdman J, Hammiche F, Erdman RAM. Androgenetic alopecia: Stress of discovery. Psychol Rep. 2006;98(1):226–8. pr0.98.1.226-228
62. Welsh N, Guy A. The lived experience of alopecia areata: A qualitative study. Body Image. 2009 Jun;6(3):194–200.
63. Tantleff-Dunn S, Barnes RD, Jessica G. It’s not just a “women thing”: The current state of normative discontent. Eat Disord. 2011;19(5):392–402.
64. Ryan TA, Morrison TG, Roddy S, McCutcheon J. Psy-chometric properties of the revised male body attitudes scale among Irish men. Body Image. 2011;8(1):64–9.
65. Griffiths S, Murray SB. Muscle dysmorphia: Clinical presentation and treatment strategies. In: Anderson LK, Murray SB, Kaye WH, editors. Clinical handbook of complex and atypical eating disorders [Internet]. [cited 2020 Feb 26]. Available from: med-9780190630409-chapter-14
66. Gleeson K, Frith H. (De)constructing body image. J Health Psychol. 2006;11(1):79–90.
67. Budd D, Himmelberger D, Rhodes T, Cash TF, Girman CJ. The effects of hair loss in European men: A survey in four countries. Eur J Dermatol. 2000 Feb 23;10(2):122–7.
68. Wells PA, Willmoth T, Russell RJ. Does fortune fa-vour the bald? Psychological correlates of hair loss in males. Br J Psychol Lond Engl 1953. 1995 Aug;86(Pt 3):337–44. tb02756.x
69. Wiggins S, Moore-Millar K, Thomson A. Can you pull it off? Appearance modifying behaviours adopted by wig users with alopecia in social interactions. Body Image. 2014 Mar;11(2):156–66.

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