BODY IMAGE AND SELF-ESTEEM AS PSYCHOLOGICAL DETERMINANTS OF WOMEN’S REPRODUCTIVE HEALTH BEHAVIOR: A NARRATIVE REVIEW
DOI:
https://doi.org/10.58526/ezrasciencebulletin.v4i1.555Keywords:
Body Image; Self-Esteem; Reproductive Health BehaviorAbstract
Women’s reproductive health behavior is influenced not only by biological and social factors but also by psychological determinants such as body image and self-esteem. This study aimed to synthesize scientific evidence on the role of body image and self-esteem as psychological determinants of women’s reproductive health behavior. A narrative review design was used, with a literature search conducted in PubMed, Scopus, ScienceDirect, and Google Scholar for articles published between 2014 and 2025. Studies were selected based on predefined criteria, including those involving women of reproductive age and examining the relationship between body image and/or self-esteem and reproductive or sexual health outcomes. The findings consistently indicated that positive body image and higher self-esteem were associated with better sexual function, greater sexual satisfaction, improved reproductive well-being, and healthier reproductive decision-making. Conversely, negative body image was linked to poorer psychological and sexual well-being. These results highlight the importance of integrating psychosocial interventions into reproductive health promotion to support women’s overall reproductive health outcomes.
References
Achak, D., Azizi, A., Boutib, A., & Chergaoui, S. (2025). Self‑esteem, body image, and associated factors among female and male university students: A cross‑sectional study. Journal of Education and Health Promotion. https://doi.org/10.4103/jehp.jehp
Aufa, N., Fadiah, N., Putu, N., & Arnani, R. (2024). The relationship between self-esteem and body image in adolescent girls. Jurnal Psikologi Tabularasa, 19(2), 154–165. https://doi.org/10.26905/jpt.v19.i2.13823
Cihan, A., & Cihan, E. (2023). Self-esteem and positive body image to overcome female sexual dysfunction. Annals of the Academy of Medicine of Singapore, 52(4), 170–171. https://doi.org/10.47102/annals-acadmedsg.202381
Della, W., & Yudiarso, A. (2021). Studi Meta-Analysis: Body Image dan Self-Esteem. Jurnal Psibernetika, 14(2). https://doi.org/10.30813/psibernetika.v14i2.2943
Ghamri, R. A., Sadi, R. K. A., Eissa, G. A., Almaghrabi, S. J., Algethmi, R. A., Othman, S. S., & Ghamri, K. A. (2024). Body Image Perception and Self-Esteem among Pregnant Women in Saudi Arabia : A Cross Sectional Study. Clinical and Experimental Obstetrics & Gynecology, 51(5).
Gokce, E., & Karakas, S. (2024). The relationship between body image and sexual satisfaction in women who have undergone hysterectomy. Revista Da Associação Médica Brasileira, 70(10), 1–5. https://doi.org/10.1590/1806-9282.20240776
Hewitt, J., & Murray, K. (2024). Negative body image mental health literacy in women : Exploring aesthetic and functional concerns and the role of self-objectification. Body Image, 48. https://doi.org/10.1016/j.bodyim.2023.101657
Idris, I., Alam, R. I., Emin, W. S., Keperawatan, I., Masyarakat, F. K., Indonesia, U. M., & K, E. P. K. (2024). Hubungan Body Image dengan Perilaku Self Esteem pada Remaja Putri. Window of Nursing Journal, 5(2), 166–172.
Islami, F. N., Eva, N., Zidansyah, M., & Atmaja, D. (2022). Body Image as a Predictor of Psychological Well-being in Early Adolescent Girls. International Conference of Psychology 2022 (ICoPsy 2022), ICoPsy, 212–227. https://doi.org/10.18502/kss.v7i18.12389
Izzaty, R. E. R. (2025). Self-Esteem and Social Comparison as a Predictor of Body Image in Adolescent Girls. Eduvest-Journal of Universal Studies, 5(10), 12152–12166.
Mahmoudi, O. (2026). Boosting self-esteem and body image satisfaction in women affected by FGM : a positive psychology approach. BMC Psychology, 14. https://doi.org/10.1186/s40359-025-03833-3
Manoe, R. F. A., Adu, A. A., Damayanti, Y., Junias, M. S., & Faculty, P. H. (2025). Body Image and Self-Esteem Among Female Stdents in Psychology Department. Journal of Health and Behavioral Science, 7(4), 937–948.
María, C. A. (2026). Self-Esteem and Body Image as Predictors of Sexual Satisfaction: A Systematic Review. Sexuality & Culture. https://doi.org/10.1007/s12119-026-10541-6
Merino, M., Tornero-aguilera, J. F., Rubio-zarapuz, A., Villanueva-tobaldo, C. V., Mart, A., & Javier, V. (2024). Body Perceptions and Psychological Well-Being : A Review of the Impact of Social Media and Physical Measurements on Self-Esteem and Mental Health with a Focus on Body Image Satisfaction and Its Relationship with Cultural and Gender Factors. Healthcare, 12. https://doi.org/10.3390/healthcare12141396
Munandar, H., & Nabilla, W. S. (2023). The Relationship Between Self-Esteem And Body Image In Female College Students. Jurnal Bimbingan Dan Konseling, 9(1), 39–42. https://doi.org/10.33084/suluh
Özbay, H., Utli, A., & Filoğlu, N. (2025). Body Image, Self‑Esteem, and Attitudes Toward Sexuality in Older Adults with Chronic Illnesses. Archives of Sexual Behavior, 54(5), 1971–1979. https://doi.org/10.1007/s10508-025-03146-x
Singh, K. (2024). To Study the Relationship Between Body Esteem and Psychological Well-Being. The International Journal of Indian Psychology, 12(2). https://doi.org/10.25215/1202.175
Virk, A., & Singh, P. (2020). A study on relationship between body-image and self-esteem among medical undergraduate students. International Journal of Community Medicine and Public Health, 7(2), 636–641. https://doi.org/10.18203/2394-6040.ijcmph20200441
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Copyright (c) 2026 Siska Putri Belangi, Yessy Syahradesi Br Tambunan, Dina Andriani, Fika Lestari (Author)

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Copyright @2022. This is an open-access article distributed under the terms of the Creative Commons Attribution-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-sa/4.0/) which permits unrestricted commercial used, distribution and reproduction in any medium
Ezra Science Bulletin is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.



