October Health – 2026 Report

Body image in United States

The leading cause of body image stress in the United States, at the population level, is widespread weight stigma and sociocultural pressures around appearance driven by media portrayals and cosmetic ideals. This includes pervasive thin-ideal messaging, gendered beauty standards, and age-related expectations, which collectively shape unrealistic body norms and contribute to body dissatisfaction across populations.

Body image Prevalence
17.41%
Affected people
9,575,500

Impact on the people of United States

  • Physical health impact
    • Sleep disruption and insomnia, leading to fatigue and impaired immune function
    • Eating disturbances (json/anxious eating, dieting, binge episodes) and potential development or worsening of eating disorders
    • Chronic stress activation (cortisol) that can affect cardiovascular health, digestion, and energy levels
  • Mental health impact
    • Increased anxiety, depressive symptoms, and lower self-esteem
    • Body-related obsessive thoughts and rumination, contributing to rumination-based mood cycles
    • Higher risk of social withdrawal, shame, and avoidance of activities (including exercise, social events, and intimacy)
  • Behavioral and lifestyle impact
    • Unhealthy coping strategies (over-exercising, restrictive dieting, social withdrawal, or self-harm risk in severe cases)
    • Reduced workplace performance due to distraction, reduced concentration, and higher absenteeism or presenteeism
    • strained relationships from miscommunication, irritability, and withdrawal
  • Workplace-specific considerations
    • Lower job satisfaction and engagement; higher burnout risk
    • Increased conflict with colleagues or supervisors if conversations about appearance or self-worth arise
    • Higher likelihood of needing support or accommodations related to stress, sleep, or mental health
  • Personal life implications
    • Strained intimate relationships due to sensitivity around body image and perceived judgment
    • Diminished participation in enjoyable activities and hobbies
    • Impact on parenting or caregiving confidence if self-acceptance is low
  • Protective factors and help
    • Access to supportive, nonjudgmental spaces (therapist, peer groups, workplace EAP)
    • Evidence-based treatments: cognitive-behavioral therapy (CBT), acceptance and commitment therapy (ACT), and body-image-focused therapies
    • Community and workplace programs that promote body positivity and healthy behaviors
  • Suggested actions
    • For individuals: limit social media exposure that fuels comparison, establish a daily self-compassion practice, seek professional support if distress is persistent
    • For workplaces: offer mental health days, body-positive messaging, access to digital group sessions (e.g., October) for education and coping strategies, and training for managers to respond empathetically to body-image concerns
  • Quick coping tips
    • Grounding exercise: 5-4-3-2-1 to reduce immediate distress
    • Meal regularity and balanced snacks to stabilize energy and mood
    • Short, regular breaks during work to reduce rumination and stress buildup

Impact on the United States Economy

  • Economic impact: High body image stress can reduce productivity and increase absenteeism, as employees experience burnout, fatigue, and mood dips. This can lower output and efficiency at work.
  • Healthcare costs: Increased stress-related health issues (anxiety, depression, sleep problems) raise healthcare utilization and costs for both individuals and employers offering benefits.
  • Talent retention and recruitment: Employers in high-stress environments may struggle to attract and retain staff, leading to higher turnover and replacement costs.
  • Burnout and presenteeism: Staff may be physically present but operating at reduced performance, harming team outcomes and innovation.
  • Wage and consumption effects: If body image stress disproportionately affects certain demographics, it can influence consumer confidence and spending patterns, subtly impacting market demand.
  • Cyclical impact on productivity: Widespread stress can reduce overall economic growth and competitiveness, as a significant portion of the workforce may be experiencing mental health challenges simultaneously.

Workplace tips to mitigate:

  • Implement mental health support programs (e.g., confidential counseling, digital resources).
  • Normalize flexible work, reasonable workloads, and recovery breaks to reduce stress.
  • Provide inclusive health and wellness initiatives that address self-esteem and body image positively.

If helpful, I can tailor these ideas to a specific industry or company size. Also, digital group sessions or assessments from October could support employees dealing with body image stress.

What can government do to assist?

  • Promote inclusive media representations: Encourage diverse body types, sizes, ages, and abilities in national campaigns, school curricula, and public broadcasting to reduce stigma and unrealistic beauty standards.
  • Implement school-based programs: Integrate body image education into health or media literacy curricula, focusing on media literacy, critical thinking, and self-compassion from an early age.
  • Fund community and youth initiatives: Support programs that foster self-esteem, media literacy, and healthy eating behaviors, especially in underserved communities.
  • Regulate advertising language and imagery: Encourage or require warning labels or limits on hyper-edited images and age-inappropriate content in media and advertising.
  • Provide access to mental health resources: Expand publicly funded or subsidized mental health services, with emphasis on eating disorders, body dysmorphia, and low self-esteem, including online options. -Support workplace wellness and policies: Encourage employers to offer body-positive training, employee assistance programs, and mental health days; normalize dialogues about body image in the workplace.
  • Promote policy-driven research: Fund national surveys on body image trends and the impact of social media, creating data to tailor interventions.
  • Encourage social media responsibility: Partner with platforms to programmatically promote body-positive content, reduce exposure to appearance-focused content, and provide resources for users seeking help.
  • Train professionals: Include body image and eating-disorder competencies in the training of teachers, clinicians, and primary care providers to improve early identification and supportive care.
  • Leverage digital tools: Use accessible digital programs (e.g., October’s group sessions, assessments, and educational content) to provide scalable, evidence-based support for individuals experiencing body image stress.

What can businesses do to assist their employees?

  • Offer inclusive, non-appearance-based wellness initiatives

    • Provide mental health resources and confidential support for body image concerns
    • Normalize diverse body types in communications and training materials
  • Create a supportive workplace culture

    • Implement zero-tolerance policies for body-shaming or appearance-based harassment
    • Encourage leadership to model body-positive attitudes and language
  • Provide education and skill-building

    • Run brief, voluntary workshops on body image, media literacy, and self-compassion
    • Teach stress management techniques (breathing exercises, grounding) for times of appearance-related anxiety

-Reduce triggers in the workplace

  • Avoid marketing or rewards that promote narrow beauty standards
  • Ensure dress codes are flexible and inclusive

-Support systems and access

  • Offer confidential counseling or access to digital resources (e.g., October for group sessions and content on body image)
  • Create employee resource groups for body positivity and allyship

-Measuring progress

  • Regular, anonymous surveys on body image stress and perceived stigma
  • Track utilization of mental health resources and adjust programs accordingly

-Leadership and accountability

  • Include body image and mental health metrics in DEI and wellness goals

  • Provide training for managers on how to respond to concerns empathetically

  • Practical quick wins

    • Visible commitment: share a monthly body-positivity message from leadership
    • Accessible resources: provide quick guides with tips for coping with body image stress at work

If helpful, I can tailor these to your company size or industry, or suggest a short, ready-to-run program using October’s group sessions and content on body image.