Tattoos and Piercings in Female Adolescents and Young Adults.

This article covers body art in female adolescents and young adults, including tattoos, piercings, and intimate piercings. We review the epidemiology, definitions, motivations, proactive counseling, regulations, complications, and removal practices. Providers are likely to encounter and manage young women with tattoos and piercings and should be familiar with how to support young women before and after obtaining body art. Providers should be familiar with the treatment of the most frequent complications of body art in young women, which include allergic reactions and localized soft tissue infections. Finally, we review the techniques and indications for body art removal.

Modified body - symbol of risk or resources? / Modyfikacje ciala ­ symbol ryzyka czy zasobów?

OBJECTIVES: Tattooing and body piercing are becoming more and more popular. The psychological approach to body modifications remains heterogeneous. The purpose of this replication was to assess the level of life satisfaction and self-esteem, as well as to reveal subjectively experienced symptoms of mental health disorders in people who reported having a tattoo and/or piercing during the coronavirus epidemic. METHODS: Method. The research was conducted in the period from April to June 2020 in an on-line form. Participants (N = 557) were 15-68 years old. RESULTS: There were no significant differences in perceived life satisfaction, self-esteem and mental health assessment between people with and without body modifications. The revealed differences in the dimensions of self-esteem and the number of subjective depressive symptoms turned out to be accidental. CONCLUSIONS: All participants in the study (regardless of having body modification) were aware of having and the ability to use personal resources to deal with the COVID-19 pandemic. Body modifications should not be considered a risk factor. Especially among tattooed people, the self-assessment of psychological functioning increased with the increase in life satisfaction.

Body image and self-perception in women with navel piercings.

The present study investigated how women's body image and body-perceptual processes are affected by navel piercings, an embellishment of the abdominal region women often feel negatively about. We probed perceptual (response times), cognitive (surveys), affective (aesthetic ratings) and neural (event-related potentials, ERPs) facets of (own) body perception. We found that navel piercings are primarily motivated by the desire to enhance one's body image, and can significantly improve bodily self-perception relative to before and to imagined removal of the piercing. Hence, body image concerns in women with navel piercings were found to be comparable to those of a control group; and their aesthetic ratings of other women's abdomens only differed, positively, for images depicting navel piercings. ERPs indicated that the sight of navel piercings enhances early structural encoding of bodies as well as late emotional-motivational processes, especially in women with navel piercings. We further found a strong self-advantage in both cortical and behavioural responses during recognition of own and others' abdomens, especially for images displaying the piercing. Altogether, findings suggest that navel piercings become strongly, and beneficially, integrated into women's bodily self image. Such piercings may thus be seen as expressions of body care that can protect against self-harming thoughts and behaviours.

The association of childhood abuse and neglect with tattoos and piercings in the population: evidence from a representative community survey.

BACKGROUND: Tattoos and piercings are becoming increasingly popular in many countries around the world. Individuals seeking such body modifications have reported diverse psychological motives. Besides purely superficial considerations, tattoos and piercings can also have a deep, personal meaning. For example, they can mark and support the emotional processing of significant life events, including formative experiences from early childhood. However, there is a lack of studies that examine the links of tattoos and piercings with experiences of childhood abuse and neglect in large, population-based samples. METHODS: We investigated the association of reports of childhood abuse and neglect with the acquisition of body modifications (tattoos and piercings) within a representative German community sample. Survey participants (N = 1060; ages 14-44 years) were questioned whether they had tattoos and piercings and filled out the 28-item Childhood Trauma Questionnaire Short Form (CTQ-SF). RESULTS: Tattoos and piercings were more common among individuals who reported childhood abuse and neglect. The proportion of participants with tattoos and piercings increased as a function of the severity of all assessed types of abuse and neglect (emotional, physical, and sexual abuse; emotional and physical neglect). In logistic regression analyses which included the covariates age, gender, education, and income, the sum of significant kinds of childhood abuse and neglect was positively related to having tattoos and/or piercings (OR = 1.37 [95% CI 1.19-1.58]). CONCLUSIONS: The results corroborate previous research indicating that body modifications could have special significance for individuals who have survived adversity, in particular interpersonal trauma at the hands of caregivers. These findings could inform screening procedures and low-threshold access to psychotherapeutic care.

Sociocultural overview and predisposing factors of body art in a health promotion perspective: survey on a sample of Italian young adults.

Background: The body art (tattoos, body piercing and other aesthetic practices) is increasing at global level and involves different aspects of public health, from epidemiological feature to cultural and psychosocial determinants and regulatory issues. The study is aimed at estimating the prevalence of tattooed and pierced in youth, focusing on emerging profiles. Study design: A cross-sectional study has been conducted on 575 students at the first year of degree courses of an Italian University. Methods: Students were asked to fill an online questionnaire. Logistic regression models were evaluated in order to identify predictive factors and determinants of practice (tattoos, piercing, body art). Results: The 41.9% of participants underwent at least one body art intervention, with a higher prevalence in females. Multivariate logistic regression suggested an association of body art practice with type of school and university course, as well as lifestyle characteristics (smoking, alcohol abuse). In addition, the intention to undergo to body art intervention in the future appeared significantly higher in women and more frequent in apparently 'protected' categories such as medical students and non-problematic alcohol users. Conclusions: The study confirmed the importance of the surveillance and social and behavioural research on body art practice and suggested different health promotion perspectives, such as early intervention towards adolescents and late intervention towards young adults belonging to lesser risky population groups.

When personality gets under the skin: Need for uniqueness and body modifications.

Do individuals modify their bodies in order to be unique? The present study sought to investigate need for uniqueness (NfU) subcomponents as possible motives for modifying one's body. To this end, the study obtained information from 312 participants about their NfU (using the German NfU-G global scale and three sub-scales) and their body modifications (tattoos, piercings, and extreme body modifications such as tongue splitting). By analyzing the three subcomponents of NfU, the study was able to investigate the differential relationship of the sub-scales with the outcome measures, which facilitated a fine-grained understanding of the NfU-body-modification relationship. The study found that tattooed, pierced, and extreme-body-modified individuals had higher NfU-G scores than individuals without body modifications. Moreover, it seemed that individuals with tattoos took a social component into consideration while lacking concern regarding others' reaction toward their tattoos, although not wanting to cause affront. Pierced and extreme-body-modified individuals, contrarily, tended to display a propensity to actively flout rules and not worry about others' opinions on their modifications. However, although statistically significant, the effect size (d) for the NfU-G differences in the tattooed and pierced participants' mean scores was small to medium in all three subcomponents. The extreme-body-modified group presented medium and medium to large effects. Further, the study observed that the number of body modifications increased with an increasing NfU in tattooed and pierced individuals. These findings demonstrated multifaceted interrelations between the NfU, its subcomponents, and the three kinds of body modifications investigated in the present study.

Health Implications and Counseling Considerations for Individuals With Piercings and Tattoos.

Body art has become common and mainstream. Tattoos and body piercings represent highly individual expressions of identity and personal values. Health care services are enhanced when clinicians understand the anatomy and physiology, common discomforts, and real but rare serious risks of body modification and are prepared to provide compassionate support for individuals' choices. Special consideration must be given to the needs of childbearing women. By opening channels of communication, clinicians can engage with clients in shared decision making to help those who possess or desire body art take steps to reduce the risk of adverse effects and obtain prompt and effective medical care when problems arise. Through respectful discussion of existing body art, the therapeutic relationship is strengthened, and greater insight into an individual's health needs may be achieved.

Uso de los tatuajes y piercings como factores influyentes en la personalidad / Use of tattoos and piercings as influential factors in personality

INTRODUCCIÓN: para hablar de personalidad se toma en cuenta un conjunto de respuestas específicas y permanentes en diferentes tipos de contextos que resultan del aprendizaje influenciados por la inteligencia emocional frente a la adversidad, cuando no se puede superar los conflictos o perdidas, ciertas personas buscan perennizar esos eventos en su piel, a través de grabaciones. OBJETIVO: determinar la prevalencia de personas que usan tatuajes, determinar el tipo de personalidad del usuario de tatuajes y piercings, analizar los factores causales y las vivencias relacionadas con su uso, métodos, se utiliza una técnica bibliográfica, de corte transversal, descriptiva, retrospectiva, esta investigación es parte de un proyecto general realizado en Ecuador, este resultado se usará como base bibliográfica. RESULTADOS: las personas que usan tatuajes se ubican en un 75%, de la población total, la según los datos encontrados, existe una tendencia al uso de tatuajes en personas con rasgos de personalidad dependiente, seguidas de conductas limites o borde line, en un 47 % usan tatuajes por modismo. CONCLUSIONES: se determinar el tipo de personalidad de los usuarios porque existen falencias en su comportamiento y en la capacidad de enfrentar los diferentes conflictos emocionales, la mayor incidencia se da en la adolescencia, se determina como causa la moda, pérdidas afectivas no superadas, inseguridad e inestabilidad, baja capacidad de resiliencia; el uso de accesorios para compensar estas falencias en la estructura mental, buscan una manera de reconocimiento personal y social hasta convertirse en necesidad.

INTRODUCTION: to talk about personality, a set of specific and permanent responses is taken into account in different types of contexts that resultfrom learning influenced by emotional intelligence in the face of adversity, when conflicts or losses cannot be overcome, certain people seek to perpetuate those events on your skin, through recordings. OBJECTIVE: to determine the prevalence of people whouse tattoos, to determine the type of personality of the user of tattoos and piercings, to analyze the causal factors and the experiences related to their use, methods, a bibliographic technique is used, cross-sectional, descriptive, retrospective, this Research is part of a general project carried out in Ecuador. This result will be used as a bibliographic basis. RESULTS: people who use tattoos are located in 75% of the total population, according to the data found, there is a tendency to use tattoos in people with dependent personality traits, followed by borderline or borderline behaviors, 47% use tattoos by idiom. CONCLUSIONS: the type of personality of the users is determined because there are flaws in their behavior and in the ability to face different emotional conflicts, the highest incidence occurs in adolescence, fashion is determined as cause, emotional losses not exceeded, insecurity and instability, low resilience; The use of accessories to compensate for these shortcomings in the mental structure and their lack of resilience, seek a way of personal and social recognition until it becomes necessary.

Hidradenitis Suppurativa Influences Tattooing Practice in Women.

BACKGROUND: The reasons or the motivations that compel people to get a tattoo or a body piercing (BP) are plentiful and personal. Patients with chronic cutaneous or systemic conditions may be interested in getting tattooed or pierced. OBJECTIVE: To determine the frequency of body art practices in hidradenitis suppurativa (HS) and to evaluate the possible impact of HS in the decision-making process. METHODS: An anonymous specific paper-based questionnaire was prospectively offered to patients (≥18 years) consecutively managed for HS from September 2016 to March 2017 in a French specialized center. RESULTS: In total, 209 patients participated in the study, of whom 77 (37%) and 50 (24%) had tattoos and BP, respectively. These proportions were higher than those reported in the French population. HS prevented the decision to get a BP or a tattoo in 2 and 5%, respectively (fear of infection or healing difficulties). Fifteen patients (7%) got tattooed to hide a surgical HS scar (n = 5, 2%), to regain control over the pain or their bodies (n = 9, 4%), or to turn others' eyes away from HS lesions or scars (n = 1, 0.5%). HS severity influenced a proportion of patients who intended to get a new tattoo. CONCLUSION: HS is associated with a significant increase in body art practices.

Piercing and Oral Health: A Study on the Knowledge of Risks and Complications.

The aim of the present study is to verify the knowledge of risks and complications of oral piercings, and to observe the main complications associated with piercings, using a sample from central Italy of patients wearing intraoral piercings. Through piercing and tattoo studios selected randomly in Rome, Latina and Campobasso, and a tattoo and piercing convention in Latina, a group of 387 individuals with oral piercings were selected and asked to complete an anonymous questionnaire. After filling in questionnaires, 70 individuals of the 387 selected agreed to be visited to allow the observation of the integrity of their teeth and gums (especially close to the oral piercing), oral hygiene conditions, piercing cleaning, bad habits and gingival recession. Among the respondents, 46.8% said they had not been informed about these risks, 48.5% claimed not to clean the piercing, 70.6% stated that they had not been made aware of gingival problems that can arise, 60.4% subjects stated that they were not informed about the complications of piercings concerning teeth, 52.8% had insufficient oral hygiene conditions, 42% showed signs of generalised gingivitis, 20% had 3-4 mm recessions and 22% had tooth fracture(s) due to piercing. From this study, it emerged that oral piercings can represent a risk to oral health and that there is a widespread lack of awareness of the complications and correct methods of maintaining oral piercings. Periodic checks by both dentists and dental hygienists, for patients with oral piercings, could play a decisive role in preventing, intercepting and treating the complications that they can cause.

An observational study of patients' attitudes to tattoos and piercings on their physicians: the ART study.

INTRODUCTION: Perceptions regarding body art change over time as societal norms change. Previous research regarding patients' perceptions of physicians with exposed body art have been hampered by flaws in design methodology that incorporate biases into patient responses. This study was performed to determine whether emergency department (ED) patients perceived a difference in physician competence, professionalism, caring, approachability, trustworthiness and reliability in the setting of exposed body art. METHODS: Standardised surveys about physician competence, professionalism, caring, approachability, trustworthiness and reliability rating providers on a five point Likert scale were administered to patients in an ED after an encounter with a physician provider who demonstrated no body art modification, non-traditional piercings, tattoos, or both piercings and tattoos. Each provider served as their own control. Patients were blinded to the purpose of the survey. RESULTS: Patients did not perceive a difference in physician competence, professionalism, caring, approachability, trustworthiness or reliability in the setting of exposed body art. Patients assigned top box performance in all domains >75% of the time, regardless of physician appearance. CONCLUSION: In the clinical setting, having exposed body art does not significantly change patients' perception of the physician.

[Body modifications and sexual health : Impact of tattoos, body piercing and esthetic genital plastic surgery on the sexual health of women and men]. / Körpermodifikation und sexuelle Gesundheit : Einfluss von Tattoo, Piercing und ästhetisch-plastischer Chirurgie im Genitalbereich auf die sexuelle Gesundheit von Frauen und Männern.

The present paper addresses the psychological impact of body modifications (e.g. tattoos, body piercing and esthetic genital plastic surgery) on the sexual health of individuals and refers to past and present research insights. Body modifications are understood as invasive interventions on the human body, especially interventions on the human skin which result in (semi-)permanent changes. Tattoos and body piercing (in particular genital piercing) positively affect the sexual satisfaction and the sexual appeal of men and women but there is a controversial association with high risk sexual behavior. Moreover, this article focuses on esthetic genital plastic surgery based on the increasing interest and insights of the impact on female genital self-perception and sexual behavior.

Educational intervention about oral piercing knowledge among dental students and adolescents at schools.

INTRODUCTION: Oral piercing can lead to complications and dentists are in a unique position to detect such complications. The purpose of this study was: (i) to assess the immediate and the long-term effects, on dental students, of a training programme about oral piercing knowledge; and (ii) to assess the immediate effect, on adolescents, of a single educational intervention session about oral piercing. METHODS: A training programme for dental students (n = 66) was carried out in three phases. The last phase consisted of preparing and giving talks about oral piercing at schools, which was delivered by a random selection of dental students involved in the training programme. Dental students answered a questionnaire about oral piercing knowledge, before, immediately after (only the dental students included in the last phase) and 12 months after the training programme. Adolescents (n = 347) answered a survey about oral piercing knowledge before and after the talks. RESULTS: There were statistically significant differences in all comparison groups, except for the results in the 'before intervention' and in the '12 months after intervention' groups among dental students who had not prepared and given the talks to adolescents. Knowledge about oral piercing significantly improved among adolescents when comparing results before (mean questionnaire score = 3.0) and after (mean questionnaire score = 6.2) the talks. CONCLUSIONS: Oral piercing educational intervention had a favourable impact on adolescents and dental students, particularly among those who were more involved in the learning process.

Do multiple body modifications alter pain threshold?

In recent years, epidemiological data has shown an increasing number of young people who deliberately self-injure. There have also been parallel increases in the number of people with tattoos and those who voluntarily undergo painful procedures associated with piercing, scarification, and tattooing. People with self-injury behaviors often say that they do not feel the pain. However, there is no information regarding pain perception in those that visit tattoo parlors and piercing studios compared to those who don't. The aim of this study was to compare nociceptive sensitivity in four groups of subjects (n=105, mean age 26 years, 48 women and 57 men) with different motivations to experience pain (i.e., with and without multiple body modifications) in two different situations; (1) in controlled, emotionally neutral conditions, and (2) at a "Hell Party" (HP), an event organized by a piercing and tattoo parlor, with a main event featuring a public demonstration of painful techniques (burn scars, hanging on hooks, etc.). Pain thresholds of the fingers of the hand were measured using a thermal stimulator and mechanical algometer. In HP participants, information about alcohol intake, self-harming behavior, and psychiatric history were used in the analysis as intervening variables. Individuals with body modifications as well as without body modifications had higher thermal pain thresholds at Hell Party, compared to thresholds measured at control neutral conditions. No such differences were found relative to mechanical pain thresholds. Increased pain threshold in all HP participants, irrespectively of body modification, cannot be simply explained by a decrease in the sensory component of pain; instead, we found that the environment significantly influenced the cognitive and affective component of pain.

Adverse Effects of Tattoos and Piercing on Parent/Patient Confidence in Health Care Providers.

First impressions based on practitioner appearance often form the basis for preliminary assumptions regarding trust, confidence, and competence, especially in situations where patients or family members do not have an established relationship with the physician. Given their growing prevalence, we strove to further investigate whether visible tattoos or piercings on a medical provider affects a patient's perception of the provider's capabilities and their trust in the care that would be provided. A survey using photographs of simulated practitioners was administered to 314 participants split between rural and urban locations. Study volunteers rated tattooed practitioners with lower confidence ratings when compared with nontattooed practitioners and reported greater degrees of discomfort with greater degrees of facial piercing. We concluded that these factors adversely affect the clinical confidence ratings of practitioners, regardless of the gender, age group, or location of participants.

Satisfaction with life, self-esteem and evaluation of mental health in people with tattoos or piercings.

OBJECTIVES: The aim of the study was to determine the level of life satisfaction and the various dimensions of self-esteem of pierced or tattooed people, and evaluate their mental health, compared to those without similar body modifications. METHODS: The study was conducted on a sample of 449 people aged 16-58 years (mean age 26.7 ± 6.35), of whom 308 had body modifications: tattoo (n = 90), body piercings in places other than the ear lobe (n = 53), or both tattoos and piercings (n = 165). The control group consisted of 141 people without such modifications. The participants completed a questionnaire concerning their socio-demographic status, as well as the following psychological tests: The Satisfaction with Life Scale (SWLS), Multidimensional Self-Esteem Inventory (MSEI) and General Health Questionnaire (GHQ-28). RESULTS: Our findings show no significant differences in terms of life satisfaction between the group with tattoos or piercings and the control group. People with body modifications were characterized by higher self-esteem, with regard to their competence and leadership abilities. They also display fewer symptoms of social impairment and sleep disorders than the control group. CONCLUSIONS: Tattoos and piercings should not be considered as indicators of psychopathology.

Rupturas, experiências de choque e o elogio a crua e nua realidade: prenúncios do trauma no fenômeno das Bodymodifications / Breaks, experiences shock and praise to the raw and naked reality: harbingers of trauma in the phenomenon of Bodymodifications

Este artigo problematiza a condição traumatogênica da modernidade no que tange as experiências de choque e a paixão pelo Real tematizadas por autores como Christoph Türcke e Slavoj Zizek que, em nossa hipótese, se "encarnam" em fenômenos como das Bodymodifications. Para tanto, propõe-se um diálogo entre Psicanálise e as injunções histórico-culturais contemporâneas, munido de uma análise-interpretativa do material colhido no site www.bmezine.com. Entende-se que a economia pulsional ligada a tais práticas é correlata ao trauma e ao vício como compulsão a repetição: as feridas autoimpingidas pelos adeptos situam uma tentativa, ainda que inócua, de ligar o excesso energético. Sob uma explícita expressão do amalgama dialético entre pulsão de morte e pulsão de vida emerge o fracasso do princípio de prazer.(AU)

This article discusses the condition of modernity in relation to shock experiences and the passion for Real, thematized by authors such as Christoph Türcke and Slavoj Zizek, which in our hypothesis these are "incarnates" in phenomena such as the Bodymodifications. For this purpose, it is proposed a dialogue between psychoanalysis and critical theory, from analysis-interpretative of the material collected on the site www.bmezine.com. It is understood that the wound is situated in a attempt, still failed, to turning on the energetic excess.(AU)