![]() Another theory is that the efforts of MSM to develop a muscular body are to counteract memories of having a less athletic, or even weak or feminine, appearance during their childhood and adolescence. 4 The shaping of a muscular body has become a symbol of health, 5 and MSM train in the gym in order to keep fit as a way of expressing that they are fit. MSM who develop a muscular body shape are usually considered more attractive and gain more self-confidence, 3 while those who fail to fulfil these aesthetic standards are less desirable and more likely tom be avoided by other men. ![]() 1 Body image is a multidimensional construct of the self, consisting of how one feels and behaves regarding one's own physical attributes 2 and correlates with well-being. Body image and masculinity are important aspects of identity in many men who have sex with men (MSM).
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