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

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

Authors

  • M. Scatigna
  • V. Masotta
  • V. Cesarini
  • P. Renzetti
  • C. Petrucci
  • L. Lancia
  • C. Leuter

Keywords:

Tattoos, Piercing, Health Promotion, Young adults, Sociocultural determinants

Abstract

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.

References

1. Breuner CC, Levine DA. Adolescent and young adult tattooing, piercing, and scarification. J Pediatrics. 2017; 140(4). doi: 10.1542/ peds.2017-1962.

2. Stirn A, Hinz A, Brähler E. Prevalence of tattooing and body piercing in Germany and perception of health, mental disorders, and sensation seeking among tattooed and body-pierced individuals. J Psychosom Res. 2006; 60(5): 531-4. doi: 10.1016/j.jpsychores.2005.09.002.

3. Mayers LB, Chiffriller SH. Body art (body piercing and tattooing) among undergraduate university students: “then and now”. J Adolesc Health. 2008; 42(2):201-3. doi: 10.1016/j. jadohealth.2007.09.014.

4. Guéguen N. Tattoos, piercings, and sexual activity. Soc Behav Pers. 2012; 40(9): 1543-7. doi:

https://doi.org/10.2224/sbp.2012.40.9.1543.

5. Balci S, Sari E, Mutlu B. Comparison of risktaking behaviour and frequency of piercing and tattooing among university students. J Pak Med Assoc. 2015; 65(6): 587-92.

6. Hill BM, Ogletree S, McCrary K. Body modifications in college students: Considering gender, self-esteem, body appreciation, and reasons for tattoos. Coll Stud J. 2016; 50(2): 246-52.

7. Kluger N, Misery L, Seité S, Taieb C. Body piercing: a national survey in France. J Dermatology. 2018; 235(1): 71-8. doi: 10.1159/000494350.

8. Kluger N, Seité S, Taieb C. The prevalence of tattooing and motivations in five major countries over the world. J Eur Acad Dermatol Venereol. 2019; 33(12): e484-e6. doi: 10.1111/jdv.15808. Epub 2019 Jul 26.

9. Cegolon L, Miatto E, Bortolotto M, et al. Body piercing and tattoo: awareness of health related risks among 4,277 Italian secondary school adolescents. BMC Public Health. 2010; 10(1): 73. doi: 10.1186/1471-2458-10-73.

10. Quaranta A, Napoli C, Fasano F, Montagna C, Caggiano G, Montagna MT. Body piercing and tattoos: a survey on young adults’ knowledge of the risks and practices in body art. BMC Public Health. 2011; 11(1): 774. doi: 10.1186/14712458-11-774.

11. Majori S, Capretta F, Baldovin T, et al. Piercing and tattooing in high school students of Veneto region: prevalence and perception of infectious related risk. J Prev Med Hyg 2013; 54(1): 1723.

12. Bicca JF, Duquia RP, Breunig JdA, Souza PRMd, Almeida Jr HL. Tattoos on 18-year-old male adolescents-characteristics and associated factors. An Bras Dermatol. 2013; 88(6): 925-8.

doi: 10.1590/abd1806-4841.20132192.

13. Sagoe D, Pallesen S, Andreassen CS. Prevalence and correlates of tattooing in Norway: A large‐scale cross‐sectional study. Scand J Psychol. 2017; 58(6): 562-70. doi: 10.1111/ sjop.12399.

14. Autorità per le Garanzie nelle Comunicazioni (AGCOM). I tatuaggi; 2012. Available on: https://www.agcom.it/documentazione/ documento?p_p_auth=fLw7zRht&p_p_ id=101_INSTANCE_FnOw5lVOIXoE&p_p_ lifecycle=0&p_p_col_id=column-1&p_p_col_ count=1&_101_INSTANCE_FnOw5lVOIXoE_ struts_action=%2Fasset_publisher%2Fview_ content&_101_INSTANCE_FnOw5lVOIXoE_ assetEntryId=1020396&_101_INSTANCE_ FnOw5lVOIXoE_type=document [Last accessed: 2021 Sep 7].

15. EU-Istituto di Studi Politici Economici e Sociali - EURISPES. (2011). Indagine conoscitiva sulla condizione dell’Infanzia e dell’Adolescenza in Italia 2011. Summary document.

16. Boncompagni G, Lazzeri G, Martiello M, et al. Related risks of tattooing and body piercing: prevalence study in a convenience sample. J Prev Med Hyg. 2005; 46(4): 153-8.

17. Gallè F, Quaranta A, Napoli C, et al. Body art practices and health risks: young adults’ knowledge in two regions of southern Italy. Ann Ig. 2012; 24(6): 535-42.

18. Renzoni A, Pirrea A, Novello F, et al. The tattooed population in Italy: a national survey on demography, characteristics and perception of health risks. Ann Ist Super Sanita. 2018; 54(2): 126-36. doi: 10.4415/ANN_18_02_08.

19. Sidoti E, Paolini G, Tringali G. Prevalence, knowledge, attitudes and practices towards body art in university students: body art as an indicator of risk taking behaviours? Ital J Public Health. 2010; 7(4). doi: 10.2427/5697.

20. Kluger N. Epidemiology of tattoos in industrialized countries. Curr Probl Dermatol. 2015; 48: 6-20. doi: 10.1159/000369175.

21. Baumann C, Timming AR, Gollan PJ. Taboo tattoos? A study of the gendered effects of body art on consumers’ attitudes toward visibly tattooed front line staff. J Retail Consum Serv 2016; 29: 31-9. https://doi.org/10.1016/j. jretconser.2015.11.005.

22. King KA, Vidourek RA. Getting inked: Tattoo and risky behavioral involvement among university students Tattoo and risky behavioral involvement among university students. Soc Sci J. 2013; 50(4): 540-6. https://doi.org/10.1016/j. soscij.2013.09.009.

23. Mortensen K, French MT, Timming AR. Are tattoos associated with negative health‐related outcomes and risky behaviors? Int J Dermatol. 2019; 58(7): 816-24. doi: 10.1111/ijd.14372.

24. Shannon-Missal L. Tattoo takeover: Three in ten Americans have tattoos, and most don’t stop at just one. The Harris Poll 2016, 12.

25. Heywood W, Patrick K, Smith AM, et al. Who gets tattoos? Demographic and behavioral correlates of ever being tattooed in a representative sample of men and women. Ann Epidemiol 2012; 22(1): 51-6. doi: 10.1016/j.annepidem.2011.10.005.

26. Laumann AE, Derick AJ. Tattoos and body piercings in the United States: a national data set. J Am Acad Dermatol 2006; 55(3): 413-21. doi: 10.1016/j.jaad.2006.03.026.

27. Dimitropoulos V, Brown C, Ressa NA, Newman M. Reasons behind the ink. Cutis. 2016 Nov; 98(5): 320-2.

28. Swami V, Tran US, Kuhlmann T, Stieger S, Gaughan H, Voracek M. More similar than different: Tattooed adults are only slightly more impulsive and willing to take risks than nontattooed adults. Pers Individ Dif. 2016; 88: 40-4. doi: 10.1016/j.paid.2015.08.054.

29. Tate JC, Shelton BL. Personality correlates of tattooing and body piercing in a college sample: The kids are alright. Pers Individ Dif. 2008; 45(4): 281-5. doi: 10.1016/j.paid.2008.04.011.

30. Ajzen I. The theory of planned behavior.

Organ Behav Hum Decis Process. 1991; 50(2):179-211. https://doi.org/10.1016/07495978(91)90020-T.

31. Kluger N. Tattoos among elite football players during the 2019 FIFA Women’s World Cup France. J Eur Acad Dermatol Venereol. 2020; 34(1): e38-e40. doi: 10.1111/jdv.15890.

32. Renzoni A, Pirrera A, Novello F, Diamante MS, Guarino C. Implementation of European Council resolution ResAP(2008)1 in Italy. National and regional regulation of tattoo practices: diversity and challenges. Curr Probl Dermatol. 2015; 48: 201-5. doi: 10.1159/000369228.

33. Suris JC, Jeannin A, Chossis I, Michaud PA. Piercing among adolescents: body art as risk marker. J Fam Pract. 2007; 56(2): 126-30.

34. Swami V, Pietschnig J, Bertl B, Nader IW, Stieger S, Voracek M. Personality differences between tattooed and non-tattooed individuals. Psychol Rep. 2012; 111(1): 97-106. doi: 10.2466/09.07.21.PR0.111.4.97-106.

35. Tiggemann M, Golder F. Tattooing: An expression of uniqueness in the appearance domain. Body Image. 2006; 3(4): 309-15. doi: 10.1016/j.bodyim.2006.09.002.

36. Tiggemann M, Hopkins LA. Tattoos and piercings: bodily expressions of uniqueness?

Body Image. 2011; 8(3): 245-50. doi: 10.1016/j. bodyim.2011.03.007.

37. Wohlrab S, Stahl J, Rammsayer T, Kappeler PM. Differences in personality characteristics between body‐modified and non‐modified individuals: associations with individual personality traits and their possible evolutionary implications. Eur J Pers. 2007; 21(7): 931-51. doi: 10.1002/per.642.

38. Koch JR, Roberts AE, Armstrong ML, Owen DC. Body art, deviance, and American college students. Soc Sci J. 2010; 47(1): 151-61. doi:

10.1016/j.soscij.2009.10.001.

39. Ferreira VS. Youth scenes, body marks and biosociabilities. Young. 2009; 18(3): 285-306.

40. Ferreira VS. Becoming a heavily tattooed young body: from a bodily experience to a body project. Youth Soc. 2014; 46(3): 303-37. doi: 10.1177/0044118X11427839.

41. Armstrong ML, Tustin J, Owen DC, Koch JR, Roberts AE. Body art education: the earlier, the better. J Sch Nurs. 2014; 30(1): 12-8. doi:10.1177/1059840513480815.

42. Biancolatte T. Tatuaggi, è boom per riemergere dalla pandemia. Nonne e nipoti unite dai tattoo. La Repubblica, 6 ottobre 2021. Available on: https:// www.repubblica.it/moda-e-beauty/2021/10/06/ news/boom_tatuaggi_covid-320736776/ [Last accessed: 2021 Oct 24].

43. McClusekey M. Pandemic Woes and a ‘YOLO Mentality’ Have Ignited a Boom Time for Tattoo Artists. TIME. August 25, 2021. Available on: https://time.com/6089991/tattoo-artist-boomcovid-19/ [Last accessed: 2021 Oct 24].

Downloads

Published

2025-09-04

Issue

Section

Original research

How to Cite

1.
Scatigna M, Masotta V, Cesarini V, et al. Sociocultural overview and predisposing factors of body art in a health promotion perspective: survey on a sample of Italian young adults. Ann Ig. 2025;34(5):439-452. doi:10.7416/ai.2021.2497