Introduction. Many teenagers experience dissatisfaction with changes in body shape. Mismatched the reality of actual
body shape and ideal body image perception triggers negative body image perception, which can cause a decrease in self-esteem. In terms of gender, women's self-esteem levels tend to be lower compared to men.
Methods. This study was an observational analytic study with a cross-sectional approach, taken at Fons Vitae I Senior
High School with stratified random sampling. The body image was measured by using Body Shape Questionnaire-34
(BSQ-34), and self-esteem was measured by using the Rosenberg Self Esteem Scale (RSES) questionnaire. Data are
analyzed using chi-square.
Results. The total respondents were 109 female students. In univariate analysis, there were 13.8% female students who
had dissatisfaction with her body image and 86.2% female students who had satisfaction with her body image. Female
students with low self-esteem were 19.3%, and high self-esteem was 80.7%. The bivariate analysis shows that there is a
significant association between body image and the level of self-esteem among Senior High School female students (p =
0.039) with OR = 3.511.
Conclusion. There is a significant association between body image and level of self-esteem.