A Pilot Study on Tattooing Culture in Peninsular Malaysia

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International Journal of Applied Science-Research and Review www.ijas.org.uk Original Article A Pilot Study on Tattooing Culture in Peninsular Malaysia T. Nataraja Moorthy* 1, Jayanthan Gunasekaram 1 and Nur Fazidah Asmuje 2 1 Faculty of Health and Life Sciences, Management and Science University, Shah Alam, Selangor, Malaysia 2 Universiti Sains Islam Malaysia, Bandar Baru Nilai, Negeri Sembilan, Malaysia A R T I C L E I N F O A B S T R A C T Received 05 Jan. 2015 Received in revised form 19 Jan. 2015 Accepted 15 March 2015 Keywords: Tattooing, Motivation, Significance, Peninsular Malaysia. Corresponding author: Faculty of Health and Life Sciences, Management and Science University, Shah Alam, Selangor, Malaysia Malaysia is a multiracial and multicultural country. The aim of this pilot study is to analyze the tattooing culture among Malaysians. The study also investigates motivation for having it and its significance. The subjects are consented Malaysians and random, convenience samples survey with questionnaire was conducted on 109 tattooed participants, age ranges 13-60 years, at an urban area. The questionnaire assessed demographics including age, gender, racial or ethnic background and liking of tattooing. The result of the racial analysis indicated that Indians are more likely to have tattooing followed by Chinese and Ibans. The dominant Malays are against tattooing and permanent tattooing is forbidden in Islam. In religious consideration, result of the analysis shows that Hindus are more likely to have tattooing followed by Christian and Sikh. The procured data was complied, organized and analysed statistically. The descriptive results were presented as table using frequency and percentage. E-mail address: natrajamoorthy@rediffmail.com 2015 International Journal of Applied Science-Research and Review All rights reserved INTRODUCTION The tattoo, or some form of bodily marking, has always held a certain fascination for people in many cultures. Tattoos and piercings (T&P) are ancient practices of body modification. The word tattoo comes from Polynesia and was first described by Captain Cook in 1769. The art form was named for the tapping noise made by a tattoo needle on the skin, which in the native tongue was tatau or tatu 1. The fact that certain people in a culture find it necessary or desirable to obtain such markings while others do not seems to lead to the conclusion that there must be some factor, or factors, which makes this embellishment desirable 2. Adolescents and young adults increasingly have acquired body piercings and tattooing over recent years 3. Piercing different body sites has been practiced globally by various cultures for centuries 4. It is still popular in many parts of the world and in different cultures, serving as a rite of passage, a mark of status or rank, a symbol of religious and spiritual devotion, a decoration for bravery, a sexual lure, a mark of fertility, a pledge of love, a

punishment, a protection and as a mark of outcasts, (slaves and convicts) 5. Nowadays people choose to be tattooed for cosmetic, sentimental/memorial/religious reasons, to symbolize their belonging to particular groups, including criminal gangs, ethnic groups or specific subcultures 6. Since tattooing requires to break the skin barrier, they may carry health risks 7,8 especially when body art is performed or removed without necessary means of prevention 9. Social acceptability of these practices varies widely from culture to culture. Contemporary perceptions about individuals who have tattoos and piercing abound in the literature 10. The modern day findings are confined to understandings from American and European con texts. In particular, while the body of literature has expanded to provide a better understanding on the trajectories of societal perceptions and motivations towards tattooing and body piercing in western civilizations, there seems to be a lack of understanding on the perceptual changes of these body modifications in other parts of the world 11. Some of the researchers showed about why people obtain body modifications. One body of statements comprises motivations such as embellishing the body, achieving a fashion accessory and obtaining a piece of art 12-15. Other motivational investigations indicated that the cause of body modification is to demonstrate their self identity or individuality and distinctive from others 16-21. Expressing sexual affectations or emphasizing their own sexuality through tattooing and body piercing are also common motivations 22-25. Researchers found that men were much more likely to approach the women when they were wearing the tattoo, and took on average much less time to approach the sunbathing women in the first place. Although the appearances of tattoos are varied geographically, they always possessed a very specific meaning for the particular culture 26. Malaysia is made up of two main regions, Peninsular Malaysia and East Malaysia, which are separated by the magnificent South China Sea. The present study aims to analyze the motivation for tattooing, prevalence among Peninsular Malaysians viz. Malays, Chinese, Indian and other races. The study also investigates the reason for having it and its significance. METHODOLOGY This cross-sectional study was conducted on a group of 109 consented tattooed participants (aged between 16 and 60 years, 93 males and 16 females), selected at random, with questionnaire, in tattoo centers and university students. The created tattoos in various body sites were photographed for the study. The survey was carried out in the period of September 2014/February 2015. The instrument for the survey was a questionnaire and personal interview. The procured data was compiled, organized and analyzed statistically. The descriptive results of investigations were presented as table using frequency and percentage. RESULTS AND DISCUSSION Tattooing colors Color play a vital role in tattooing and it depends on the choice of the tattoo wearers. The result of the investigation shows that 22 (20.2%) subjects used black color, 1 subject (0.9%) used blue color, 68 (62.4%) persons used green color, 16 persons (14.7%) used multi-colors and 2 (1.8%) persons choice is green color. Thus the frequency of green color is the highest followed by black, multi-colors, green and blue color. Figure 1 shows the frequency distribution of color among the tattoo wearers. The medical profession, particularly in the field of plastic surgery, has used

tattooing to an extent not generally appreciated. Quite often, livid facial scars can be 'toned down' by tattooing the area with flesh colored pigment being blended into the scars. Bum areas on men frequently fail to produce a beard growth after healing. These areas can have false beard stubble tattooed into them. In one case of record, a gentleman whose hair was thinning had lines of 'hair' tattooed onto his scalp 2. Gender Survey respondents tattooist were 93 males (85.3%) and 16 females (14.7%). Figure 2 shows the Pi chart in body art (tattooing) according to gender. Within the study group, in fact, male showed more high interest with respect to females. This finding is in accordance with the study of tattooing in Italy and United states 7,27. Age when acquiring the first tattoo It is usually performed when they are about ten to twelve years of age, and on different parts of the body 28. The participants were formerly asked about interest and age when obtained their first tattoos. Frequency and percentage distribution is shown in Table 1. Table 1 shows that 50.5 % of the subjects acquired their first tattoos in the age range ranged between 11 and 20 years, followed by the ages between 21 and 30 years and the least frequency in the ages between 31 and 40 years. Teenagers are more likely showing interest in obtaining tattoos than the middle-aged groups. These findings in accordance with many other research findings 13,14,17,28. The statistical calculation indicated that the mean age of the subjects where they obtained their first tattoo is 21.5. The median shows the value 20.4, wherein half of the subjects were tattooed below 20 years, another half above 20 years old. The most repetitive age of getting the first tattoo is 19 years. Young people are attracted by body art (tattooing) and consider it as a way of being different. Nowadays people choose to be tattooed for cosmetic, sentimental / memorial / religious reasons, to symbolize their belonging to particular groups, including criminal gangs, ethnic groups or specific subcultures 6. Race and religion Tattoos play an important role in many religions. Tattoos have been used for thousands of years as important tools in ritual and tradition. Malaysia is a multi racial, multi-ethnic and multi-cultural country. It consists of two similarly sized regions, Peninsular Malaysia (West Malaysia) and Malaysian Borneo (East Malaysia) separated by the South China sea. The major ethnic groups are Malays, Chinese, and Indians mostly living in Peninsular Malaysia, while Ibans and other ethnic are prevailed in east Malaysia. Malays are following Islam while Chinese are following Buddhism and Christianity. Mostly Indians are Hindus while some others are Sikh and Christians. In religious perspective, tattoos are not permissible in Islam and several Muslim scholars believe tattooing is a sin because it involves changing the creation of God. Hence in the present investigation, Malay subjects are not respondents in this study. Figure 3 and Table 2 show the frequency of tattooing subjects among Indian, Chinese and Ibans. Indians are showing highest interest in getting tattoos while Ibans and Chinese have been showing least frequencies in tattooing interest. Tattoos and body site It is very interesting to note that tattooed participant have chosen different sites in their body for body art/tattooing viz. neck, chest, abdomen, back, arms, biceps, wrist, leg, ankle region and so on. Tattoos

can be made on any site of human body by the tattooist and it depends on the choice of the individual. Before started tattooing, once after decided body site and tattoo design, two factors are being considered, viz. the cost and pain tolerance. Sensitive areas such as neck, hip, chest may develop comparatively more pain than other body sites such as arm, back and legs. Concerning tattoos, males more often had them placed in arm, hand, leg, shoulder and foot region 7. Figure 4 and Table 3 show the frequencies and percentage of body sites for tattooing. Result of the body site in male shows that the frequency is highest in arms (49.5%), followed by back (22%), chest & legs (6.4%), neck (2.8%) and the least is abdomen (0.9%). Result of the body site in female shows that the frequency is highest in arms (8.3%) as in male followed by chest (1.8%) and the least frequency is legs and neck (0.9%). Figures 5 shows the tattoos developed in arm region and figure 6 shows the tattoos developed on the hands of male and female. The result clearly indicated that the most preferable body site for tattooing in both males (49.5%) and females (8.3%) is arm region. Motivation and significance of tattoos What is the significance of a tattooany tattoo- to the person obtaining one? Why did he get the tattoo and what does it mean to him? There appear to be two or three schools of thought on this subject, depending upon your prejudices, which attempt to classify the motivation of the act of being tattooed: as the symbolism of the act, the exhibitionist element and the masochistic element 2. Table 4 and Figure 7 show the frequency and percentage prevalence for tattooing motivation. Figure 8 shows the religious and music node tattooing. Mostly the motivation for tattooing is for body decorations (45%). The prevalence of body decoration is the highest (45%) in the study followed by the religious tattooing (19.3%), wordings (13.8%), belief (11.9%), club & love (3.7%). The result shows that music node is the least frequent (2.8%) in this investigation. Figure 9 shows the example of wording tattoos. The religious motifs rarely appear on devout persons. Usually the person bearing such a design has used the religious theme to cover a basic exhibitionist tendency. It was found that persons bearing tattoos of a religious design are usually superstitious about symbols other than those with which they choose to mark their bodies 2. In cases where the subject had only one tattoo, his own name, initials, or nick-name was most frequently encountered. Some tattoos have specific meanings, such as marks of identification to others in a particular subculture. CONCLUSION Historically, tattooing has been a male-dominated activity and men are showing more interest in acquiring tattoos. Religions have perspectives on tattooing. Tattoos are not permissible in Islam and this study confirmed the same with respect to Malays, the followers of Islam. There is no prohibition against tattooing in other religions as observed in the present investigation. Indians getting Aum tattoos, a symbol of Hinduism, with a belief that this symbol protects them from evil and bad karma. Other races also make extensive use of them. The study also indicated that the motivation for acquisition of tattoos includes body decorations, religious belief, club, love, music, fortune and individuality. Malaysian Indians are showing more interest for having tattoos than other races in Peninsular Malaysia.

ACKNOWLEDGEMENT The authors are more thankful to all participants for their full cooperation to conduct this strenuous study. REFERENCES 1. Michael U, Jennifer T. Mallek, William K. Mallon. Tattoos and Piercings: A Review for the Emergency Physician. West J Emerg Med. 2011; 12(4):393 398. 2. Richard S. The relationship of tattoos to personality disorders. J. Cri Law, Criminology and Police Sc. 1968; 59: 516-524. 3. Carroll ST, Riffenburh RH, Roberts TA, Myhre EB. Tattoos and body piercings as indicagtors of adolescent risk-taking behaviors. Pedistrics. 2002; 109:1021-1027. 4. Miller JC. The Body Art Book. New York: Berkley Publishing.1997; 7-10. 5. Gilbert G, Stephen G. Tattoo History. A Source Book. New York: Juno Books, 2001. 6. Fisher A, Jill A. Tattooing the Body, Marking Culture. Body & Society. 2002; 8:91-107. 7. Enza S, Gabriele P, Giuseppe T. Prevalence, knowledge, attitudes and practices towards body art in university students: body art as an indicator of risk taking behaviours? Italian J Public Health.2010; 7(4): 386-394. 8. Buoncompagni G, Lazzeri G, Martiello MA, et al. Related risks of tattoos and piercings: prevalence study in a convenience sample. J Prev Med Hyg. 2005; 46:153-158. 9. Kaatz M, Elsner P, Bauer A. Body-modifying concepts and dermatologic problems: tattooing and piercing. Clin Dermatol.2008; 26(1):35-44. 10. Greif J, Hewitt W, Armstrong ML. Tattooing and body piercing: body art practices among college students. Clinical Nursing Research. 1999; 8: 368-385. 11. Weng ML, Ding HT, Elvis L, Cassandra J. Contemporary Perceptions of Body Modifications and Its Acceptability in the Asian Society: A Case of Tattoos and Body Piercings. Asian Social Science 2013; 9(10): 37-42. 12. Armstrong ML, Caliendo C, Roberts AE. Genital piercings: What is known and what people with genital piercings tell us. Urologic Nursing 2006; 26:173 180. 13. Makkai T, McAllister I. Prevalence of tattooing and body piercing in the Australian community. Communicable Diseases Intelligence 2001; 25: 67 72. 14. Forbes GB. College students with tattoos and piercings: Motives, family experiences, personality factors and perception by others. Psychological Reports 2001; 89: 774 796. 15. Wright J. Modifying the body: Piercing and tattoos. Nursing Standard 1995; 10: 27 30. 16. Armstrong ML. Career-oriented women with tattoos image. J Nursing Scholarship 1991; 23: 215 220. 17. Armstrong ML. Adolescent tattoos: Educating vs. pontificating. Pediatric Nursing 1995; 21: 561 564. 18. Sanders CR. Marks of mischief: Becoming and being tattooed. J Contemporary Ethnography 1988; 16: 395 432. 19. Schildkrout E. Inscribing the body. Annual Review of Anthropology 2004; 33: 319 344. 20. Turner BS. The possibilities of primitiveness: Towards a sociology of body marks in cool societies. Body and Society 1999; 5: 39 50. 21. Pitts V. Body modification, self-mutilation and agency in media accounts of a subculture. Body and Society 1999; 5: 291 303. 22. Armstrong M L, Stuppy D J, Gabriel D, Anderson R R. Motivation for tattoo removal. Archives of Dermatology 1996; 132: 412 416. 23. Greif J, Hewitt W, Armstrong M L. Tattooing and body piercing. Clinical Nursing Research 1999; 8: 368 385. 24. Atkinson M. Pretty in ink: Conformity, resistance, and negotiation in women s tattooing. Sex Roles 2002; 47: 219 235. 25. Atkinson M. Tattooing and civilizing processes: Body modification as self-control. Canadian Review of Sociology & Anthropology 2004; 41: 125 146. 26. Silke Wohlrab, Jutta Stahl, Peter M. Kappeler. Modifying the body: Motivations for getting tattooed and pierced. Body Image 2007; 4: 87 95. 27. Anne E. Laumann, and Amy J. Derick. Tattoos and body piercings in the United States: A national data set. The American Academy of Dermatology, Inc. doi:10.1016/ j.jaad. 2006; 03.026: 1-9. 28. Burchett G & Leighton P, MEMOIRS OF A TATTOOIST 19, (1958).

Table 1. Frequency and percentage distribution of age range when obtaining first tattoos (N = 109) Age when obtaining first tattooing (In range) Frequency Percentage (%) 11 20 years 55 50.5 21 30 years 43 39.4 31 40 years 11 10.1 Table 2. Percentage of races having tattoos Races Percentage (%) Indian 92.7 Iban 3.7 Chinese 3.7 Table 3. Percentage of body sites for tattooing among males and females Body site Percentage (%) Male Female Abdomen 0.9 0 Arms 49.5 8.3 Back shoulder 22 0 Chest 6.4 1.8 Legs 6.4 0.9 Neck 2.8 0.9 Table 4. Prevalence of motivation and percentage for tattooing Motivation Percentage (%) Body decorations 45.0 Belief 11.9 Club 3.7 Love 3.7 Music nodes 2.8 Wordings 13.8 Religious 19.3

Figure 1. Cone graph showing the types of color used by the participants Female 14.7% Male 85.3% Figure 2. Pi chart showing of the interest in tattooing according to gender

Indian 101 R a c e Iban 4 Chinese 4 0 20 40 60 80 100 120 Frequency Figure 3. Bar group showing the tattooing frequency among the races under study 60 F r e q u e n c y 50 40 30 20 10 0 1 54 24 0 9 0 7 2 7 1 3 1 Male Female Abdomen Arms Back shoulder Chest Legs Neck Body sites Figure 4. Bar graph showing the different body sites and frequencies

T. Nataraja Moorthy et al ISSN: 2394-9988 Figure 5. Tattoos developed in arm region Figure 6. Tattoos developed in hand regions on male and female

60 50 49 40 30 20 13 15 21 10 4 4 3 0 Body decorations Belief Club Love Music nodes Wordings Religious Figure 7. Bar graph showing the frequency and prevalence of motivation for tattooing Figure 8. Illustrative examples showing religious and musical node tattooing

Figure 9. Illustrative examples showing wording tattoos in various body sites