Creative Tattoo

Insofar as this cultural or subcultural use of tattoos predates the widespread popularity of tattoos in the general population, tattoos are still associated with criminality. Although the general acceptance of tattoos is on the rise in Western society, they still carry a heavy stigma among certain social groups. Tattoos are generally considered an important part of the culture of the Russian mafia.
The prevalence of women in the tattoo industry, along with larger numbers of women bearing tattoos, appears to be changing negative perceptions. A study of "at-risk" (as defined by school absenteeism and truancy) adolescent girls showed a positive correlation between body-modification and negative feelings towards the body and self-esteem; however, also illustrating a strong motive for body-modification as the search for "self and attempts to attain mastery and control over the body in an age of increasing alienation."