期刊
APPETITE
卷 175, 期 -, 页码 -出版社
ACADEMIC PRESS LTD- ELSEVIER SCIENCE LTD
DOI: 10.1016/j.appet.2022.106079
关键词
Hispanic youth; Disordered eating; Body image; Social influences; Overeating; Body mass index; Acculturative stress
资金
- National Heart, Lung, and Blood Institute [R01HL102130]
- National Heart, Lung, and Blood Institute (NHLBI) [N01-HC65233, DK111022-8786, N01-HC65234, N01-HC65235, N01-HC65236]
- Albert Einstein College of Medicine [DK111022-8786]
- National Center on Minority Health and Health Disparities
- National Institute of Deafness and Other Communica-tions Disorders
- National Institute of Dental and Craniofacial Research
- National Institute of Diabetes and Digestive and Kidney Diseases
- National Institute of Neurological Disorders and Stroke
- Life Course Methodology Core of the New York Regional Center for Diabetes Translation Research
- Office of Dietary Supplements
- [N01-HC65237]
This study analyzed the relationship between body image, social attitudes towards weight, and disordered eating behaviors among Hispanic youth. The results showed a strong association between body image and dieting and compensatory behaviors among adolescents, as well as between body image and overeating among children. However, significant associations were not observed with social attitudes towards weight.
Background: Prevalence of certain disordered eating behaviors is higher among Hispanic youth compared to non Hispanics. Understanding the role of body image and social attitudes towards weight in disordered eating may inform treatment in Hispanic youth. Methods: We analyzed data from the Hispanic Community Health Study/Study of Latino Youth (SOL Youth). Our sample included 1,463 children aged 8-16 years from four sites (Bronx, Chicago, Miami, San Diego) assessed in 2011-2014. Body image discrepancy score was calculated as the difference between perceived ideal body image and actual body image using two numbered visual graphs: adolescent (n = 728) or child (n = 735), each with slightly different scales. Questionnaires measured influences from social attitudes toward weight and disordered eating behaviors. Three disordered eating behaviors (dieting, overeating, and compensatory behaviors) were analyzed as the dependent variable. Logistic regression models adjusted for age, sex, acculturative stress, and field center to estimate adjusted odds ratios (aOR) and 95% confidence intervals (CI). Results: Mean body image discrepancy score was-0.79 for adolescents (SE = 0.08) and-0.50 for children (SE = 0.05), with a negative score signifying a perceived actual body image larger than their ideal. Body image discrepancy was strongly associated with dieting (dieting & GE;5 times/year aOR = 0.64, 95% CI 0.53, 0.77) and compensatory behaviors (aOR = 0.65, 95% CI 0.50, 0.85) among adolescents, and was strongly associated with overeating among children (aOR = 0.74, 95% CI 0.61, 0.91). Significant associations were not observed with social attitudes towards weight. Conclusions: Associations observed with body image discrepancy and disordered eating behaviors can inform interventions in Hispanic/Latino youth, which should consider acculturative stress.
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