Race/Ethnicity as a Moderator of the Association Between Weight-Related Abuse and Disordered Eating.

IF 2.4 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2024-10-01 Epub Date: 2023-09-05 DOI:10.1007/s40615-023-01775-3
Tatyana Bidopia, Yvette G Karvay, Jill M Stadterman Guarecuco, Johanna M Jarcho, Natasha L Burke
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Abstract

Objectives: Extant research supports a positive relationship between weight-related abuse (WRA) and disordered eating constructs. Individuals who face marginalization and who are more likely to live in larger bodies, such as Black and Hispanic individuals in the United States (U.S.), may be at a heightened risk of WRA. This study is aimed at understanding whether the relationship between WRA and disordered eating constructs varies by race/ethnicity. We hypothesized that individuals from marginalized backgrounds would have differential levels of dietary restraint, body dissatisfaction, and shape/weight overvaluation with increased experiences of WRA compared to non-Hispanic White individuals.

Methods: Two thousand one hundred sixteen undergraduates were recruited from two U.S. universities for a survey-based study assessing psychosocial functioning. Participants completed a demographics questionnaire assessing race/ethnicity, the Weight-Related Abuse Questionnaire assessing WRA experiences, and the Eating Disorders Examination-Questionnaire assessing disordered eating constructs.

Results: Results showed positive relationships between verbal (vWRA) and physical (pWRA) WRA and disordered eating behaviors and cognitions. Moreover, at higher levels of vWRA, Asian and multiracial individuals showed greater dietary restraint compared to White individuals. No other tested models were moderated by race/ethnicity.

Conclusion: WRA is positively associated with disordered eating behaviors and cognitions across racial/ethnic identities, and vWRA may be differentially related to increased dietary restraint in Asian and multiracial individuals compared to White individuals. Further research utilizing intersectional analyses (e.g., examining how this relationship varies according to the intersection of race/ethnicity, gender, and weight status) would help clarify this relationship.

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种族/族裔是体重相关虐待与饮食失调之间关系的调节因素。
目的:现有研究表明,体重相关虐待(WRA)与饮食失调之间存在正相关关系。美国黑人和拉美裔美国人等面临边缘化和更有可能以较大体型生活的人,可能会面临更高的体重相关虐待风险。本研究旨在了解 WRA 与饮食失调之间的关系是否因种族/族裔而异。我们假设,与非西班牙裔白人相比,来自边缘化背景的个体会有不同程度的饮食克制、身体不满意和体形/体重高估,同时WRA的经历也会增加:我们从两所美国大学招募了 216 名大学生,对他们进行了一项基于调查的社会心理功能评估研究。参与者填写了评估种族/族裔的人口统计学问卷、评估与体重相关虐待经历的体重相关虐待问卷以及评估饮食失调结构的饮食失调检查问卷:结果显示,口头(vWRA)和身体(pWRA)WRA 与饮食失调行为和认知之间存在正相关。此外,与白人相比,在较高的vWRA水平下,亚洲人和多种族人表现出更大的饮食克制。结论:WRA 与饮食失调呈正相关:结论:WRA 与不同种族/民族身份的饮食失调行为和认知呈正相关,与白人相比,vWRA 可能与亚裔和多种族个体饮食节制的增加有不同程度的关系。利用交叉分析(例如,根据种族/民族、性别和体重状况的交叉点来研究这种关系如何变化)开展进一步研究将有助于澄清这种关系。
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来源期刊
Journal of Racial and Ethnic Health Disparities
Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
5.10%
发文量
263
期刊介绍: Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
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