Ackard Diann M, Fedio Gregory, Neumark-Sztainer Dianne, Britt Heather R
Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
Psychosom Med. 2008 Feb;70(2):232-8. doi: 10.1097/PSY.0b013e318164230c. Epub 2008 Feb 6.
To examine the prevalence of disordered eating behaviors among sexually active adolescent males by gender and number of sex partners, and examine psychosocial well-being by sex partner factors among boys reporting disordered eating.
Data were collected from 10,095 9(th) and 12(th) grade Minnesota Student Survey participants who reported sexual intercourse in the past year.
The use of any disordered eating behaviors was reported by 39.4% of the sexually active males reporting only female sex partners, 53.4% reporting only male sex partners, and 56.4% reporting both female and male sex partners. Rates of specific disordered eating behaviors were associated with higher numbers of sex partners (male and/or female) and same gender of sex partner, and were highest among those males who reported 3 or more of both genders of sex partners. Among sexually active males reporting disordered eating, poorer emotional well-being and less family connectedness were associated with greater number of partners and with same-sex partners.
Sexually active males, especially those with multiple and/or same-sex partners, may benefit from interventions targeted at reducing disordered eating behaviors. Among sexually active males engaging in disordered eating behaviors, enhancing emotional health and improving family connectedness may be beneficial, especially among those with sex partners of the same gender and/or with multiple sex partners. The identification of specific psychosocial characteristics that are commonly associated with sexually active adolescent males and who exhibit disordered eating behaviors may provide direction toward the development of appropriate early identification, prevention, and treatment efforts.
按性别和性伴侣数量调查性活跃青少年男性中饮食失调行为的患病率，并在报告有饮食失调的男孩中，按性伴侣因素调查其心理社会幸福感。
数据收集自10,095名明尼苏达州9年级和12年级学生，这些学生在过去一年中报告有过性行为。
在性活跃男性中，仅与女性有性伴侣的人中39.4%报告有任何饮食失调行为，仅与男性有性伴侣的人中53.4%报告有此类行为，与男性和女性都有性伴侣的人中56.4%报告有此类行为。特定饮食失调行为的发生率与性伴侣（男性和/或女性）数量较多以及性伴侣为同性有关，在报告与男性和女性性伴侣都有3个或更多的男性中发生率最高。在报告有饮食失调的性活跃男性中，情绪幸福感较差和家庭联系较少与性伴侣数量较多以及同性伴侣有关。
性活跃男性，尤其是那些有多个和/或同性伴侣的男性，可能会从旨在减少饮食失调行为的干预措施中受益。在有饮食失调行为的性活跃男性中，增强情绪健康和改善家庭联系可能有益，尤其是在那些有同性伴侣和/或多个性伴侣的男性中。识别与性活跃青少年男性且有饮食失调行为通常相关的特定心理社会特征，可能为制定适当的早期识别、预防和治疗措施提供方向。
