The Williams Institute, UCLA School of Law, Los Angeles, CA, USA.
Obes Facts. 2012;5(6):869-80. doi: 10.1159/000345931. Epub 2012 Dec 15.
The present study examined the relationship between experiences of discrimination and occurrence of binge eating among overweight and obese persons, a population which has previously shown elevated rates of binge eating.
Internet-based questionnaires were used to measure frequency and impact of discrimination, binge eating frequency, and emotional eating.
Pearson correlation analyses demonstrated significant positive relationships between the measures of discrimination and measures of eating behaviors (r = 0.12-0.37). Regression models significantly predicted between 17 and 33% of the variance of emotional eating scores and frequency of binge eating; discrimination measures contributed significantly and independently to the variance in emotional eating and binge eating. Weight bias internalization was found to be a partial mediator of the relationship between discrimination and eating disturbance.
Results demonstrate the relationship of discrimination to binge eating. Weight bias internalization may be an important mechanism for this relationship and a potential treatment target.
本研究考察了超重和肥胖人群（该人群暴食的发生率此前已有所上升）中歧视经历与暴食发生之间的关系。
采用基于互联网的问卷来测量歧视的频率和影响、暴食的频率和情绪性进食。
皮尔逊相关分析表明，歧视测量指标与进食行为测量指标之间存在显著的正相关关系（r=0.12-0.37）。回归模型显著预测了情绪性进食评分和暴食频率的 17%至 33%的方差；歧视测量指标对情绪性进食和暴食的方差有显著且独立的贡献。体重偏见内化被发现是歧视与饮食障碍之间关系的部分中介。
结果表明歧视与暴食之间存在关联。体重偏见内化可能是这种关系的一个重要机制，也是一个潜在的治疗靶点。
