Becker Carolyn Black, Middlemass Keesha, Taylor Brigitte, Johnson Clara, Gomez Francesca
Department of Psychology, Trinity University, San Antonio, Texas.
Department of Political Science, Trinity University, San Antonio, Texas.
Int J Eat Disord. 2017 Sep;50(9):1031-1040. doi: 10.1002/eat.22735. Epub 2017 Jun 18.
The primary aim of this study was to investigate eating disorder (ED) pathology in those living with food insecurity. A secondary aim was to investigate whether any-reason dietary restraint, weight self-stigma, and worry increased as level of food insecurity increased.
Participants (N = 503) seeking food from food pantries completed questionnaires assessing level of food insecurity, demographics, ED pathology, dietary restraint, weight self-stigma, and worry.
Consistent with hypotheses, participants with the highest level of food insecurity (i.e., adults who reported having hungry children in their household) also endorsed significantly higher levels of binge eating, overall ED pathology, any-reason dietary restraint, weight self-stigma, and worry compared to participants with lower levels of food insecurity. Contrary to hypotheses, compensatory behaviors also increased as level of food insecurity worsened. Overall, 17% of those in the child hunger food insecurity group reported clinically significant ED pathology.
This is the first study to assess the full spectrum of ED pathology in a low-income, marginalized population with food insecurity. Given that food insecurity is a global concern, results from this study suggest that greater attention to the association between ED pathology and food insecurity is warranted by researchers around the world.
本研究的主要目的是调查粮食不安全人群中的饮食失调（ED）病理情况。次要目的是调查随着粮食不安全程度的增加，因任何原因导致的饮食限制、体重自我污名化和担忧是否也会增加。
从食品救济站获取食物的参与者（N = 503）完成了问卷调查，评估粮食不安全程度、人口统计学特征、ED病理情况、饮食限制、体重自我污名化和担忧程度。
与假设一致，粮食不安全程度最高的参与者（即报告家中有饥饿儿童的成年人）与粮食不安全程度较低的参与者相比，在暴饮暴食、总体ED病理情况、因任何原因导致的饮食限制、体重自我污名化和担忧方面的认可程度也显著更高。与假设相反，随着粮食不安全程度的恶化，代偿行为也有所增加。总体而言，儿童饥饿粮食不安全组中有17%的人报告有临床上显著的ED病理情况。
这是第一项评估低收入、边缘化粮食不安全人群中ED病理情况全貌的研究。鉴于粮食不安全是一个全球关注的问题，本研究结果表明，世界各地的研究人员有必要更加关注ED病理情况与粮食不安全之间的关联。
