Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA.
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Psychiatry Res. 2018 Apr;262:1-5. doi: 10.1016/j.psychres.2018.01.028. Epub 2018 Feb 20.
Eating disorders are a serious and life-threatening health issue associated with physical and mental health problems. Stigma associated with sexual orientation is thought to be one contributor to eating disorders symptoms in U.S. adolescents. Additional research on disordered weight control behaviors in diverse populations is needed to better understand their etiology. To examine the association of sex of sexual partners with disordered weight control behaviors among South Korean adolescents, we analyzed survey data from 67,266 adolescents, ages 12-18 years, from the 2015 Korea Youth Risk Behavior Web-based Survey. Adolescents were grouped based on self-reported sex of sexual partners. Disordered weight control behaviors included fasting, vomiting, or use of unprescribed diet pills for weight control in the past month. Among both girls and boys, those reporting partners of both sexes had higher odds and those with no sexual partners had lower odds of disordered weight control behaviors. Those with same-sex partners only were not significantly different in disordered weight control behaviors from those with other-sex partners only for girls or boys. Our findings demonstrate the need for further research identifying ways to mitigate risk for this vulnerable group.
进食障碍是一种与身心健康问题相关的严重且危及生命的健康问题。与性取向相关的污名被认为是导致美国青少年出现进食障碍症状的一个因素。需要对不同人群中异常的体重控制行为进行更多的研究，以更好地了解其病因。为了研究性伴侣的性别与韩国青少年异常体重控制行为之间的关联，我们分析了 2015 年韩国青少年风险行为网络调查中来自 67266 名 12-18 岁青少年的调查数据。青少年根据自我报告的性伴侣性别进行分组。异常的体重控制行为包括在过去一个月内通过禁食、呕吐或使用未经处方的减肥药来控制体重。在女孩和男孩中，报告有同性和异性伴侣的人出现异常体重控制行为的几率更高，而没有性伴侣的人出现异常体重控制行为的几率更低。对于女孩或男孩，仅与同性伴侣发生性行为的人与仅与异性伴侣发生性行为的人在异常体重控制行为方面没有显著差异。我们的研究结果表明，需要进一步研究确定如何减轻这一脆弱群体的风险。
