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美籍拉丁裔青少年的文化适应压力与情绪性进食。

Acculturative stress and emotional eating in Latino adolescents.

机构信息

Department of Psychology and Neuroscience, Baylor University, One Bear Place #97334, Waco, TX, 76798, USA.

出版信息

Eat Weight Disord. 2019 Oct;24(5):905-914. doi: 10.1007/s40519-018-0602-2. Epub 2018 Oct 27.

Abstract

PURPOSE

Despite data that suggest Latino adolescents experience acculturative stress (i.e., feeling overwhelmed by conflicting cultural practices, language problems, and ethnic self-consciousness) and endorse elevated levels of emotional eating, there has been an absence of research examining the relations between acculturative stress and emotional eating in this population. The purpose of the present study was to (1) examine the associations between acculturative stress, emotional eating, and change in BMIz scores in Latino adolescents over a 3-month period, and (2) compare Latino and non-Latino adolescents on measures of acculturative stress, emotional eating, and body mass index (BMI).

METHODS

The sample comprised 168 Latino (mean age 13.69 years; SD 0.88) and 278 non-Latino (mean age 13.68 years; SD 0.79) middle and high school students. Participants completed the Emotional Eating Scale for Children and Adolescents (EES-C), the Social, Attitudinal, Familial, and Environmental Acculturative Stress Scale for Children (SAFE-C), and a demographic questionnaire. Participants had their height and weight measured after completing the questionnaires and at a second-time point, approximately 3 months after time 1 measurements. Independent samples t tests and Cohen's d effect sizes were used to investigate whether there were differences between Latino adolescents and non-Latino adolescents. Pearson correlations were computed to examine associations between acculturative stress, emotional eating, and change in BMIz scores in the Latino sample.

RESULTS

Latino adolescents endorsed significantly higher acculturative stress on the SAFE-C compared to non-Latino adolescents (Latino mean 30.81; non-Latino mean 25.64; p < 0.001; Cohen's d effect size = 0.35). In the Latino sample, acculturative stress was associated with higher levels of emotional eating. Latino and non-Latino adolescents endorsed similar levels of emotional eating.

CONCLUSIONS

The present findings provide preliminary evidence that acculturative stress may serve as a risk factor for emotional eating among Latino adolescents. Future obesity prevention and intervention programs developed for Latino adolescents may benefit from addressing acculturative stress, particularly among more recent Latino immigrants.

LEVEL OF EVIDENCE

Level 3, case-control analytic study.

摘要

目的

尽管有数据表明拉丁裔青少年经历着文化适应压力(即感到被相互冲突的文化习俗、语言问题和种族自觉所淹没),并且情绪性进食的程度较高,但目前还没有研究检查在这个群体中文化适应压力与情绪性进食之间的关系。本研究的目的是:(1) 考察在 3 个月的时间内,拉丁裔青少年的文化适应压力、情绪性进食与 BMIz 评分变化之间的关系;(2) 比较拉丁裔和非拉丁裔青少年在文化适应压力、情绪性进食和体重指数 (BMI) 方面的差异。

方法

样本包括 168 名拉丁裔(平均年龄 13.69 岁;SD=0.88)和 278 名非拉丁裔(平均年龄 13.68 岁;SD=0.79)的中学生和高中生。参与者完成了儿童和青少年情绪性进食量表(EES-C)、儿童社会、态度、家庭和环境文化适应压力量表(SAFE-C)和一份人口统计学问卷。参与者在完成问卷后和第一次测量大约 3 个月后的第二次时间点测量了身高和体重。独立样本 t 检验和 Cohen's d 效应大小用于调查拉丁裔青少年和非拉丁裔青少年之间是否存在差异。Pearson 相关系数用于考察拉丁裔样本中文化适应压力、情绪性进食与 BMIz 评分变化之间的关系。

结果

与非拉丁裔青少年相比,拉丁裔青少年在 SAFE-C 上的文化适应压力明显更高(拉丁裔平均 30.81;非拉丁裔平均 25.64;p<0.001;Cohen's d 效应大小=0.35)。在拉丁裔样本中,文化适应压力与更高水平的情绪性进食有关。拉丁裔和非拉丁裔青少年的情绪性进食水平相似。

结论

本研究结果初步表明,文化适应压力可能是拉丁裔青少年情绪性进食的一个风险因素。为拉丁裔青少年制定的未来肥胖预防和干预计划可能受益于解决文化适应压力,尤其是在最近的拉丁裔移民中。

证据水平

3 级,病例对照分析研究。

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