Clinical and Population Health Research Program, Graduate School of Biomedical Sciences, University of Massachusetts Medical School, Worcester; Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester.
Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester.
Ann Epidemiol. 2020 May;45:32-39. doi: 10.1016/j.annepidem.2020.03.012. Epub 2020 Apr 2.
The aim of the study was to quantify the association between perceived everyday discrimination and binge eating among Latinas in the United States.
Participants included 1014 Latinas from the 2002-2003 National Latino and Asian American Study. Modified Poisson models with robust standard errors were used to estimate sociodemographic-adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) of binge eating associated with overall and attribution-specific discrimination.
Approximately 7% of Latinas reported binge eating. Increased frequency of discrimination was associated with a higher prevalence of binge eating (aPR, 1.59; 95% CI, 1.23-2.06), and Latinas reporting frequencies of discrimination in the top tertile had the greatest prevalence elevation (aPR, 3.63; 95% CI, 1.32-10.00). There were important differences by discrimination attribution: Latinas experiencing primarily height/weight-based or skin color-based discrimination had the greatest prevalence elevation relative to those reporting no discrimination (aPR, 10.24; 95% CI, 2.95-35.51; and aPR, 8.83; 95% CI, 2.08-37.54, respectively), whereas Latinas reporting primarily race-based discrimination had the lowest prevalence elevation (aPR, 1.64; 95% CI, 0.47-5.69).
Discrimination may be an important social determinant of Latinas' binge eating. Future research should incorporate expanded conceptual models that account for Latinas' complex social environment, focusing on intersecting dimensions of identity.
本研究旨在量化美国拉丁裔女性感知到的日常歧视与暴饮暴食之间的关联。
参与者包括来自 2002-2003 年全国拉丁裔和亚裔美国人研究的 1014 名拉丁裔女性。使用具有稳健标准误差的修正泊松模型来估计与整体和归因特定歧视相关的暴食的社会人口统计学调整患病率比（aPR）和 95%置信区间（CI）。
约 7%的拉丁裔女性报告有暴食行为。歧视频率的增加与暴食的患病率升高相关（aPR，1.59；95%CI，1.23-2.06），报告处于最高三分位歧视频率的拉丁裔女性暴食患病率升高幅度最大（aPR，3.63；95%CI，1.32-10.00）。歧视归因存在显著差异：与报告无歧视的拉丁裔女性相比，主要经历身高/体重或肤色歧视的拉丁裔女性的患病率升高幅度最大（aPR，10.24；95%CI，2.95-35.51；aPR，8.83；95%CI，2.08-37.54），而报告主要基于种族的歧视的拉丁裔女性的患病率升高幅度最低（aPR，1.64；95%CI，0.47-5.69）。
歧视可能是拉丁裔女性暴食的一个重要社会决定因素。未来的研究应纳入扩展的概念模型，该模型考虑到拉丁裔女性复杂的社会环境，重点关注身份的交叉维度。
