Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, 55454, USA.
Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, 55454, USA.
Appetite. 2021 Aug 1;163:105224. doi: 10.1016/j.appet.2021.105224. Epub 2021 Mar 23.
This study examined gender differences in the association between childhood maltreatment and disordered eating attitudes and behaviors in adulthood. Data were derived from 1647 adults (ages 27-33) participating in a population-based, longitudinal study (Project EAT-IV: Eating Among Teens and Young Adults, 1998-2016). Childhood maltreatment (sexual abuse, physical abuse, emotional abuse, emotional neglect) and disordered eating attitudes and behaviors (overeating, binge eating, extreme weight control behaviors, unhealthy weight control behaviors, chronic dieting, weight and shape concerns) were assessed. Relative risk regression models were used to examine whether childhood maltreatment was related to individual disordered eating attitudes and behaviors. Gender differences in these associations were explored. A history of any childhood maltreatment was associated with more than 60% greater risk for chronic dieting and overeating, with additional associations found for binge eating, weight and shape concerns, and unhealthy weight control behaviors. All types of abuse and neglect were associated with at least one type of disordered eating outcome. Examination of the point estimates indicated that emotional neglect was most consistently related to higher risk for disordered eating attitudes and behaviors. Although there were no statistically significant gender differences in the association between childhood maltreatment and disordered eating attitudes and behaviors, the patterning of these effects highlighted unique qualitative similarities and differences in these relationships between men and women. Taken together, these findings implicate childhood maltreatment, particularly emotional neglect, as a meaningful risk factor for problematic eating outcomes in both men and women during adulthood.
本研究考察了儿童期虐待与成年后饮食失调态度和行为之间的性别差异。数据来自于参与基于人群的纵向研究（EAT-IV 项目：青少年和年轻人的饮食，1998-2016 年）的 1647 名成年人（年龄 27-33 岁）。儿童期虐待（性虐待、身体虐待、情感虐待、情感忽视）和饮食失调态度和行为（暴食、暴饮暴食、极端体重控制行为、不健康的体重控制行为、长期节食、体重和体型担忧）进行了评估。相对风险回归模型用于检验儿童期虐待是否与个体的饮食失调态度和行为有关。探讨了这些关联中的性别差异。任何一种儿童期虐待史都与长期节食和暴食的风险增加 60%以上有关，与暴饮暴食、体重和体型担忧以及不健康的体重控制行为有关。所有类型的虐待和忽视都与至少一种饮食失调结果有关。对估计值的检查表明，情感忽视与饮食失调态度和行为的风险增加最相关。尽管儿童期虐待与饮食失调态度和行为之间的关联在性别上没有统计学上的显著差异，但这些影响的模式突出了男性和女性之间这些关系的独特定性相似性和差异。总的来说，这些发现表明，儿童期虐待，特别是情感忽视，是成年期男女出现问题性饮食结果的一个有意义的风险因素。
