Department of Psychology, University of Kansas, Lawrence, KS, USA; Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, Lawrence, KS, USA.
Department of Psychological and Quantitative Foundations, University of Iowa, Iowa City, IA, USA; Center for Advanced Studies in Measurement and Assessment, University of Iowa, Iowa City, IA, USA.
Eat Behav. 2022 Jan;44:101600. doi: 10.1016/j.eatbeh.2022.101600. Epub 2022 Feb 8.
Leading eating disorder (ED) theories were informed primarily by samples of White females. Therefore, ED theories lack consideration of sociocultural factors that may impact ED symptom development among Black women. The current study proposed the first culturally informed theory for disordered eating among Black women, positing that ethnic discrimination, strong black woman (SBW) ideology (cultural and societal expectations of strength), and culturally informed appearance satisfaction may significantly impact stress. Stress may be associated with coping-motivated eating behaviors, which may lead to maladaptive weight control behaviors.
Black women (N = 208) completed surveys assessing socio-cultural factors, stress, commensal and binge eating, and maladaptive weight control behaviors. Path analysis was used to test the proposed theory.
The final model had a good fit for the data. Findings overall supported the hypothesized model. Specifically, higher ethnic discrimination (β = 0.044, p = .003), greater endorsement of SBW ideology (β = 0.074, p =< .001), and lower culturally informed appearance satisfaction (β = -0.032, p = .025) were associated with greater stress. Stress was positively associated with binge eating (β = 0.457, p = .046), and binge eating was significantly associated with excessive exercise (=0.152, p = .008) and purging (β = 0.273, p = <.001). In contrast, commensal eating was not associated with stress or weight control behaviors (p values = .697 to .749).
The current study found that stress, as influenced by sociocultural factors, may play a role in binge eating, and subsequently, weight control behaviors among Black women. This theory is a starting point for future research on the specialized conceptualization of eating and maladaptive weight control behaviors among Black women.
主导饮食失调（ED）理论主要是基于白人女性的样本。因此，ED 理论缺乏对可能影响黑人女性 ED 症状发展的社会文化因素的考虑。本研究提出了第一个针对黑人女性饮食失调的文化理论，假设种族歧视、坚强的黑人女性（SBW）意识形态（文化和社会对坚强的期望）和文化上的外表满意度可能会对压力产生重大影响。压力可能与应对动机性进食行为有关，这可能导致适应不良的体重控制行为。
黑人女性（N=208）完成了评估社会文化因素、压力、社交和暴食以及适应不良的体重控制行为的调查。路径分析用于检验所提出的理论。
最终模型与数据拟合良好。研究结果总体上支持假设模型。具体而言，较高的种族歧视（β=0.044，p=0.003）、更强的 SBW 意识形态（β=0.074，p<0.001）和较低的文化上的外表满意度（β=-0.032，p=0.025）与更大的压力相关。压力与暴食行为呈正相关（β=0.457，p=0.046），暴食行为与过度运动（β=0.152，p=0.008）和呕吐（β=0.273，p<0.001）显著相关。相比之下，社交进食与压力或体重控制行为无关（p 值=0.697 至 0.749）。
本研究发现，压力受社会文化因素的影响，可能在暴食行为以及随后的黑人女性体重控制行为中发挥作用。该理论是未来针对黑人女性专门概念化的饮食和适应不良的体重控制行为的研究的起点。
