University of Miami, Department of Psychology, Coral Gables, FL, USA.
University of Miami, Miller School of Medicine, Department of Pediatrics, Miami, FL, USA.
Appetite. 2022 Aug 1;175:106079. doi: 10.1016/j.appet.2022.106079. Epub 2022 May 14.
Prevalence of certain disordered eating behaviors is higher among Hispanic youth compared to non-Hispanics. Understanding the role of body image and social attitudes towards weight in disordered eating may inform treatment in Hispanic youth.
We analyzed data from the Hispanic Community Health Study/Study of Latino Youth (SOL Youth). Our sample included 1,463 children aged 8-16 years from four sites (Bronx, Chicago, Miami, San Diego) assessed in 2011-2014. Body image discrepancy score was calculated as the difference between perceived ideal body image and actual body image using two numbered visual graphs: adolescent (n = 728) or child (n = 735), each with slightly different scales. Questionnaires measured influences from social attitudes toward weight and disordered eating behaviors. Three disordered eating behaviors (dieting, overeating, and compensatory behaviors) were analyzed as the dependent variable. Logistic regression models adjusted for age, sex, acculturative stress, and field center to estimate adjusted odds ratios (aOR) and 95% confidence intervals (CI).
Mean body image discrepancy score was -0.79 for adolescents (SE = 0.08) and -0.50 for children (SE = 0.05), with a negative score signifying a perceived actual body image larger than their ideal. Body image discrepancy was strongly associated with dieting (dieting ≥5 times/year aOR = 0.64, 95% CI 0.53, 0.77) and compensatory behaviors (aOR = 0.65, 95% CI 0.50, 0.85) among adolescents, and was strongly associated with overeating among children (aOR = 0.74, 95% CI 0.61, 0.91). Significant associations were not observed with social attitudes towards weight.
Associations observed with body image discrepancy and disordered eating behaviors can inform interventions in Hispanic/Latino youth, which should consider acculturative stress.
与非西班牙裔青少年相比，西班牙裔青少年中某些饮食失调行为的流行率更高。了解身体意象和社会对体重的态度在饮食失调中的作用，可以为西班牙裔青少年的治疗提供信息。
我们分析了西班牙裔社区健康研究/拉丁裔青年研究（SOL 青年）的数据。我们的样本包括来自四个地点（布朗克斯、芝加哥、迈阿密、圣地亚哥）的 1463 名 8-16 岁的儿童，他们在 2011-2014 年接受了评估。身体意象差异评分是通过使用两个编号的可视化图表计算得出的，感知理想身体意象与实际身体意象之间的差异：青少年（n=728）或儿童（n=735），每个图表的刻度略有不同。问卷测量了社会对体重和饮食失调行为的态度的影响。将三种饮食失调行为（节食、暴食和补偿行为）作为因变量进行分析。使用逻辑回归模型调整年龄、性别、文化适应压力和现场中心，以估计调整后的优势比（aOR）和 95%置信区间（CI）。
青少年的平均身体意象差异评分为-0.79（SE=0.08），儿童的平均身体意象差异评分为-0.50（SE=0.05），负数表示感知的实际身体意象大于理想身体意象。身体意象差异与青少年的节食（每年节食≥5 次 aOR=0.64，95%CI 0.53，0.77）和补偿行为（aOR=0.65，95%CI 0.50，0.85）强烈相关，与儿童的暴食行为强烈相关（aOR=0.74，95%CI 0.61，0.91）。社会对体重的态度与身体意象差异和饮食失调行为之间没有观察到显著关联。
与身体意象差异和饮食失调行为相关的关联可以为西班牙裔/拉丁裔青少年的干预提供信息，这些干预措施应考虑文化适应压力。
