Department of Psychology, University of Kansas, Lawrence, Kansas, USA.
Univfy Inc, Los Altos, California, USA.
Int J Eat Disord. 2022 Aug;55(8):1120-1129. doi: 10.1002/eat.23773. Epub 2022 Jul 7.
Latines have higher rates of eating disorders characterized by binge eating compared to their non-Latine white counterparts, yet culturally and socially relevant factors related to binge eating in Latines have been largely understudied. The purpose of the current study was to examine how discrimination and acculturative stress were associated with binge eating in a nationally representative sample of Latines. An additional aim was to test the extent to which family cohesion and social support could buffer against the effects of discrimination and acculturative stress on binge eating.
Participants (56% female, N = 2550) were Latines enrolled in the National Latino and Asian American Study. Structural equation modeling using 1000 re-sampled data sets built from machine learning iterative sampling procedures was used to examine the effects of discrimination, acculturative stress, family cohesion, and social support on binge eating.
Results indicated that only discrimination was significantly associated with binge eating. Neither the direct effect of acculturative stress, interaction of family cohesion and acculturative stress, interaction of social cohesion and acculturative stress, nor the interaction of social support and discrimination were significantly associated with binge eating.
This study highlights the need for mental-health providers to understand and assess discrimination among Latines presenting with concerns of binge eating. Treatments that effectively provide coping strategies to manage discriminatory experiences and reduce binge eating could improve both effectiveness of treatment and retention rates for Latine individuals with binge eating.
This study examined the association of discrimination, acculturative stress, family cohesion, and social support with binge eating in Latines. Only discrimination was significantly associated with binge eating, highlighting the importance for providers to assess discrimination among Latines with binge-eating concerns and to improve equity, inclusion, and belonging at a societal level. Modifying existing treatments to address coping with discrimination could improve the effectiveness for Latines with binge-eating concerns.
拉丁裔的暴食障碍发病率高于非拉丁裔白种人，且与暴食相关的文化和社会因素在拉丁裔人群中研究甚少。本研究旨在调查在具有全国代表性的拉丁裔样本中，歧视和文化适应压力与暴食的关系。另一目的是检验家庭凝聚力和社会支持在多大程度上可以缓冲歧视和文化适应压力对暴食的影响。
参与者（56%为女性，N=2550）为参加全国拉丁裔和亚裔美国人研究的拉丁裔。采用基于机器学习迭代抽样程序构建的 1000 个重采样数据集的结构方程模型，来检验歧视、文化适应压力、家庭凝聚力和社会支持对暴食的影响。
结果表明，只有歧视与暴食显著相关。文化适应压力的直接效应、家庭凝聚力与文化适应压力的相互作用、社会凝聚力与文化适应压力的相互作用以及社会支持与歧视的相互作用均与暴食无显著关联。
本研究强调了心理健康服务提供者需要理解和评估拉丁裔人群中与暴食相关的歧视。提供有效的应对策略来处理歧视性经历并减少暴食的治疗方法，可以提高治疗效果和拉丁裔暴食个体的保留率。
本研究调查了歧视、文化适应压力、家庭凝聚力和社会支持与拉丁裔暴食的关系。只有歧视与暴食显著相关，这突出了提供者在评估有暴食问题的拉丁裔人群中歧视问题的重要性，并需要在社会层面上提高公平性、包容性和归属感。修改现有的治疗方法以解决应对歧视的问题，可以提高拉丁裔暴食患者的治疗效果。
