Department of Health Behavior and Policy, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
Department of Medicine, Johns Hopkins University, School of Medicine, Division of General Internal Medicine, Baltimore, Maryland, USA.
Int J Eat Disord. 2022 Dec;55(12):1744-1752. doi: 10.1002/eat.23820. Epub 2022 Oct 7.
Racial discrimination is a stressor for young Black women that leads to poor health outcomes, including maladaptive eating. This study presents findings on racial discrimination and maladaptive eating behaviors (overeating, LOC eating) using ecological momentary assessment (EMA).
Black emerging adult women (N = 27) with overweight or obesity participated in a 14-day EMA study examining exposure to racial discrimination, eating behaviors, and racial identity. Frequencies and chi-square tests were used to characterize the type of racial discrimination experienced and frequency of overeating. Mixed effect ordinal logistic regression models were used to assess the relation between racial discrimination and maladaptive eating. Moderation analysis was conducted by creating interaction terms for discrimination and racial identity variables.
81.5% of participants reported experiencing racial discrimination. Young Black women reporting exposure to racial discrimination were more likely to endorse higher levels of both overeating and LOC eating compared to times when discrimination was not experienced (p < .0001). Racial identity moderated the link between racial discrimination and maladaptive eating (overeating, LOC) such that reporting greater levels of private regard buffered the deleterious effect of racial discrimination. Higher levels of public regard exacerbated the association between racial discrimination and both overeating, and LOC. Higher centrality worsened the relation between racial discrimination and LOC.
Young Black women might use maladaptive eating to cope with exposure to racial discrimination, which underscores the importance of examining the link between racism and disordered eating, particularly among Black women submerged in a society that continuously exposes them to racial discrimination.
Emerging adult Black women are exposed to racial discrimination daily. In theory, exposure to racial discrimination could contribute to overeating and loss of control eating in this population. Using ecological momentary assessment, to capture experiences and eating behaviors in the moment they occur, this project quantified the magnitude of racial discrimination and how it was associated with maladaptive eating behaviors. Further, it examined ways in which racial identity was linked to this association.
种族歧视是导致年轻黑人女性健康状况不佳的压力源，包括不良的饮食习惯。本研究使用生态瞬时评估（EMA）报告种族歧视与不良进食行为（暴饮暴食、LOC 进食）的研究结果。
超重或肥胖的黑人成年女性（N=27）参加了一项为期 14 天的 EMA 研究，该研究调查了种族歧视、饮食行为和种族认同的暴露情况。使用频率和卡方检验来描述经历的种族歧视类型和暴饮暴食的频率。使用混合效应有序逻辑回归模型评估种族歧视与不良进食之间的关系。通过创建歧视和种族认同变量的交互项进行调节分析。
81.5%的参与者报告经历过种族歧视。与没有经历过歧视的情况相比，报告有过种族歧视的年轻黑人女性更有可能表现出更高水平的暴饮暴食和 LOC 进食（p<0.0001）。种族认同调节了种族歧视与不良进食（暴饮暴食、LOC）之间的联系，报告更高水平的私人尊重缓冲了种族歧视的有害影响。更高的公共尊重加剧了种族歧视与暴饮暴食和 LOC 之间的关联。更高的中心性恶化了种族歧视与 LOC 之间的关系。
年轻的黑人女性可能会通过不良的饮食习惯来应对种族歧视的暴露，这突显出研究种族主义和饮食失调之间联系的重要性，尤其是在一个不断使她们面临种族歧视的社会中，黑人女性更容易受到这种联系的影响。
成年黑人女性每天都面临种族歧视。理论上，暴露于种族歧视可能会导致该人群暴饮暴食和失去控制的进食。本项目使用生态瞬时评估来捕捉在发生时的体验和饮食行为，量化了种族歧视的程度以及它与不良进食行为的关联。此外，还研究了种族认同与这种关联的联系方式。
