Food and Nutrition Academic and Research Cluster, Institute of Nutrition, Mahidol University, Nakhon Pathom 73170, Thailand.
Department of Curriculum and Instruction, Faculty of Education, Chulalongkorn University, Bangkok 10330, Thailand.
Nutrients. 2023 Aug 24;15(17):3700. doi: 10.3390/nu15173700.
This study examines the association between gender expression, weight status, and the risk of experiencing eating disorders among gender-diverse adults assigned male at birth living in Bangkok, Thailand. Participants completed self-administered questionnaires to provide demographic data and anthropometric measures, and an Eating Attitude Test-26 (EAT-26) to determine the risk of experiencing eating disorders. The associations between gender expression, weight status, and the risk of experiencing eating disorders were analyzed using multivariable logistic regression models. No significant differences were observed in weight-related variables based on gender expression. Participants self-described as feminine/androgynous had lower odds of experiencing a high risk of eating disorders compared to those self-described as masculine (odds ratio (OR) = 0.49; 95% confidence interval (95% CI) = 0.27, 0.88). A higher body mass index (BMI) (OR = 1.07; 95% CI = 1.01, 1.14) and BMI discrepancy (OR = 1.13; 95% CI = 1.03, 1.24) were associated with higher odds of engaging in extreme weight-control behaviors. The risk of experiencing eating disorders among Thai gender-diverse adults assigned male at birth could differ across gender expression and weight status. Further research is needed to expand the understanding of these relationships and develop tailored intervention programs to mitigate the risk.
本研究考察了在泰国曼谷出生时被分配为男性的性别多样化成年人中，性别表达、体重状况与饮食失调风险之间的关系。参与者完成了自我管理的问卷，提供了人口统计学数据和人体测量学指标，并进行了 Eating Attitude Test-26（EAT-26），以确定饮食失调的风险。使用多变量逻辑回归模型分析了性别表达、体重状况与饮食失调风险之间的关联。根据性别表达，体重相关变量没有观察到显著差异。与自我描述为男性化的参与者相比，自我描述为女性化/中性化的参与者患饮食失调的高风险的几率较低（比值比（OR）=0.49；95%置信区间（95%CI）=0.27，0.88）。更高的体重指数（BMI）（OR=1.07；95%CI=1.01，1.14）和 BMI 差异（OR=1.13；95%CI=1.03，1.24）与进行极端体重控制行为的几率增加相关。在出生时被分配为男性的泰国性别多样化成年人中，饮食失调的风险可能因性别表达和体重状况而异。需要进一步研究来扩大对这些关系的理解，并制定有针对性的干预计划来降低风险。
