Yoon Cynthia, Mai Dan, Kinariwala Kush, Ledoux Tracey, Betts Randi, Johnston Craig
Department of Health and Human Performance, University of Houston, Houston, TX, United States.
Front Psychol. 2023 Sep 18;14:1221816. doi: 10.3389/fpsyg.2023.1221816. eCollection 2023.
Eating behaviors encompass disordered eating behaviors (e.g., overeating, binge eating, and associated symptoms of binge eating) and intuitive eating. Certain disordered eating behaviors, including binge eating, are more prevalent among female and ethnic/racial-minority college students than male and/or non-Hispanic White college students. However, sex and ethnic/racial differences among college students with other disordered eating (e.g., associated symptoms of binge eating) and intuitive eating behaviors remain unclear.
In 2022, 887 college students ( = 20.9 ± 2.6 years) self-reported their sex, ethnicity/race, disordered eating behaviors (e.g., overeating, binge eating, associated symptoms of binge eating), and intuitive eating. To examine sex and ethnic/racial differences among these students, we used modified Poisson regressions for students who reported disordered eating and linear regressions for students who reported intuitive eating.
Except for overeating, disordered eating behaviors were more prevalent among female [adjusted prevalence ratio (aPR) = 1.3-1.8] than male college students after adjusting for sociodemographic variables, whereas intuitive eating scores did not differ by sex. Across ethnic/racial groups, disordered eating was more prevalent among all ethnic/racial-minority college students (aPR = 1.2-2.3) than non-Hispanic White college students after adjusting for sociodemographic variables. Moreover, non-Hispanic Black or African American college students had higher intuitive eating scores than non-Hispanic White college students (adjusted β = 0.7, 95% CI = -0.2, 1.6).
In our sample, notable differences emerged in the prevalence of disordered eating behaviors and mean scores by sex and ethnicity/race, while differences in intuitive eating scores emerged based on ethnicity/race.
饮食行为包括饮食失调行为（如暴饮暴食、狂食以及狂食的相关症状）和直觉性饮食。某些饮食失调行为，包括狂食，在女性和少数族裔/种族的大学生中比男性和/或非西班牙裔白人大学生更为普遍。然而，在患有其他饮食失调（如狂食相关症状）和直觉性饮食行为的大学生中，性别和族裔/种族差异仍不明确。
2022年，887名大学生（年龄=20.9±2.6岁）自行报告了他们的性别、族裔/种族、饮食失调行为（如暴饮暴食、狂食、狂食相关症状）和直觉性饮食情况。为了研究这些学生中的性别和族裔/种族差异，我们对报告饮食失调的学生使用了修正泊松回归，对报告直觉性饮食的学生使用了线性回归。
在调整社会人口统计学变量后，除暴饮暴食外，女性的饮食失调行为比男性大学生更为普遍[调整患病率比（aPR）=1.3-1.8]，而直觉性饮食得分在性别上没有差异。在所有族裔/种族群体中，调整社会人口统计学变量后，所有少数族裔/种族的大学生饮食失调比非西班牙裔白人大学生更为普遍（aPR=1.2-2.3）。此外，非西班牙裔黑人或非裔美国大学生的直觉性饮食得分高于非西班牙裔白人大学生（调整β=0.7，95%置信区间=-0.2，1.6）。
在我们的样本中，饮食失调行为的患病率以及按性别和族裔/种族划分的平均得分存在显著差异，而直觉性饮食得分的差异则基于族裔/种族。
