Spivak-Lavi Zohar, Gewirtz-Meydan Ateret
Faculty of Social Work, Max Stern Yezreel Valley College.
Faculty of Social Welfare and Health Sciences, School of Social Work, University of Haifa.
Am J Orthopsychiatry. 2025;95(4):409-420. doi: 10.1037/ort0000799. Epub 2024 Sep 9.
In this study, we investigated the moderating effects of self-acceptance and perceived country-level acceptance of gender and sexual orientation on the relationship between the drive for muscularity and disordered eating, particularly among sexual minority and cisgender men. We hypothesized that high levels of acceptance, both individually and within the societal context, would mitigate the pressure to adhere to conventional masculine ideals, consequently lowering the likelihood of engaging in disordered eating behaviors. Seven hundred twenty-three Israeli men aged 18-68 participated in the study. The sample included heterosexual men (67.9%) and sexual minority men (30.1%), with a deliberate oversampling of sexual minority men to explore differences in the suggested model between heterosexual and sexual minority groups. The data were analyzed using hierarchical robust regression, examining interactions between the variables of interest. The results revealed significant associations between the drive for muscularity, disordered eating, and lower self-acceptance of sexual identity. Sexual minority men reported higher levels of disordered eating and drive for muscularity than did heterosexual men, along with lower levels of acceptance of gender and sexual orientation (by the individual and the country). The association between drive for muscularity and disordered eating was moderated by sexual orientation and self-acceptance of gender identity, with a stronger association among men with lower self-acceptance of their gender identity and sexual minority men. The findings underscore the significance of fostering individual and country-level acceptance of gender and sexual orientation differences to promote well-being and mitigate the risk of disordered eating among heterosexual and sexual minority men, particularly the latter. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
在本研究中，我们调查了自我接纳以及国家层面所感知到的对性别和性取向的接纳在肌肉增强欲与饮食失调关系中所起的调节作用，特别是在性少数群体和顺性别男性中。我们假设，无论是个体层面还是社会层面的高接纳水平，都将减轻遵循传统男性理想形象的压力，从而降低出现饮食失调行为的可能性。723名年龄在18至68岁之间的以色列男性参与了这项研究。样本包括异性恋男性（67.9%）和性少数群体男性（30.1%），为了探究异性恋和性少数群体在建议模型中的差异，特意对性少数群体男性进行了过度抽样。使用分层稳健回归分析数据，检验感兴趣变量之间的相互作用。结果显示，肌肉增强欲、饮食失调与性身份的较低自我接纳之间存在显著关联。性少数群体男性报告的饮食失调和肌肉增强欲水平高于异性恋男性，同时他们对性别和性取向的接纳水平（个体层面和国家层面）较低。肌肉增强欲与饮食失调之间的关联受到性取向和性别身份自我接纳的调节，在性别身份自我接纳较低的男性和性少数群体男性中关联更强。研究结果强调了促进个体和国家层面接纳性别和性取向差异对于促进幸福感以及降低异性恋和性少数群体男性，尤其是后者出现饮食失调风险的重要性。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
