Daniel Brittany, Suissa Avital, Liu Jianfang, Bruzzese Jean-Marie, Jackman Kasey B, Leonard Sarah I
Columbia University School of Nursing, New York, New York, USA.
NewYork-Presbyterian Hospital, New York, New York, USA.
J Adv Nurs. 2025 Jun;81(6):3308-3315. doi: 10.1111/jan.16526. Epub 2024 Oct 9.
Disordered eating in early adolescence impacts development, with long-term health implications. Minoritised adolescents might be at higher risk of disordered eating due to minority stress, but most research has focused on White, heterosexual, cisgender individuals; less is known about disordered eating among minoritised adolescents. We examined sexual, gender, racial, and ethnic identities in relation to disordered eating in early adolescence.
Using 2-year follow-up data from adolescents ages 10-14 in the Adolescent Brain Cognitive Development Study (N = 9385), we examined associations between sexual, gender, racial, and ethnic identities and past-2 week disordered eating (preoccupation with weight, weight control behaviors, and binge eating).
Compared to heterosexual peers, gay/bisexual adolescents had higher odds of all three outcomes (AOR 1.90-3.32); those "questioning" their sexual identity had higher odds of preoccupation with weight (AOR 1.82) and binge eating (AOR 2.53). Compared to cisgender adolescents, transgender adolescents had higher odds of binge eating (AOR 2.62); those "questioning" their gender identity had higher odds of preoccupation with weight (AOR 2.45). Adolescents whose racial identity was categorised as "Another" had higher odds of preoccupation with weight (AOR 1.46) and weight control behaviors (AOR 1.58) compared to White adolescents. Finally, Hispanic adolescents had higher odds of all disordered eating outcomes than non-Hispanic adolescents (AOR 1.25-1.59).
This study is among the first to reveal disparities in disordered eating among minoritised early adolescents. Further examination of these disparities can inform future interventions. Healthcare providers are encouraged to screen for disordered eating, recognising that minoritised early adolescents may be at risk.
青春期早期的饮食失调会影响发育，并对长期健康产生影响。由于少数群体压力，少数族裔青少年可能面临更高的饮食失调风险，但大多数研究都集中在白人、异性恋、顺性别个体身上；对于少数族裔青少年的饮食失调情况了解较少。我们研究了性取向、性别、种族和族裔身份与青春期早期饮食失调之间的关系。
利用青少年大脑认知发展研究中10至14岁青少年的两年随访数据（N = 9385），我们研究了性取向、性别、种族和族裔身份与过去两周饮食失调（对体重的过度关注、体重控制行为和暴饮暴食）之间的关联。
与异性恋同龄人相比，男同性恋/双性恋青少年出现所有三种结果的几率更高（调整后比值比为1.90 - 3.32）；那些对自己的性取向“存疑”的青少年对体重过度关注（调整后比值比为1.82）和暴饮暴食（调整后比值比为2.53）的几率更高。与顺性别青少年相比，跨性别青少年暴饮暴食的几率更高（调整后比值比为2.62）；那些对自己的性别身份“存疑”的青少年对体重过度关注（调整后比值比为2.45）的几率更高。与白人青少年相比，种族身份被归类为“其他”的青少年对体重过度关注（调整后比值比为1.46）和体重控制行为（调整后比值比为1.58）的几率更高。最后，西班牙裔青少年出现所有饮食失调结果的几率均高于非西班牙裔青少年（调整后比值比为1.25 - 1.59）。
本研究是首批揭示少数族裔青春期早期青少年饮食失调差异的研究之一。对这些差异的进一步研究可为未来的干预措施提供参考。鼓励医疗保健提供者筛查饮食失调情况，认识到少数族裔青春期早期青少年可能面临风险。
