Henning Taryn, Weinstock Madison, Mazzeo Suzanne E, Pham An
Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.
Department of Pediatrics, Virginia Commonwealth University, Richmond, Virginia, USA.
Eat Disord. 2025 Jan-Feb;33(1):120-137. doi: 10.1080/10640266.2024.2416343. Epub 2024 Oct 23.
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals report more experiences of healthcare discrimination and disordered eating behaviors (DEBs), and less trust in physicians than their cisgender and heterosexual counterparts. Although research supports a link between discrimination and DEBs among LGBTQ+ populations, few studies have specifically investigated healthcare discrimination and DEBs in this population. This study examined whether LGBTQ+ status moderated the relation between negative healthcare experiences and DEBs in undergraduates. Undergraduates ( = 322) from a Southeastern (United States) university completed measures of healthcare discrimination, trust in physicians, and DEBs. Analyses investigated whether LGBTQ+ status moderated the relation between healthcare discrimination and DEBs; trust in physicians and DEBs. LGBTQ+ individuals (35% of sample), reported less trust in physicians ( < .001), and more body dissatisfaction ( = .007) and shape/weight overvaluation ( = .008). Among all undergraduates, experiences of healthcare discrimination were associated with higher body dissatisfaction ( = .003) and shape/weight overvaluation ( = .008). Less trust in physicians was associated with greater shape/weight overvaluation ( .005). LGBTQ+ status did not moderate either relation. It is important to reduce healthcare discrimination and foster patient-provider trust for all young adults. Future research should examine factors influencing patient-provider trust among LGBTQ+ individuals.
女同性恋、男同性恋、双性恋、跨性别者和酷儿（LGBTQ+）群体报告称，他们比顺性别和异性恋者经历了更多的医疗保健歧视和饮食失调行为（DEB），对医生的信任也更少。尽管研究支持LGBTQ+群体中歧视与饮食失调行为之间存在联系，但很少有研究专门调查该群体中的医疗保健歧视和饮食失调行为。本研究考察了LGBTQ+身份是否调节了大学生负面医疗保健经历与饮食失调行为之间的关系。来自美国东南部一所大学的322名本科生完成了医疗保健歧视、对医生的信任以及饮食失调行为的测量。分析调查了LGBTQ+身份是否调节了医疗保健歧视与饮食失调行为之间的关系；对医生的信任与饮食失调行为之间的关系。LGBTQ+个体（占样本的35%）对医生的信任较低（<0.001），身体不满程度较高（=0.007），对体型/体重的过度重视程度较高（=0.008）。在所有本科生中，医疗保健歧视经历与更高的身体不满程度（=0.003）和对体型/体重的过度重视程度（=0.008）相关。对医生的信任较低与对体型/体重的过度重视程度较高相关（=0.005）。LGBTQ+身份并未调节任何一种关系。减少医疗保健歧视并促进所有年轻人对医患信任是很重要的。未来的研究应该考察影响LGBTQ+个体医患信任的因素。
