Exploring Drivers of Binge Eating in Individuals With Food Insecurity and Recurrent Binge Eating: A Qualitative Analysis.

OBJECTIVE

This study explored the drivers of binge eating in people with food insecurity and recurrent binge eating.

METHOD

Participants were 28 adults, ages 26-69 (M = 46.22, SD = 11.94; 64.3% female), who endorsed current food insecurity and recurrent binge eating (≥ 12 episodes in the past 3 months). Individual semi-structured interviews were conducted to assess the relationship between food access and binge eating. Data were analyzed using thematic analysis.

RESULTS

Participants reported binge-eating drivers unique to individuals with food insecurity (fluctuating food access) and drivers commonly observed in those who binge eat, such as binge-promoting narratives and drivers related to mental health (e.g., stress) and physical health (e.g., sleep deprivation). The themes "fluctuating food access" and "negative impacts of mental and physical health" also interacted to promote binge eating, such that financial uncertainty promoted stress, which led to binge eating.

DISCUSSION

This qualitative assessment of individuals' lived experience with food insecurity and binge eating suggests the relevance of considering food insecurity-specific factors, mental and physical health, and binge-promoting narratives when addressing binge eating in this subpopulation. Future research should explore whether improving access to nutritious foods and enhancing coping strategies address binge eating in individuals with food insecurity.