Examining the associations of sexual minority stressors and past-year depression with overeating and binge eating in a diverse community sample of sexual minority women.
Examining the associations of sexual minority stressors and past-year depression with overeating and binge eating in a diverse community sample of sexual minority women.
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DOI：
10.1016/j.eatbeh.2021.101547
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发表时间：
2021-12
期刊：
影响因子：
2.8
通讯作者：
Hughes TL
中科院分区：
文献类型：
--
作者：
Ancheta AJ;Caceres BA;Zollweg SS;Heron KE;Veldhuis CB;VanKim NA;Hughes TL
性少数压力源（例如，污名意识，内化的同性恋恐惧症，歧视）被认为是导致性少数妇女（SMW）相对于异性恋妇女更普遍的暴饮暴食和暴食。很少有研究探讨了少数压力源与法定最低工资中的暴饮暴食和暴食之间的关系。使用来自不同的，以社区为基础的SMW样本的数据，我们研究了这些关联，包括过去一年抑郁症的潜在中介作用。我们还进行了探索性分析，以确定性少数压力源与暴饮暴食和暴食的关联是否因性别身份或种族和民族而不同。样本包括607名SMW（38.2%为白色，37.1%为非洲裔美国人; 24.7%为拉丁裔），平均年龄为39.7岁。在法定最低工资中，约有17%及9%分别报称在过去3个月内有过食及暴饮暴食的情况。更高的耻辱意识与更高的暴饮暴食几率相关（AOR 1.31，95%CI = 1.03-1.66）。我们没有发现少数民族的压力源和暴饮暴食之间有明显的联系。过去一年的抑郁症并没有调解少数民族压力源和暴饮暴食或暴食之间的关联。虽然我们没有发现性别认同差异，但拉丁裔SMW中的污名意识与相对于白色SMW（AOR 1.95，95% CI = 1.21-3.12）和非洲裔SMW（AOR 1.99，95% CI = 1.19-3.31）的更高的暴饮暴食几率相关。研究结果强调了筛查SMW的重要性，因为羞耻感与暴饮暴食有关，并考虑了这一人群中暴饮暴食和暴食的种族和民族差异。
Sexual minority stressors (e.g., stigma consciousness, internalized homophobia, discrimination) are posited to contribute to higher prevalence of overeating and binge eating among sexual minority women (SMW) relative to heterosexual women. Few studies have examined psychosocial mediators of the associations of minority stressors with overeating and binge eating in SMW. Using data from a diverse, community-based sample of SMW, we examined these associations, including the potential mediating effects of past-year depression. We also conducted exploratory analyses to determine if the associations of sexual minority stressors with overeating and binge eating differed by sexual identity or by race and ethnicity. The sample included 607 SMW (38.2% White, 37.1% African American; 24.7% Latina) with a mean age of 39.7 years. Approximately 17% and 9% of SMW reported overeating and binge eating, respectively, in the past 3 months. Greater stigma consciousness was associated with higher odds of overeating (AOR 1.31, 95% CI = 1.03–1.66). We found no significant associations between minority stressors and binge eating. Past-year depression did not mediate associations between minority stressors and overeating or binge eating. Although we found no sexual identity differences, stigma consciousness among Latina SMW was associated with higher odds of overeating relative to White SMW (AOR 1.95, 95% CI = 1.21–3.12) and African American SMW (AOR 1.99, 95% CI = 1.19–3.31). Findings highlight the importance of screening SMW for stigma consciousness as a correlate of overeating and considering racial and ethnic differences in overeating and binge eating in this population.
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影响因子：
3.8
作者：
Bell, Kathryn;Rieger, Elizabeth;Hirsch, Jameson K.
通讯作者：
Hirsch, Jameson K.
影响因子：
3.8
作者：
Everett BG;Talley AE;Hughes TL;Wilsnack SC;Johnson TP
通讯作者：
Johnson TP
影响因子：
2
作者：
Caceres, Billy A.;Markovic, Nina;Hughes, Tonda L.
通讯作者：
Hughes, Tonda L.
影响因子：
5.5
作者：
Alegria, Margarita;Woo, Meghan;Striegel-Moore, Ruth
通讯作者：
Striegel-Moore, Ruth
DOI：
10.1007/bf03405254
发表时间：
2008-09-01
影响因子：
4.3
作者：
Elgar, Frank J.;Stewart, Jennifer M.
通讯作者：
Stewart, Jennifer M.