Sexual orientation disparities in eating disorder symptoms among adolescent boys and girls in the UK.

Sexual orientation disparities in eating disorder symptoms among adolescent boys and girls in the UK.
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DOI:
10.1007/s00787-018-1145-9
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发表时间:
2018-11
影响因子:
6.4
通讯作者:
Micali N
Micali N
中科院分区:
医学2区
文献类型:
--
作者:
Calzo JP;Austin SB;Micali N

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关于饮食失调行为中的性取向差异的大部分研究都是在美国、加拿大和澳大利亚进行的。关于英国青少年的性取向和进食障碍症状之间的关系的数据缺乏。参与者是来自雅芳父母和儿童纵向研究的儿童,这是一个出生于1991-1992年的青年队列(n=5,048;53%是女性;12%是性少数)。在16岁时进行性取向评估。在14岁和16岁时评估进食障碍症状。多变量回归模型(调整了BMI、种族、社会经济地位)检验性取向与(1)过去一年的排泄和暴饮暴食的几率,以及(2)身体不满、增加肌肉的压力(仅限男孩)和荷兰人饮食行为问卷分量表之间的关系。在14岁时,男同性恋和双性恋男孩以及大多数异性恋女孩比他们的同性异性恋同龄人报告了更多的身体不满。所有的性别少数民族男孩和大多数异性恋女孩报告的平均功能失调的饮食行为比他们的同性异性同龄人更多。在16岁时,男同性恋和双性恋男孩暴饮暴食的几率是异性恋男孩的12.5倍;大多数异性恋男孩暴饮暴食的几率是异性恋男孩的三倍以上。性少数族裔女孩排泄和暴饮暴食的几率是异性恋女孩的两倍以上。到了青春期中期,英国的性少数青少年患进食障碍症状的风险增加,这表明需要早期预防努力。
Much of the research on sexual orientation disparities in eating disorder behaviors has been conducted in the United States, Canada, and Australia. Data on the associations of sexual orientation and eating disorder symptoms among adolescents in the United Kingdom (UK) are lacking. Participants were children from the Avon Longitudinal Study of Parents and Children, a youth cohort born 1991–1992 (n=5,048; 53% female; 12% sexual minority). Sexual orientation was assessed at 16 years. Eating disorder symptoms were assessed at 14 and 16 years. Multivariable regression models (adjusting for BMI, ethnicity, socioeconomic status) examined associations between sexual orientation and (1) odds of past-year purging and binge eating, and (2) mean differences in body dissatisfaction, pressure to increase muscularity (boys only), and Dutch Eating Behavior Questionnaire subscales. At age 14, gay and bisexual boys and mostly heterosexual girls reported greater body dissatisfaction than their same-gender heterosexual peers. All sexual minority boys and mostly heterosexual girls reported greater mean dysfunctional eating behaviors than their same-gender heterosexual peers. At age 16, gay and bisexual boys had 12.5 times the odds of heterosexual boys of binge eating; mostly heterosexual boys had over three times the odds of reporting binge eating. Sexual minority girls had over twice the odds of heterosexual girls of purging and binge eating. By mid-adolescence, sexual minority youth in the UK had elevated risk for eating disorder symptoms, suggesting the need for early prevention efforts.
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