Change in binge eating and binge eating disorder associated with migration from Mexico to the U.S.
Change in binge eating and binge eating disorder associated with migration from Mexico to the U.S.
复制标题
与从墨西哥移民到美国相关的暴食和暴食症的变化
DOI：
10.1016/j.jpsychires.2011.10.008
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发表时间：
2012
影响因子：
4.8
通讯作者：
Breslau,Joshua
中科院分区：
文献类型：
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作者：
Swanson,SonjaA;Saito,Naomi;Borges,Guilherme;Benjet,Corina;Aguilar-Gaxiola,Sergio;Medina-Mora,MariaElena;Breslau,Joshua
据推测，接触西方流行文化会增加饮食失调的风险。本研究在墨西哥和美国的墨西哥裔人的流行病学样本中测试了关于暴饮暴食症（BED）的建议诊断的这一假设。数据来自墨西哥国家共病调查、国家共病调查复制和国家拉丁裔和亚裔美国人调查（N = 2268）。使用WMH-CIDI评估诊断。研究人员对六组人进行了比较：没有移民家庭成员的墨西哥人、至少有一名移民家庭成员的墨西哥人、墨西哥归国移民、墨西哥出生的美国移民以及连续两代在美国的墨西哥裔美国人。BED的终生患病率在墨西哥为1.6%，在墨西哥裔美国人中为2.2%。与移民家庭中的墨西哥人相比，父母双方都在美国出生的美国出生的墨西哥裔美国人患BED的风险更高（aHR = 2.58, 95% CI 1.12-5.93）。经调整既往抑郁或焦虑障碍后，该效应减弱24% （aHR = 1.97, 95% CI 0.84-4.62）。既往行为障碍的校正增加了相关性（aHR = 2.75, 95% CI 1.22-6.20）。暴饮暴食也有类似的规律。在报告暴食的受访者中，美国（与墨西哥相比）的发病与进一步饮食失调症状的患病率无关。从墨西哥移民到美国与BED风险增加有关，这可能部分归因于内化疾病的非特异性影响。在两国报告暴食的受访者中，类似水平的进一步症状得到认可，这表明标准具有一些跨文化的普遍性。
Exposure to Western popular culture is hypothesized to increase risk for eating disorders. This study tests this hypothesis with respect to the proposed diagnosis of Binge Eating Disorder (BED) in an epidemiological sample of people of Mexican origin in Mexico and the US. Data come from the Mexico National Comorbidity Survey, National Comorbidity Survey Replication, and National Latino and Asian American Survey (N = 2268). Diagnoses were assessed with the WMH-CIDI. Six groups were compared: Mexicans with no migrant family members, Mexicans with at least one migrant family member, Mexican return-migrants, Mexican-born migrants in the US, and two successive generations of Mexican-Americans in the US. The lifetime prevalence of BED was 1.6% in Mexico and 2.2% among Mexican-Americans. Compared with Mexicans in families with migrants, risk for BED was higher in US-born Mexican-Americans with two US-born parents (aHR = 2.58, 95% CI 1.12–5.93). This effect was attenuated by 24% (aHR = 1.97, 95% CI 0.84–4.62) with adjustment for prior-onset depressive or anxiety disorder. Adjustment for prior-onset conduct disorder increased the magnitude of association (aHR = 2.75, 95% CI 1.22–6.20). A similar pattern was observed for binge eating. Among respondents reporting binge eating, onset in the US (vs. Mexico) was not associated with prevalence of further eating disorder symptoms. Migration from Mexico to the US is associated with an increased risk for BED that may be partially attributable to non-specific influences on internalizing disorders. Among respondents reporting binge eating in either country, similar levels of further symptoms were endorsed, suggesting some cross-cultural generalizability of criteria.