Sexual Minority Stressors, Internalizing Symptoms, and Unhealthy Eating Behaviors in Sexual Minority Youth.

Sexual Minority Stressors, Internalizing Symptoms, and Unhealthy Eating Behaviors in Sexual Minority Youth.
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DOI:
10.1007/s12160-015-9718-z
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发表时间:
2015-12
期刊:
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
影响因子:
--
通讯作者:
Austin SB
Austin SB
中科院分区:
其他
文献类型:
--
作者:
Katz-Wise SL;Scherer EA;Calzo JP;Sarda V;Jackson B;Haines J;Austin SB

文献摘要

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性少数群体比异性恋者更有可能从事不健康的饮食行为。研究性少数压力源和内化症状作为性少数青年不健康饮食行为的预测因子。我们使用了来自1461名性少数青年的纵向数据,这些青少年年龄在14-28岁之间。我们假设性少数压力源会预测不健康的饮食行为,部分原因是内化症状。通过广义估计方程拟合的线性回归模型按性别和性取向分层。在女性和男性中检测到压力源和饮食行为之间的显着正相关和负相关,女性之间的关联更显着。协会衰减高达71%的女性和12%的男性时,内化症状被添加到模型。性少数群体的压力预测不健康的饮食行为的整体和更多的一些性取向和性别群体;协会部分解释了内化症状。概念模型似乎最能描述双性恋女性的经历。研究结果对青少年健康具有临床意义。
Sexual minorities are more likely than heterosexuals to engage in unhealthy eating behaviors. To examine sexual minority stressors and internalizing symptoms as predictors of unhealthy eating behaviors among sexual minority youth. We used longitudinal data from 1461 sexual minority youth in the Growing Up Today Study, across ages 14-28 years. We hypothesized that sexual minority stressors would predict unhealthy eating behaviors, in part due to internalizing symptoms. Linear regression models fit via generalized estimating equations were stratified by gender and sexual orientation. Significant positive and inverse associations between stressors and eating behaviors were detected among females and males, with more significant associations among females. Associations were attenuated by up to 71% for females and 12% for males when internalizing symptoms were added to the models. Sexual minority stressors predicted unhealthy eating behaviors overall and more so for some sexual orientation and gender groups; associations were partially explained by internalizing symptoms. The conceptual model appears to best describe the experiences of bisexual females. Findings have clinical implications for adolescent health.