Globalization and eating disorder risk: peer influence, perceived social norms, and adolescent disordered eating in Fiji.
Globalization and eating disorder risk: peer influence, perceived social norms, and adolescent disordered eating in Fiji.
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DOI：
10.1002/eat.22349
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发表时间：
2014-11
影响因子：
5.5
通讯作者：
Becker, Anne E.
中科院分区：
文献类型：
--
作者：
Gerbasi, Margaret E.;Richards, Lauren K.;Thomas, Jennifer J.;Agnew-Blais, Jessica C.;Thompson-Brenner, Heather;Gilman, Stephen E.;Becker, Anne E.
饮食失调造成的全球健康负担日益增加，需要仔细研究与全球化相关的社会暴露，这些暴露可能会增加低收入和中等收入国家（LMIC）青春期关键发育时期的风险。该研究的目的是调查斐济这个正在经历快速社会变革的中低收入国家，同伴影响和感知的社会规范与青少年饮食病理学的关系。我们测量了同伴对饮食问题的影响（使用同伴对饮食问题的影响清单；IPIEC）、与饮食失调和身体问题相关的感知到的同伴规范、感知到的社区文化规范以及在就学的斐济族青春期女孩的代表性样本（n=523）中的个人文化取向。然后，我们开发了一个多变量线性回归模型来检查它们与饮食病理学的关系（通过饮食失调检查问卷进行测量；EDE-Q）。我们发现，在完全调整的线性回归模型中，IPIEC 评分与我们对饮食失调特有的感知社会规范的代理（均 p <.001）和 EDE-Q 全局评分之间存在独立且具有统计显着性的关联。研究结果支持这样一种可能性，即同伴影响以及与饮食失调相关的社会规范可能会增加斐济青少年关键发育时期饮食失调的风险。在正在经历快速社会转型的其他人群（以及全球化也影响当地社会规范的人群）中复制和推广这些研究结果，可能会丰富病因模型并为减轻风险的策略提供信息。
The increasing global health burden imposed by eating disorders warrants close examination of social exposures associated with globalization that potentially elevate risk during the critical developmental period of adolescence in low- and middle-income countries (LMICs). The study aim was to investigate the association of peer influence and perceived social norms with adolescent eating pathology in Fiji, a LMIC undergoing rapid social change. We measured peer influence on eating concerns (with the Inventory of Peer Influence on Eating Concerns; IPIEC), perceived peer norms associated with disordered eating and body concerns, perceived community cultural norms, and individual cultural orientations in a representative sample of school-going ethnic Fijian adolescent girls (n=523). We then developed a multivariable linear regression model to examine their relation to eating pathology (measured by the Eating Disorder Examination-Questionnaire; EDE-Q). We found independent and statistically significant associations between both IPIEC scores and our proxy for perceived social norms specific to disordered eating (both p <.001) and EDE-Q global scores in a fully adjusted linear regression model. Study findings support the possibility that peer influence as well as perceived social norms relevant to disordered eating may elevate risk for disordered eating in Fiji, during the critical developmental period of adolescence. Replication and extension of these research findings in other populations undergoing rapid social transition—and where globalization is also influencing local social norms—may enrich etiologic models and inform strategies to mitigate risk.
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影响因子：
4
作者：
Jones, DC
通讯作者：
Jones, DC
影响因子：
6.9
作者：
Hoek, Hans Wijbrand
通讯作者：
Hoek, Hans Wijbrand
影响因子：
5.5
作者：
Becker, Anne E.;Thomas, Jennifer J.;Striegel-Moore, Ruth H.
通讯作者：
Striegel-Moore, Ruth H.
影响因子：
64.8
作者：
Collins, Pamela Y.;Patel, Vikram;Joestl, Sarah S.;March, Dana;Insel, Thomas R.;Daar, Abdallah S.
通讯作者：
Daar, Abdallah S.
影响因子：
5.2
作者：
Caqueo-Urizar, Alejandra;Ferrer-Garcia, Marta;Jose Galvez-Madrid, Ma
通讯作者：
Jose Galvez-Madrid, Ma