Traumatic event exposure associated with increased food insecurity and eating disorder pathology
Traumatic event exposure associated with increased food insecurity and eating disorder pathology
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DOI：
10.1017/s1368980018001738
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发表时间：
2018-11-01
影响因子：
3.2
通讯作者：
Sutherland, Autumn
中科院分区：
文献类型：
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作者：
Becker, Carolyn Black;Middlemass, Keesha;Sutherland, Autumn
目的：主要目的是调查粮食不安全（FI）和饮食失调之间的关联，这是基于营养的公共卫生问题，与创伤性事件暴露在低收入的边缘化人群。本研究还调查了创伤性事件暴露，焦虑和体重stimbility.Design之间的关联：本研究采用自我报告调查的横截面design.Setting食品储藏室隶属于当地的食品银行在美国的一个主要city.Subjects：参与者（n 503）包括客户端介绍食品储藏室。参与者主要是女性（76.5%），拉丁裔/西班牙裔（64.6%）和低收入（59%报告收入低于$US 10 000每年）。结果：结果表明，55.7%的参与者直接经历了创伤性事件，这增加到61.6%时，见证包括在内。较高水平的FI与较大的创伤事件暴露相关。创伤性事件暴露的增加与整体进食障碍病理学恶化（r = -0.239），体重耻辱（r = -0.151）和焦虑（r = -0.210）。结论：本研究是第一个调查低收入边缘人群中FI，进食障碍和创伤的关联。结果表明，暴露于创伤性事件是常见的，在这个平民人口和创伤性事件暴露与较高水平的FI和进食障碍的病理。结果表明，鉴于创伤性事件暴露，饮食失调病理，体重耻辱和焦虑可能会使FI患者的公共卫生干预措施的有效实施复杂化，因此需要进一步研究。
Objective: The primary aim was to investigate the association between food insecurity (FI) and eating disorders, which are nutrition-based public health problems, with traumatic event exposure in a low-income marginalized population. The study also investigated the association between traumatic event exposure, anxiety and weight stigma.Design: The study used self-report surveys in a cross-sectional design.Setting Food pantries affiliated with the local food bank in a major US city.Subjects: Participants (n 503) consisted of clients presenting to food pantries. Participants were predominantly female (76.5 %), Latino/Hispanic (64.6 %) and low-income (59 % reported earning under $US 10 000 per year).Results: Results indicated that 55.7 % of participants had directly experienced a traumatic event; this increased to 61.6 % when witnessing was included. Higher levels of FI were associated with greater traumatic event exposure. Increased exposure to traumatic events correlated with worsened overall eating disorder pathology (r = -0.239), weight stigma (r = -0.151) and anxiety (r = -0.210).Conclusions: The present study is the first to investigate the association of FI, eating disorders and trauma in a low-income marginalized population. Results indicate that exposure to traumatic events is common in this civilian population and that traumatic event exposure is associated with higher levels of FI and eating disorder pathology. Results indicate that further research is warranted given that traumatic event exposure, eating disorder pathology, weight stigma and anxiety may complicate effective delivery of public health interventions in those living with FI.