The social epidemiology of binge-eating disorder and behaviors in early adolescents.
The social epidemiology of binge-eating disorder and behaviors in early adolescents.
复制标题
早期青少年的暴饮暴食和行为的社会流行病学。
DOI：
10.1186/s40337-023-00904-x
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发表时间：
2023-10-13
影响因子：
4.1
通讯作者：
Ganson, Kyle T.
中科院分区：
文献类型：
--
作者：
Nagata, Jason M.;Smith-Russack, Zacariah;Paul, Angel;Saldana, Geomarie Ashley;Shao, Iris Y.;Al-Shoaibi, Abubakr A. A.;Chaphekar, Anita V.;Downey, Amanda E.;He, Jinbo;Murray, Stuart B.;Baker, Fiona C.;Ganson, Kyle T.
关键词：
暴饮暴食症（BED）是最常见的进食障碍表型，与几种负面的健康结果有关。然而，人们对BED的社会流行病学知之甚少，特别是在青春期早期。本研究的目的是在美国（U.S.）一个10-14岁青少年的大型国家队列中，研究社会人口学特征与BED和暴食行为之间的关联。 我们对青少年大脑认知发展（ABCD）研究的两年随访数据进行了横断面分析（2018 - 2020年），其中包括10，197名早期青少年（10 - 14岁，平均12岁）在美国，多变量逻辑回归模型被用来评估社会人口特征与BED和暴饮暴食行为之间的关联，根据儿童情感障碍和精神分裂症量表定义。在这个青少年早期样本中（48.8%女性，54.0%白色，19.8%拉丁裔/西班牙裔，16.1%黑人，5.4%亚洲人，3.2%美洲原住民，1.5%其他），床上和暴饮暴食行为的患病率分别为1.0%和6.3%。同性恋或双性恋（与异性恋相比;调整后的比值比[AOR]：2.25，95% CI 1.01-5.01）和家庭收入低于75，000美元（AOR：2.05，95% CI：1.21-3.46）与BED的几率更大相关。男性（AOR：1.28，95% CI：1.06-1.55），美洲原住民（AOR：1.60，95% CI：1.01-2.55）血统，家庭收入低于75，000美元（AOR：1.34，95% CI：1.08-1.65），或确定为同性恋或双性恋（“是”回答的AOR：1.95，95% CI：1.31-2.91，“可能”反应的AOR：1.81，95%CI：1.19-2.76）都与暴食行为的更高几率相关。几个社会人口学变量显示出与暴饮暴食行为的显著关联，这可以为青少年早期BED的有针对性的筛查，预防和教育活动提供信息。在线版本包含补充材料，可通过10.1186/s40337-023-00904-x获得。暴食症是最常见的饮食失调症，但很少有研究表明，社会和人口因素，特别是在青少年中。我们研究了美国10-14岁儿童暴食症和暴食行为的社会和人口统计学风险因素。低家庭收入，同性恋或双性恋，以及美洲原住民血统与暴饮暴食行为有关。低家庭收入和同性恋或双性恋与暴食症有关。这些结果可以帮助更好地识别，预防和传播暴食症的意识。在线版本包含补充材料，可通过10.1186/s40337-023-00904-x获得。
Binge-eating disorder (BED) is the most common eating disorder phenotype and is linked to several negative health outcomes. Yet, little is known about the social epidemiology of BED, particularly in early adolescence. The objective of this study was to examine the associations between sociodemographic characteristics and BED and binge-eating behaviors in a large, national cohort of 10–14-year-old adolescents in the United States (U.S.) We conducted a cross-sectional analysis of two-year follow-up data from the Adolescent Brain Cognitive Development (ABCD) Study (2018 − 2020) that included 10,197 early adolescents (10 − 14 years, mean 12 years) in the U.S. Multivariable logistic regression models were used to assess the associations between sociodemographic characteristics and BED and binge-eating behaviors, defined based on the Kiddie Schedule for Affective Disorders and Schizophrenia. In this early adolescent sample (48.8% female, 54.0% White, 19.8% Latino/Hispanic, 16.1% Black, 5.4% Asian, 3.2% Native American, 1.5% Other), the prevalence of BED and binge-eating behaviors were 1.0% and 6.3%, respectively. Identifying as gay or bisexual (compared to heterosexual; adjusted odds ratio [AOR]: 2.25, 95% CI 1.01–5.01) and having a household income of less than $75,000 (AOR: 2.05, 95% CI: 1.21–3.46) were associated with greater odds of BED. Being male (AOR: 1.28, 95% CI: 1.06–1.55), of Native American (AOR: 1.60, 95% CI: 1.01–2.55) descent, having a household income less than $75,000 (AOR: 1.34, 95% CI: 1.08–1.65), or identifying as gay or bisexual (AOR for ‘Yes’ Response: 1.95, 95% CI: 1.31–2.91 and AOR for ‘Maybe’ Response: 1.81, 95% CI: 1.19–2.76) were all associated with higher odds of binge-eating behaviors. Several sociodemographic variables showed significant associations with binge-eating behaviors, which can inform targeted screening, prevention, and education campaigns for BED among early adolescents. The online version contains supplementary material available at 10.1186/s40337-023-00904-x. Binge-eating disorder is the most common eating disorder, yet little research has characterized the social and demographic factors that contribute to it, especially in adolescents. We studied the social and demographic risk factors for binge-eating disorder and binge-eating behaviors for U.S. children aged 10–14. Low household income, identifying as gay or bisexual, and being of Native American descent were associated with engagement in binge-eating behaviors. Low household income and identifying as gay or bisexual were associated with binge-eating disorder. These results can help better identify, prevent, and spread awareness of binge-eating disorder. The online version contains supplementary material available at 10.1186/s40337-023-00904-x.
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