Eating disorder symptoms and obesity at the intersections of gender, ethnicity, and sexual orientation in US high school students.
Eating disorder symptoms and obesity at the intersections of gender, ethnicity, and sexual orientation in US high school students.
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DOI：
10.2105/ajph.2012.301150
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发表时间：
2013-02
影响因子：
12.7
通讯作者：
Everett B
中科院分区：
文献类型：
--
作者：
Austin SB;Nelson LA;Birkett MA;Calzo JP;Everett B
检查通便的体重控制，减肥药的使用，以及跨性取向，身份和种族群体的肥胖。在2005年和2007年的联邦青少年风险行为监测系统调查中，对24591名不同种族的高中生的匿名调查数据进行了分析。收集了过去30天内的性取向认同、身高、体重、排便和减肥药使用、性别和种族的自我报告数据。在性别分层模型中，我们使用多变量Logistic回归来估计排泄、减肥药的使用和肥胖与性取向认同相关的几率，并检查种族和性取向之间是否存在交互作用。女同性恋者、男同性恋者和双性恋者(LGB)的身份与女性和男性通便和使用减肥药的几率显著增加相关(优势比[OR]范围：1.9到6.8)。与同性异性恋者相比，双性恋女性和男性肥胖的几率也更高(OR分别为2.3和2.1)。迫切需要适合不同种族的LGB青年的干预措施，以减少饮食失调和肥胖。
To examine purging for weight control, diet pill use, and obesity across sexual orientation identity and ethnicity groups. Anonymous survey data were analyzed from 24,591 high school students of diverse ethnicities in the federal Youth Risk Behavioral Surveillance System Survey in 2005 and 2007. Self-report data were gathered on sexual orientation identity, height, weight, purging and diet pill use in the past 30 days, gender, and ethnicity. We used multivariable logistic regression to estimate odds of purging, diet pill use, and obesity associated with sexual orientation identity in gender stratified models and examined for the presence of interactions between ethnicity and sexual orientation. Lesbian, gay, and bisexual (LGB) identity was associated with substantially elevated odds of purging and diet pill use in both females and males (odds ratios [OR] range: 1.9 to 6.8). Bisexual females and males were also at elevated odds of obesity compared to same-gender heterosexuals (OR: 2.3 and 2.1, respectively). Interventions to reduce eating disorders and obesity are urgently needed that are appropriate for LGB youth of diverse ethnicities.