种族歧视与早期青少年的过度饮食障碍有关:一个横截面分析
Julia H Raney1, Abubakr A Al-Shoaibi2, Iris Y Shao2
1Department of Pediatrics, Division of Adolescent and Young Adult Medicine, University of California, San Francisco, CA, USA. julia.raney@ucsf.edu.
Journal of eating disorders
|August 17, 2023
概括
青少年的种族和民族歧视与患过度饮食障碍 (BED) 的可能性增加了3倍. 同龄人的歧视显著增加了青少年BED行为和诊断的风险.
科学领域:
- 青少年健康 青少年健康
- 精神病学是一个精神病学.
- 健康的社会决定因素
背景情况:
- 种族和民族歧视是公认的压力因素,与不良的心理和身体健康结果有关.
- 关于歧视和过度饮食障碍 (BED) 的先前研究主要集中在成年人群中.
- 这项研究调查了种族/民族歧视与青少年早期的BED之间的关联.
研究的目的:
- 确定种族/民族歧视与BED之间的关联,在一个大规模的全国性早期青少年队列中.
- 探索歧视行为者 (学生,教师或其他成年人) 与BED的关系.
- 为临床实践提供有关查和治疗的见解.
主要方法:
- 从青少年大脑认知发展研究 (2018-2020) 中对11,075名青少年进行了横截面分析.
- 后勤回归模型检查了自我报告的种族/种族歧视和BED诊断,并对混因素进行了调整.
- 措施包括感知歧视量表和儿童情绪障碍和精神分裂症表 (KSAD-5) 用于BED评估.
主要成果:
- 4.7%的青少年报告种族/民族歧视;1.1%满足了BED的标准.
- 种族/民族歧视与BED的几率高出3倍 (OR 3.31).
- 校外学生和成年人的歧视增加了BED诊断的几率;同龄人的歧视也增加了饮食过度的行为.
结论:
- 经历种族/民族歧视的青少年,特别是来自同龄人的青少年,更有可能发生BED行为和诊断.
- 临床医生应考虑对患有BED的年轻人进行种族歧视查.
- 建议在受影响的青少年中对BED进行评估和治疗时提供反种族主义,创伤信息的护理.
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