早期青春期的性取向歧视和饮食障碍症状:一项前性队列研究
Jason M Nagata1, Thang Diep2, Christiane K Helmer2
1Department of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA. jason.nagata@ucsf.edu.
Journal of eating disorders
|November 29, 2024
概括
经历性取向歧视的早期青少年表现出饮食障碍症状的风险增加,包括体重问题. 这凸显了对年轻性少数群体的早期干预和支持性护理的需要.
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.
- 公共卫生 公共卫生
背景情况:
- 性取向歧视与性少数群体的不良健康结果有关.
- 以前的研究表明,由于少数群体的压力,性少数群体中饮食障碍症状的比率更高.
- 在了解青少年早期的这些关联方面存在差距.
研究的目的:
- 调查性取向歧视和饮食障碍症状之间的潜在关联.
- 检查这些关系在美国10-13岁早期青少年的全国样本中.
主要方法:
- 分析了青少年大脑认知发展 (ABCD) 研究 (N=8976) 的前性数据.
- 后勤回归模型估计了第二年歧视和第三年饮食障碍症状之间的关联,控制了基线症状.
- 使用感知歧视量表来衡量性取向歧视;父母通过KSADS-5报告饮食障碍症状.
主要成果:
- 5.5%的早期青少年报告性取向歧视.
- 一年后,性取向歧视与对体重增加 (aOR 2.33) 和与体重相关的自我价值 (aOR 1.60) 的担忧增加有关.
- 父母报告的饮食失调症状的患病率在1.0%至8.3%之间.
结论:
- 经历性取向歧视的早期青少年患上饮食障碍症状的几率更高,特别是体重问题.
- 临床医生应该考虑对年轻的性少数群体青少年进行歧视查,并为患有饮食障碍症状的青少年提供肯定性,创伤相关的护理.
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