美国儿童的不良童年经历和饮食行为障碍:解开发育性差异
1Department of Sociology, McGill University, Montreal, Quebec, Canada.
The International journal of eating disorders
|September 24, 2025
概括
儿童不良体验 (ACE) 与儿童的饮食行为障碍 (DEB) 有关. 考虑到性别和发育阶段的创伤知情护理对于预防和干预至关重要.
科学领域:
- 儿童心理学 儿童心理学
- 公共卫生 公共卫生
- 饮食障碍研究 饮食障碍研究
背景情况:
- 儿童不良经历 (ACE) 是各种健康问题的已知的风险因素.
- 儿童的饮食失调行为 (DEBs) 是复杂的,受到多种因素的影响.
- 了解ACE,性别和DEB发育阶段的相互作用对于有针对性的干预至关重要.
研究的目的:
- 检查美国儿童全国样本中ACE和各种DEB之间的关联.
- 研究性别和发育阶段如何共同调节ACE和DEB之间的关系.
- 确定与风险增加相关的特定ACE类型和DEB模式.
主要方法:
- 利用了2022-2023年全国儿童健康调查 (N=67,607) 的数据.
- 采用隐性类分析来识别不同的DEB模式.
- 应用了多项逻辑回归和平均边际效应来分析按性别和发育阶段的关联和适度.
主要成果:
- 44%的儿童至少经历过一次ACE.
- 确定了四个DEB类:最小的饮食障碍,过度饮食/禁食饮食,挑性/限制性饮食和严重的混合失调.
- 累积的ACE显著增加了所有DEB亚型的风险,特别是严重混合失调 (RRR=1.70).
- 经济困难,家庭精神疾病和健康歧视与所有DEB亚型有关.
- 性别和发育阶段调节了这些关联,在男孩和女孩中观察到不同的模式,特别是在女孩的健康歧视方面.
结论:
- 调查结果强调了在处理DEB时需要创伤信息和发育敏感的方法.
- 干预措施必须考虑性别特定的模式和发育阶段.
- 进入中晚青春期的女孩在ACE暴露后对饮食失调的脆弱性增加,需要有针对性的支持.
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