Eating disorders (EDs) are associated with significant morbidity and mortality. 1 The prevalence of early-onset EDs has increased in the past several decades, with younger children more likely than adolescents to experience psychiatric comorbidity. The single nationally representative study that has reported 12-month prevalence rates of EDs among children aged 8 to 15 years found 0.1% total for children aged 8 to 11 years, with 0.3% for girls and 0.1% for boys aged 8 to 15 years old. 2 However, this previous study used Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) criteria and did not report the prevalence of specific ED diagnoses. The aims of the present study were to report the prevalence rates of anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and other specified feeding and eating disorders (OSFED) in addition to a global "any ED" diagnosis, using Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) (DSM-5) criteria among a US representative sample of children aged 9 and 10 years. Prevalence rates were tested by participant sex.
Objective: To investigate body image and condomless anal sex (CAS) among young Latino sexual minority men (SMM)-a population with health disparities in HIV and body image concerns.Methods: Participants were 151 young Latino SMM from the San Diego area who were HIVnegative or un-known. Participants completed a questionnaire online in either English or Spanish, which included body image and sexual behavior items. A binary CAS variable was created based on the number of CAS partners reported (0 vs 1 + over past 3 months). A logistic regression was conducted with body dissatisfaction, appearance investment, and their interaction term entered as predictor variables and CAS as the outcome.Results: Of 151 participants, 54 (35.8%) reported no CAS in the past 3 months. Appearance investment, but not body dissatisfaction, was associated with higher odds of CAS. However, a significant interaction indicated that body dissatisfaction was associated with higher odds of CAS when appearance investment was high.Conclusions: Young Latino SMM who are highly invested in, and dissatisfied with, their appearance may be at significantly increased risk for acquiring HIV through elevated odds of CAS. Reducing appearance concerns in this population may lead to reductions in HIV risk behaviors.
Sexual minority (SM) Latino men, an understudied population, engage in high rates of cigarette smoking. Body image variables have been explored as a predictor of smoking among other populations; however, findings have been mixed. One explanation for these findings is the lack of testing interaction effects. Thus, the current study explored the interaction between midsection satisfaction and appearance investment in predicting smoking among this vulnerable group. In total, 151 SM Latino men in the San Diego area (M = 24.18 years old, SD = 3.19) completed an online study. Participants indicated the number of cigarettes they smoked per day, in addition to levels of appearance investment and midsection satisfaction. We created a binary variable: 10+ cigarettes/day versus fewer than 10 cigarettes/day. We then conducted a logistic regression model to test the interaction. A significant interaction between appearance investment and midsection satisfaction was revealed (OR = 2.97, 95% CI [1.35, 6.53], p < .01). Probing investment at low and high levels through simple slope analyses revealed that midsection satisfaction predicted higher odds of smoking 10+ cigarettes/day at high levels of investment (OR = 2.23, 95% CI [1.24, 3.99], p < .01) but not at low levels of investment. Possessing high investment in appearance in combination with high midsection satisfaction may serve as a risk factor for cigarette smoking among SM Latino men. Cognitive–behavioral techniques focused on reducing appearance investment may be effective in reducing smoking and its associated risks within this population.
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