The impact of discrimination on binge eating in a nationally representative sample of Latine individuals

Johnson, Sture A. M.; Forbush, Kelsie T.; Swanson, Trevor James

doi:10.1002/eat.23773

Cited by 4 publications

(5 citation statements)

References 55 publications

(101 reference statements)

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“…Results from two of these studies suggest a significant relationship such that acculturative stress was associated with higher binge eating or overeating [ 4 , 23 ]. However, results from one study suggest no significant relationship between acculturative stress and binge eating [ 28 ]. Han [ 25 ] investigated the influence of intergenerational conflict on eating pathology behaviors, including binge eating, in Asian and Asian American college students.…”

Section: Resultsmentioning

confidence: 99%

Acculturation and eating disorders: a systematic review

et al. 2023

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Purpose Acculturation, or the dual process of cultural change that takes place due to the interaction between two or more cultural identities, may contribute to the susceptibility of developing an eating disorder (ED). We conducted a systematic review exploring the relationship between acculturation-related constructs and ED pathology. Methods We searched the PsychINFO and Pubmed/Medline databases up to December 2022. Inclusion criteria were: (1) having a measure of acculturation or related constructs; (2) having a measure of ED symptoms; and (3) experiencing cultural change to a different culture with Western ideals. 22 articles were included in the review. Outcome data were synthesized by narrative synthesis. Results There was variability in the definition and measure of acculturation in the literature. Overall, acculturation, culture change, acculturative stress, and intergenerational conflict were associated with ED behavioral and/or cognitive symptoms. However, the nature of the specific associations differed depending on the specific acculturation constructs and ED cognitions and behaviors measured. Furthermore, cultural factors (e.g., in-group vs. out-group preferences, generational status, ethnic group, gender) impacted the relationship between acculturation and ED pathology. Discussion Overall, this review highlights the need for more precise definitions of the different domains of acculturation and a more nuanced understanding of the specific relationship between various acculturation domains and specific ED cognitions and behaviors. Most of the studies were conducted in undergraduate women and in Hispanic/Latino samples, limiting generalizability of results. Level of evidence Level V, Opinions of respected authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees.

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Section: Resultsmentioning

confidence: 99%

Acculturation and eating disorders: a systematic review

et al. 2023

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“…Second, clinicians may implement strategies such as the Raising Resisters approach, which recognizes the various forms of racism, differentiates racism from other unfair treatment, opposes the negative messages, and replaces those messages with something positive [ 68 ]. Further research is needed to identify eating disorder treatment strategies that effectively provide coping strategies to manage racial/ethnic discrimination [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…A growing body of literature has found associations between racial discrimination and BED. Several studies of Latino and African American adults have demonstrated significant associations between racial discrimination and binge eating [14][15][16]. For example, a study of a nationally representative sample of Latino individuals found a significant association with discrimination and binge eating, with the average age in the sample being 40 years old (range 18-97) [15].…”

Section: Introductionmentioning

confidence: 99%

“…Several studies of Latino and African American adults have demonstrated significant associations between racial discrimination and binge eating [14][15][16]. For example, a study of a nationally representative sample of Latino individuals found a significant association with discrimination and binge eating, with the average age in the sample being 40 years old (range 18-97) [15]. In addition, Assari et al 's paper demonstrated significant associations between perceived discrimination and BED in a nationally representative example of African American adults (average age 42) [16].…”

Section: Introductionmentioning

confidence: 99%

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Racial discrimination is associated with binge-eating disorder in early adolescents: a cross-sectional analysis

Raney,

Al-Shoaibi,

Shao

et al. 2023

J Eat Disord

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Background Racial and ethnic discrimination are known stressors and are associated with negative psychological and physical health outcomes. Previous studies have found relationships between racial/ethnic discrimination and binge-eating disorder (BED), though they have mainly focused on adult populations. The aim of this study was to determine associations between racial/ethnic discrimination and BED in a large, national cohort study of early adolescents. We further sought to explore associations between the racial/ethnic discrimination perpetrator (students, teachers, or other adults) and BED. Methods We analyzed cross-sectional data from the Adolescent Brain Cognitive Development Study (N = 11,075, 2018–2020). Logistic regression analyses examined associations between self-reported experiences of racial or ethnic discrimination and binge-eating behaviors and diagnosis, adjusting for potential confounders. Racial/ethnic discrimination measures were assessed based on the Perceived Discrimination Scale, which measures experiences of discrimination based on race/ethnicity and frequency of ethnic discrimination by teachers, adults outside of school, and students. Binge-eating behaviors and diagnosis were based on the Kiddie Schedule for Affective Disorders and Schizophrenia (KSAD-5). Results In this racially diverse sample of adolescents (N = 11,075, age range 9–12 years), 4.7% of adolescents reported racial or ethnic discrimination and 1.1% met the criteria for BED. In the adjusted models, racial/ethnic discrimination was associated with 3 times higher odds of having BED (OR 3.31, CI 1.66–7.74). Further, experiences of ethnic discrimination by students and adults outside school were associated with significantly increased odds of BED diagnosis (OR 1.36, CI 1.10–1.68 and OR 1.42 CI 1.06–1.90, respectively)., Increased odds of binge eating behaviors were only significantly associated with ethnic discrimination perpetuated by students (OR 1.12, CI 1.02–1.23). Conclusions Children and adolescents who have experienced racial/ethnic discrimination, particularly when discrimination was perpetuated by other students, have higher odds of having binge-eating behaviors and diagnoses. Clinicians may consider screening for racial discrimination and providing anti-racist, trauma-informed care when evaluating and treating patients for BED.

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“…(14-16) For example, a US nationally representative sample of Latino individuals found a signi cant association with discrimination and binge eating, with the average age in the sample being 40 years old (range 18-97). (15) In addition, Assari et al's paper demonstrated signi cant associations between perceived discrimination and BED in a nationally representative example of African American adults (average age 42). ( 16) Studies have also signi cant associations between maladaptive eating behaviors in young adult Black women (ages 18-25) (17) and Latino young adults (ages 18-25).…”

Section: Introductionmentioning

confidence: 97%

Racial Discrimination is Associated with Binge-Eating Disorder in Early Adolescents: A Cross-Sectional Analysis

Raney

Al-Shoaibi

Shao

et al. 2023

Preprint

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Background Racial and ethnic discrimination are known stressors and are associated with negative psychological and physical health outcomes. Previous studies have found relationships between racial/ethnic discrimination and binge-eating disorder (BED), though they have mainly focused on adult populations. The aim of this study was to determine associations between racial/ethnic discrimination and BED in a large, national cohort study of early adolescents. We further sought to explore associations between the racial/ethnic discrimination perpetrator (students, teachers, or other adults) and BED. Methods We analyzed cross-sectional data from the Adolescent Brain Cognitive Development Study (ABCD) (N = 11,075, 2018–2020). Logistic regression analyses examined associations between self-reported racial or ethnic discrimination and binge-eating behaviors and diagnosis. Racial/ethnic discrimination measures were assessed based on the Perceived Discrimination Scale, which measures experiences of discrimination based on race/ethnicity and frequency of ethnic discrimination by teachers, adults outside of school, and students. Binge-eating behaviors and diagnosis were based on the Kiddie Schedule for Affective Disorders and Schizophrenia (KSAD-5), adjusting for age, sex, race/ethnicity, household income, parental education, and site. Results In this racially diverse sample of adolescents (N = 11,075, mean age: 11 years), 4.7% of adolescents reported racial or ethnic discrimination and 1.1% met the criteria for BED at the one-year follow-up. In the adjusted models, racial/ethnic discrimination was associated with 3 times higher odds of having BED (OR 3.31, CI 1.66–7.74); when investigating associations between the racial/ethnic discrimination perpetrator (students, teachers, or other adults) and BED, experiencing ethnic discrimination by students and adults outside school were associated with significantly increased odds of BED diagnosis (OR 1.36, CI 1.10–1.68 & OR 1.42 CI 1.06–1.90, respectively); further, increased odds of binge eating behaviors was only significantly associated with ethnic discrimination perpetuated by students (OR 1.12, CI 1.02–1.23). Conclusions Children and adolescents who have experienced racial/ethnic discrimination, particularly when discrimination was perpetuated by other students, have higher odds of having binge-eating behaviors and diagnoses. Clinicians may consider screening for racial discrimination and providing anti-racist, trauma-informed care when evaluating and treating patients for BED.

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The impact of discrimination on binge eating in a nationally representative sample of Latine individuals

Cited by 4 publications

References 55 publications

Acculturation and eating disorders: a systematic review

Acculturation and eating disorders: a systematic review

Racial discrimination is associated with binge-eating disorder in early adolescents: a cross-sectional analysis

Racial Discrimination is Associated with Binge-Eating Disorder in Early Adolescents: A Cross-Sectional Analysis

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