ABSTRACT

This study examined whether exposure to weight discrimination modified the association between sexual orientation, self-reported eating disorders, self-reported depression and academic impairment in a large sample of college students. Participants (n = 13,782) were from the 2015–2018 College Student Health Survey. Logistic regressions tested whether weight discrimination magnified psychological health concerns and academic impairment in sexual minority students (i.e., lesbian, gay) relative to their heterosexual peers and were stratified by gender (cisgender men and cisgender women). Sexual minority men and women reported more weight discrimination, eating disorders, depression, and academic impairment than their heterosexual peers, even after controlling for BMI and race. Among sexual minority men and women, weight discrimination was associated with increased eating disorders and academic impairment, but not depression. Weight discrimination increased the rate of eating disorders, depression, and academic impairment, however, the rate was still higher among sexual minority students regardless of weight discrimination status or gender. College-based interventions should aim to reduce weight stigmatization and its associated influence on psychological health and academic functioning, and address the needs of sexual minority college students, as they may be at highest risk. Clinicians should work to reduce the harms of weight discrimination, particularly in sexual minority young adults.

摘要

这项研究在大量大学生样本中检验了暴露于体重歧视是否会改变性取向、自我报告的饮食失调、自我报告的抑郁症和学业障碍之间的关联。参与者（n = 13,782）来自 2015-2018 年大学生健康调查。逻辑回归测试了相对于异性恋同龄人，体重歧视是否会放大性少数学生（即女同性恋、男同性恋）的心理健康问题和学业障碍，并按性别（顺性别男性和顺性别女性）进行分层。与异性恋同龄人相比，性少数男性和女性报告的体重歧视、饮食失调、抑郁和学业障碍更多，即使在控制了 BMI 和种族之后也是如此。在性少数男女中，体重歧视与饮食失调和学业障碍增加有关，但与抑郁无关。体重歧视增加了饮食失调、抑郁和学业障碍的发生率，然而，无论体重歧视状况或性别如何，性少数学生的发生率仍然较高。基于大学的干预措施应旨在减少体重污名化及其对心理健康和学业功能的相关影响，并解决性少数大学生的需求，因为他们可能处于最高风险中。临床医生应努力减少体重歧视的危害，尤其是对性少数的年轻人。然而，无论体重歧视状况或性别如何，性少数学生的发病率仍然较高。基于大学的干预措施应旨在减少体重污名化及其对心理健康和学业功能的相关影响，并解决性少数大学生的需求，因为他们可能处于最高风险中。临床医生应努力减少体重歧视的危害，尤其是对性少数的年轻人。然而，无论体重歧视状况或性别如何，性少数学生的发病率仍然较高。基于大学的干预措施应旨在减少体重污名化及其对心理健康和学业功能的相关影响，并解决性少数大学生的需求，因为他们可能处于最高风险中。临床医生应努力减少体重歧视的危害，尤其是对性少数的年轻人。因为他们可能处于最高风险。临床医生应努力减少体重歧视的危害，尤其是对性少数的年轻人。因为他们可能处于最高风险。临床医生应努力减少体重歧视的危害，尤其是对性少数的年轻人。