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Eating disorder symptoms in Asian American college students
Eating Behaviors ( IF 2.4 ) Pub Date : 2020-11-24 , DOI: 10.1016/j.eatbeh.2020.101458
Rachel C Uri 1 , Ya-Ke Wu 2 , Jessica H Baker 3 , Melissa A Munn-Chernoff 3
Affiliation  

Inconsistent information on levels of eating pathology in Asian Americans exist. We investigated whether there were differences in mean scores for eating disorder (ED) symptoms among Whites, Asian Americans, and individuals identifying as another race (i.e., non-Asian people of color [NAPOC]). Participants included 716 college students (M age = 19.23; SD = 1.65) from a southeastern university. ED symptoms were assessed with the Eating Pathology Symptom Inventory (EPSI). Internalizing symptoms were evaluated via the Depression Anxiety and Stress Scale (DASS). One-way ANOVAs investigated mean differences in symptoms between racial groups, with and without adjusting for sex, BMI, and internalizing symptoms. Overall, 16% (n = 114) of the sample identified as Asian American, 67% (n = 477) as White, and 17% (n = 125) as NAPOC. After correcting for multiple testing and adjusting for covariates, Asian Americans reported higher mean scores of purging, muscle building, and cognitive restraint (qs < 0.05) than Whites and NAPOC. Asian Americans also scored higher on restriction compared with Whites (qs < 0.05), as well as body dissatisfaction and negative attitudes toward obesity compared with NAPOC (qs < 0.05). These findings demonstrate the existence of racial differences among specific ED symptoms, highlighting the importance of considering these distinctions when diagnosing and treating EDs among diverse communities.



中文翻译:

亚裔美国大学生的饮食失调症状

关于亚裔美国人饮食病理水平的信息不一致。我们调查了白人、亚裔美国人和被认定为另一个种族的个体(即非亚裔有色人种 [NAPOC])的饮食失调 (ED) 症状的平均得分是否存在差异。参与者包括 来自东南大学的716 名大学生(M年龄 = 19.23;SD = 1.65)。ED 症状通过饮食病理学症状量表 (EPSI) 进行评估。通过抑郁焦虑和压力量表(DASS)评估内化症状。单向方差分析调查了种族群体之间症状的平均差异,调整或不调整性别、BMI 和内化症状。总体而言,16% ( n = 114) 的样本被确定为亚裔美国人,67% ( n  = 477) 为白人,17% ( n  = 125) 为 NAPOC。在校正多重测试并调整协变量后,亚裔美国人报告的净化、肌肉锻炼和认知约束的平均得分高于白人和 NAPOC ( q s < 0.05)。与白人相比,亚裔美国人在限制方面的得分也高于白人 ( q s < 0.05),与 NAPOC 相比,在身体不满和对肥胖的消极态度方面 ( q s < 0.05)。这些发现证明了特定 ED 症状之间存在种族差异,突出了在不同社区诊断和治疗 ED 时考虑这些差异的重要性。

更新日期:2020-12-23
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