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The Sum Is Greater than its Parts: Intersectionality and Measurement Validity of the Eating Disorder Examination Questionnaire (EDE-Q) in Latinx Undergraduates in the United States
Sex Roles ( IF 3.0 ) Pub Date : 2020-04-21 , DOI: 10.1007/s11199-020-01149-7
Mindy L. McEntee , Kelsey N. Serier , Jamie M. Smith , Jane Ellen Smith

Previous research has demonstrated disparities in the diagnosis and treatment of eating disorders for men and ethnic minorities. The current study sought to investigate differences in eating pathology and measurement validity of the Eating Disorder Examination Questionnaire (EDE-Q) at the intersection of gender and ethnicity in a nonclinical sample of undergraduates. A total sample of 1173 undergraduates (177 Latino men, 133 non-Latino White men, 554 Latina women, 309 non-Latina White women) completed the EDE-Q as part of a larger study on eating habits. A series of ANOVAs indicated a similar pattern of effects for gender and ethnicity for the original four-factor, 22-item EDE-Q and an alternative three-factor, seven-item variant. Women scored significantly higher than men on all subscales, and Latinx participants scored significantly higher than non-Latinx White participants on the Shape Concern and Weight Concern subscales. A significant interaction of gender by ethnicity was observed on the Shape Concern subscale in which larger effects of ethnicity were observed for men compared to women. Tests of confirmatory factor analysis suggested only the three-factor, seven-item EDE-Q provided acceptable fit and demonstrated scalar invariance across gender and ethnicity. Our study highlights the importance of examining eating pathology and measurement validity at the intersection of demographic characteristics. Results suggest that Latino men may be at higher risk of eating pathology relative to non-Latino White men and that a three-factor, seven-item EDE-Q appears to be a valid measure of eating pathology across gender and ethnicity among U.S. undergraduates.

中文翻译:

总和大于部分:美国拉丁裔本科生饮食障碍考试问卷 (EDE-Q) 的交叉性和测量效度

先前的研究表明,男性和少数民族在饮食失调的诊断和治疗方面存在差异。当前的研究试图调查非临床本科生样本中性别和种族交叉点在饮食病理学和饮食障碍检查问卷 (EDE-Q) 的测量有效性方面的差异。作为一项关于饮食习惯的大型研究的一部分,共有 1173 名本科生(177 名拉丁裔男性、133 名非拉丁裔白人男性、554 名拉丁裔女性、309 名非拉丁裔白人女性)完成了 EDE-Q。一系列方差分析表明,原始四因素、22 项 EDE-Q 和替代的三因素、七项变体对性别和种族的影响模式类似。女性在所有分量表上的得分均显着高于男性,和拉丁裔参与者在形状关注和体重关注分量表上的得分明显高于非拉丁裔白人参与者。在“形状关注”子量表中观察到性别与种族之间的显着相互作用,其中与女性相比,男性对种族的影响更大。验证性因素分析的测试表明,只有三因素、七项 EDE-Q 提供了可接受的拟合,并证明了跨性别和种族的标量不变性。我们的研究强调了在人口统计特征的交叉点上检查饮食病理学和测量有效性的重要性。结果表明,与非拉丁裔白人男性相比,拉丁裔男性可能有更高的饮食病理风险,并且存在三个因素,
更新日期:2020-04-21
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