TY - JOUR
T1 - Body image and disordered eating behaviors in Hispanic/Latino Youth
T2 - Findings from the Hispanic Community Health Study/Study of Latino Youth
AU - Cordero, Christina
AU - Pulgaron, Elizabeth R.
AU - Marchante-Hoffman, Ashley N.
AU - Llabre, Maria M.
AU - Perreira, Krista M.
AU - Sotres-Alvarez, Daniela
AU - Isasi, Carmen R.
AU - Elder, John P.
AU - Delamater, Alan M.
N1 - Funding Information:
We also compared these results with BMI percentiles and found that body image discrepancy was also associated with higher BMI among Hispanic/Latino youth, supporting results from previous studies (Ayala et al., 2007; Neumark-Sztainer, Croll, et al., 2002). In the disordered eating models, we did not find interaction between BMI and body image discrepancy. However, there may be other interactions we did not consider that may bias our results. Future studies should examine this further, and still consider interaction with body image discrepancy by gender and BMI in other populations. Limitations of our study include the use of cross-sectional data and the use of different scales for the child and adolescent cards assessing body size. The use of the interviewer's judgment in assigning a child or adolescent body image card at time of interview was also a limitation; however, these measures and procedures have been previously validated (Allison, 1995; Ayala et al., 2007). Our analyses were stratified due to the different scales in each card, however, ages ranged from 8 to 16 years in both groups. While this approach was meant to account for youth entering puberty at different ages, it is possible that interviewers were more inclined to show heavier weight youths the adolescent card, although BMI percentiles were similar between both groups Because analyses considered the relative differences between perceived ideal and actual body size, effects due to the differences in scale items (i.e, 7 vs. 9 body shapes) are very minor. The majority of youth assigned the adolescent card (72.6%) were ≥12 years, and the majority of youth assigned the child card (70.2%) were ≤12 years. Sensitivity analyses restricting each card to this age cut-off did not materially alter our results. While this is the most diverse study on disordered eating conducted in Hispanic/Latino youths, the study was still underpowered to detect significant differences by Hispanic/Latino backgrounds. Nonetheless, the distribution of our variables differed by Hispanic/Latino background, which supports further refining background groups in other large national studies.The authors thank the participants and staff of the HCSH/SOL and HCHS/SOL Youth Study for their important contributions. A complete list of staff and investigators is available on the study website (http://www.cscc.unc.edu/hchs/). The SOL Youth Study was supported by Grant number R01HL102130 from the National Heart, Lung, and Blood Institute. The children in SOL Youth are drawn from the study of adults: The Hispanic Children's Community Health Study/Study of Latinos, which was supported by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina (N01-HC65233), University of Miami (N01-HC65234), Albert Einstein College of Medicine (N01-HC65235), Northwestern University (N01-HC65236), and San Diego State University (N01-HC65237). The following Institutes/Centers/Offices contribute to the HCHS/SOL through a transfer of funds to NHLBI: National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. Additional support was provided by the Life Course Methodology Core of the New York Regional Center for Diabetes Translation Research (DK111022–8786). The study sponsors did not have any role in study design; collection, analysis, and interpretation of data; writing the report; and the decision to submit the report for publication. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute or the National Institutes of Health.
Funding Information:
The authors thank the participants and staff of the HCSH/SOL and HCHS/SOL Youth Study for their important contributions. A complete list of staff and investigators is available on the study website ( http://www.cscc.unc.edu/ hchs/). The SOL Youth Study was supported by Grant number R01HL102130 from the National Heart, Lung, and Blood Institute . The children in SOL Youth are drawn from the study of adults: The Hispanic Children's Community Health Study/Study of Latinos, which was supported by contracts from the National Heart, Lung, and Blood Institute ( NHLBI ) to the University of North Carolina (N01-HC65233), University of Miami (N01-HC65234), Albert Einstein College of Medicine (N01-HC65235), Northwestern University (N01-HC65236), and San Diego State University (N01-HC65237). The following Institutes/Centers/Offices contribute to the HCHS/SOL through a transfer of funds to NHLBI: National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. Additional support was provided by the Life Course Methodology Core of the New York Regional Center for Diabetes Translation Research (DK111022–8786). The study sponsors did not have any role in study design; collection, analysis, and interpretation of data; writing the report; and the decision to submit the report for publication. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute or the National Institutes of Health.
Publisher Copyright:
© 2022 Elsevier Ltd
PY - 2022/8/1
Y1 - 2022/8/1
N2 - Background: Prevalence of certain disordered eating behaviors is higher among Hispanic youth compared to non-Hispanics. Understanding the role of body image and social attitudes towards weight in disordered eating may inform treatment in Hispanic youth. Methods: We analyzed data from the Hispanic Community Health Study/Study of Latino Youth (SOL Youth). Our sample included 1,463 children aged 8–16 years from four sites (Bronx, Chicago, Miami, San Diego) assessed in 2011–2014. Body image discrepancy score was calculated as the difference between perceived ideal body image and actual body image using two numbered visual graphs: adolescent (n = 728) or child (n = 735), each with slightly different scales. Questionnaires measured influences from social attitudes toward weight and disordered eating behaviors. Three disordered eating behaviors (dieting, overeating, and compensatory behaviors) were analyzed as the dependent variable. Logistic regression models adjusted for age, sex, acculturative stress, and field center to estimate adjusted odds ratios (aOR) and 95% confidence intervals (CI). Results: Mean body image discrepancy score was −0.79 for adolescents (SE = 0.08) and −0.50 for children (SE = 0.05), with a negative score signifying a perceived actual body image larger than their ideal. Body image discrepancy was strongly associated with dieting (dieting ≥5 times/year aOR = 0.64, 95% CI 0.53, 0.77) and compensatory behaviors (aOR = 0.65, 95% CI 0.50, 0.85) among adolescents, and was strongly associated with overeating among children (aOR = 0.74, 95% CI 0.61, 0.91). Significant associations were not observed with social attitudes towards weight. Conclusions: Associations observed with body image discrepancy and disordered eating behaviors can inform interventions in Hispanic/Latino youth, which should consider acculturative stress.
AB - Background: Prevalence of certain disordered eating behaviors is higher among Hispanic youth compared to non-Hispanics. Understanding the role of body image and social attitudes towards weight in disordered eating may inform treatment in Hispanic youth. Methods: We analyzed data from the Hispanic Community Health Study/Study of Latino Youth (SOL Youth). Our sample included 1,463 children aged 8–16 years from four sites (Bronx, Chicago, Miami, San Diego) assessed in 2011–2014. Body image discrepancy score was calculated as the difference between perceived ideal body image and actual body image using two numbered visual graphs: adolescent (n = 728) or child (n = 735), each with slightly different scales. Questionnaires measured influences from social attitudes toward weight and disordered eating behaviors. Three disordered eating behaviors (dieting, overeating, and compensatory behaviors) were analyzed as the dependent variable. Logistic regression models adjusted for age, sex, acculturative stress, and field center to estimate adjusted odds ratios (aOR) and 95% confidence intervals (CI). Results: Mean body image discrepancy score was −0.79 for adolescents (SE = 0.08) and −0.50 for children (SE = 0.05), with a negative score signifying a perceived actual body image larger than their ideal. Body image discrepancy was strongly associated with dieting (dieting ≥5 times/year aOR = 0.64, 95% CI 0.53, 0.77) and compensatory behaviors (aOR = 0.65, 95% CI 0.50, 0.85) among adolescents, and was strongly associated with overeating among children (aOR = 0.74, 95% CI 0.61, 0.91). Significant associations were not observed with social attitudes towards weight. Conclusions: Associations observed with body image discrepancy and disordered eating behaviors can inform interventions in Hispanic/Latino youth, which should consider acculturative stress.
KW - Acculturative stress
KW - Body image
KW - Body mass index
KW - Disordered eating
KW - Hispanic youth
KW - Overeating
KW - Social influences
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U2 - 10.1016/j.appet.2022.106079
DO - 10.1016/j.appet.2022.106079
M3 - Article
C2 - 35577175
AN - SCOPUS:85130511194
SN - 0195-6663
VL - 175
JO - Appetite
JF - Appetite
M1 - 106079
ER -