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Luz R, Barros MBDA, Medina LDPB, Assumpção DD, Barros Filho ADA. [Are there differences between men and women with respect to the factors associated with calcium intake?]. CIENCIA & SAUDE COLETIVA 2024; 29:e03032023. [PMID: 39140528 DOI: 10.1590/1413-81232024298.03032023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Accepted: 08/22/2023] [Indexed: 08/15/2024] Open
Abstract
The scope of this article is to verify if there are differences in factors associated with calcium intake between men and women. It is based on a study conducted with data from a health survey in a sample of 1641 individuals aged 20 years or more living in the urban area of the city of Campinas, in the State of São Paulo. Calcium intake was obtained from a 24-hour recall (24hr recall method) and analyzed according to sociodemographic variables, health behavior, frequency of meals and body mass index (BMI). The existence of associations was verified by multiple linear regression tests, and it was detected that the profile of associated factors differed between genders. Physical exercise in the leisure context was only associated with calcium intake in males, while skin color, smoking, income, overweight/obesity, and frequency of having breakfast only revealed an association in females. Schooling and having snacks were associated with calcium intake in both sexes. The analysis of the associated factors indicates segments of the female and male population in which the importance of calcium intake needs to be more closely examined. Furthermore, it highlights the importance of conducting health analyses stratified by sex due to the different behavioral patterns that prevail between the sexes.
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Affiliation(s)
- Renata Luz
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz. 13083-887 Campinas SP Brasil.
| | - Marilisa Berti de Azevedo Barros
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz. 13083-887 Campinas SP Brasil.
| | - Lhaís de Paula Barbosa Medina
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz. 13083-887 Campinas SP Brasil.
| | - Daniela de Assumpção
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária Zeferino Vaz. 13083-887 Campinas SP Brasil.
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2
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Pink AE, Teo R, Chua B, Kong F, Nadarajan R, Pei JY, Tan CHY, Toh JY, Chong YS, Tan KH, Yap F, Meaney MJ, Broekman BFP, Cheon BK. The effects of acute social ostracism on subsequent snacking behavior and future body mass index in children. Int J Obes (Lond) 2024; 48:867-875. [PMID: 38413700 DOI: 10.1038/s41366-024-01489-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Revised: 01/25/2024] [Accepted: 01/30/2024] [Indexed: 02/29/2024]
Abstract
BACKGROUND/OBJECTIVES Ostracism may lead to increased food intake, yet it is unclear whether greater reactivity to ostracism contributes to higher body mass index (BMI). We investigated whether children who exhibited greater stress to social exclusion subsequently consume more energy and whether this predicts BMI 6- and 18-months later. SUBJECTS/METHODS Children (8.5 years-old) (N = 262, males = 50.4%; Chinese = 58.4%) completed a laboratory-based manipulation of social exclusion (the Cyberball task) prior to an ad-libitum snack. Heart rate variability (HRV) was measured during the inclusion and exclusion conditions and proportionate changes were calculated as a physiological measure of exclusion-related stress. Social anxiety and social-emotional assets were also measured as moderators. RESULTS Greater stress (as measured physiologically or by self-report) did not directly, or indirectly via energy intake, predict later BMI (at 9- and 10-years). However, among children reporting higher social anxiety, greater stress as measured by proportionate changes in HRV was associated with increased energy intake (B = 532.88, SE = 226.49, t(255) = 2.35, [CI95 = 86.85,978.92]). A significant moderated mediation was also observed (index: (b = 0.01, bootSE = 0.01, [CI95 = 0.001, 0.036]), such that among children reporting higher social anxiety, greater stress from social exclusion predicted increased energy intake from a subsequent snack, which in turn predicted higher BMI 1.5 years later. CONCLUSION This prospective study suggests that a pattern of greater snack intake in response to heightened vulnerability to the effects of ostracism may contribute to increases in child BMI scores.
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Affiliation(s)
- Aimee E Pink
- Institute of High Performance Computing (IHPC), Agency for Science, Technology and Research (A*STAR), 1 Fusionopolis Way, #16-16 Connexis, Singapore, 138632, Republic of Singapore.
- Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), 30 Medical Drive, Brenner Centre for Molecular Medicine, Singapore, 117609, Republic of Singapore.
- School of Psychology, Faculty of Medicine, Health and Life Sciences, Swansea University, Swansea, SA2 8PP, UK.
| | - Reena Teo
- Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), 30 Medical Drive, Brenner Centre for Molecular Medicine, Singapore, 117609, Republic of Singapore
| | - Bob Chua
- Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), 30 Medical Drive, Brenner Centre for Molecular Medicine, Singapore, 117609, Republic of Singapore
| | - Fabian Kong
- Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), 30 Medical Drive, Brenner Centre for Molecular Medicine, Singapore, 117609, Republic of Singapore
| | - Ranjani Nadarajan
- Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), 30 Medical Drive, Brenner Centre for Molecular Medicine, Singapore, 117609, Republic of Singapore
- Department of Psychiatry and Douglas Mental Health University Institute, McGill University, Montreal, Canada
| | - Jia Ying Pei
- Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), 30 Medical Drive, Brenner Centre for Molecular Medicine, Singapore, 117609, Republic of Singapore
| | - Charmaine H Y Tan
- Institute of High Performance Computing (IHPC), Agency for Science, Technology and Research (A*STAR), 1 Fusionopolis Way, #16-16 Connexis, Singapore, 138632, Republic of Singapore
- Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), 30 Medical Drive, Brenner Centre for Molecular Medicine, Singapore, 117609, Republic of Singapore
| | - Jia Ying Toh
- Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), 30 Medical Drive, Brenner Centre for Molecular Medicine, Singapore, 117609, Republic of Singapore
| | - Yap-Seng Chong
- Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), 30 Medical Drive, Brenner Centre for Molecular Medicine, Singapore, 117609, Republic of Singapore
- Department of Obsteterics & Gynaecology, Yoo Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore, Singapore
| | - Kok Hian Tan
- Duke-NUS Medical School, Singapore, Singapore
- Department of Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore, Singapore
| | - Fabian Yap
- Duke-NUS Medical School, Singapore, Singapore
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
- Department of Paediatric Endocrinology, KK's Women's and Children's Hospital, Singapore, Singapore
| | - Michael J Meaney
- Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), 30 Medical Drive, Brenner Centre for Molecular Medicine, Singapore, 117609, Republic of Singapore
- Department of Psychiatry and Douglas Mental Health University Institute, McGill University, Montreal, Canada
- Brain-Body Strategic Research Program, Agency for Science Technology and Research (A*STAR), Singapore, 117609, Republic of Singapore
| | - Birit F P Broekman
- Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), 30 Medical Drive, Brenner Centre for Molecular Medicine, Singapore, 117609, Republic of Singapore
- Department of Psychiatry and Medical Psychology, OLVG, Amsterdam Public Health, Amsterdam, The Netherlands
- Department of Psychiatry, Amsterdam UMC, Vrije Universiteit van, Amsterdam, The Netherlands
| | - Bobby K Cheon
- Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, 20847, USA.
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Chiu DT, Brown EM, Tomiyama AJ, Brownell KE, Abrams B, Mujahid MS, Epel ES, Laraia BA. Adverse Childhood Experiences and BMI: Lifecourse Associations in a Black-White U.S. Women Cohort. Am J Prev Med 2024; 66:73-82. [PMID: 37690590 DOI: 10.1016/j.amepre.2023.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 09/03/2023] [Accepted: 09/04/2023] [Indexed: 09/12/2023]
Abstract
INTRODUCTION Although adverse childhood experiences (ACEs) have been positively associated with adiposity, few studies have examined long-term race-specific ACE-BMI relationships. METHODS A Black and White all-women cohort (N=611; 48.6% Black) was followed between 1987 and 1997 from childhood (ages 9-10 years) through adolescence (ages 19-20 years) to midlife (ages 36-43 years, between 2015 and 2019). In these 2020-2022 analyses, the interaction between race and individual ACE exposures (physical abuse, sexual abuse, household substance abuse, multiple ACEs) on continuous BMI at ages 19-20 years and midlife was evaluated individually through multivariable linear regression models. Stratification by race followed as warranted at α=0.15. RESULTS Race only modified ACE-BMI associations for sexual abuse. Among Black women, sexual abuse was significantly associated with BMI (Badjusted=3.24, 95% CI=0.92, 5.57) at ages 19-20 years and marginally associated at midlife (Badjusted=2.37, 95% CI= -0.62, 5.35); among White women, corresponding associations were null. Overall, having ≥2 ACEs was significantly associated with adolescent BMI (Badjusted=1.47, 95% CI=0.13, 2.80) and was marginally associated at midlife (Badjusted=1.45, 95% CI= -0.31, 3.22). This was similarly observed for physical abuse (adolescent BMI: Badjusted=1.23, 95% CI= -0.08, 2.54; midlife BMI: Badjusted=1.03, 95% CI= -0.71, 2.78), but not for substance abuse. CONCLUSIONS Direct exposure to certain severe ACEs is associated with increased BMI among Black and White women. It is important to consider race, ACE type, and life stage to gain a more sophisticated understanding of ACE-BMI relationships. This knowledge can help strengthen intervention, prevention, and policy efforts aiming to mitigate the impacts of social adversities and trauma on persistent cardiometabolic health disparities over the lifecourse.
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Affiliation(s)
- Dorothy T Chiu
- Community Health Sciences Division, Berkeley School of Public Health, University of California, Berkeley, California; Osher Center for Integrative Health, University of California San Francisco, San Francisco, California.
| | - Erika M Brown
- Community Health Sciences Division, Berkeley School of Public Health, University of California, Berkeley, California; California Policy Lab, Berkeley, California
| | - A Janet Tomiyama
- Department of Psychology, College of Life Sciences, University of California, Los Angeles, Los Angeles, California
| | - Kristy E Brownell
- Community Health Sciences Division, Berkeley School of Public Health, University of California, Berkeley, California; Kaiser Permanente Division of Research, Oakland, California
| | - Barbara Abrams
- Epidemiology Division, Berkeley School of Public Health, University of California, Berkeley, California
| | - Mahasin S Mujahid
- Epidemiology Division, Berkeley School of Public Health, University of California, Berkeley, California
| | - Elissa S Epel
- Weill Institute of Neurosciences, Department of Psychiatry, University of California San Francisco, San Francisco, California; The Center for Health and Community, University of California San Francisco, San Francisco, California
| | - Barbara A Laraia
- Community Health Sciences Division, Berkeley School of Public Health, University of California, Berkeley, California
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Schell SE, Racine SE. Reconsidering the role of interpersonal stress in eating pathology: Sensitivity to rejection might be more important than actual experiences of peer stress. Appetite 2023; 187:106588. [PMID: 37148973 DOI: 10.1016/j.appet.2023.106588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 04/30/2023] [Accepted: 05/03/2023] [Indexed: 05/08/2023]
Abstract
Rejection sensitivity (i.e., the tendency to anxiously expect, readily perceive, and overreact to real or perceived rejection) is theorized to play a role in the onset and maintenance of disordered eating. Although rejection sensitivity has repeatedly been associated with eating pathology in clinical and community samples, the pathways through which this psychological trait influences eating pathology have been not fully established. The current study investigated peer-related stress, which can be influenced by rejection sensitivity and is associated with eating pathology, as a mechanism linking these constructs. In two samples of women - 189 first-year undergraduate students and 77 community women with binge eating - we examined whether rejection sensitivity was indirectly associated with binge eating and weight/shape concerns via ostracism and peer victimization, both cross-sectionally and longitudinally. Our hypotheses were not supported: there were no indirect associations between rejection sensitivity and eating pathology via interpersonal stress in either sample. However, we did find that rejection sensitivity was directly associated with weight/shape concerns in both samples and with binge eating in the clinical sample in cross-sectional (but not longitudinal) analyses. Our findings suggest that the association between rejection sensitivity and disordered eating is not dependent on actual experiences of interpersonal stress. That is, simply anticipating or perceiving rejection may be sufficient to play a role in eating pathology. As such, interventions targeting rejection sensitivity may be helpful in the treatment of eating pathology.
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Affiliation(s)
- Sarah E Schell
- Department of Psychology, McGill University, Montréal, Canada
| | - Sarah E Racine
- Department of Psychology, McGill University, Montréal, Canada.
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5
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Kaneko M, Ueda Y. Dispositional need to belong and increased eating after social exclusion. Front Psychol 2023; 13:1095636. [PMID: 36710759 PMCID: PMC9878595 DOI: 10.3389/fpsyg.2022.1095636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Accepted: 12/26/2022] [Indexed: 01/13/2023] Open
Abstract
Social exclusion affects the fundamental needs of individuals, and their coping behavior is moderated by their dispositional need to belong. Eating can be one such behavior. However, it is unclear how people with a higher or lower dispositional need to belong respond with respect to food consumption in response to social exclusion. Thus, this study aims to investigate which of these groups eat more food after social exclusion. Ninety-seven university students in Japan participated in two types of Cyberball games (where they either experienced social exclusion or social inclusion) in which their social exclusion status was manipulated. They subsequently participated in a test in which they ate as many cookies as they desired. Finally, they answered questions about their dispositional need to belong. Their BMI was also recorded. Results showed that when socially excluded, individuals with a low need to belong increased their consumption, while those with a high need to belong did not. We suggest that people with a lower need to belong are more inclined to focus on goals other than inclusion and instead use eating as a coping mechanism.
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Affiliation(s)
- Michihiro Kaneko
- Graduate School of Education, Kyoto University, Kyoto, Japan,*Correspondence: Michihiro Kaneko,
| | - Yoshiyuki Ueda
- Institute for the Future of Human Society, Kyoto University, Kyoto, Japan
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6
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Lieberman AG, Stock ML, AuBuchon KE, Beekman JB, Lambert SF. Intersectional discrimination from black women, white women, black men, or white men impacts young adult black women's affective states and risky health cognitions. Psychol Health 2023; 38:1-17. [PMID: 34180327 DOI: 10.1080/08870446.2021.1941962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE Black women experience pronounced inequalities in alcohol use and sexual risk outcomes. Racial discrimination is a known contributor to health inequalities. However, Black women face unique and intersectional forms of discrimination beyond racial discrimination. The current study investigates how exclusion from four distinct social groups effects Black women's negative affect and risky health cognitions. DESIGN Black women (N = 124; ages 18-29) were randomly assigned to be excluded in Cyberball by Black women, Black men, White women, or White men. MAIN OUTCOME MEASURES Participants responded to measures of internalising (depressive, anxious) and externalising (anger) affect, heavy alcohol use willingness, and risky sex expectations. RESULTS Participants primarily attributed exclusion from White women to racial discrimination, exclusion from Black men to gender discrimination, and exclusion from White men to both gender and racial discrimination. When excluded by White women, participants reported the highest levels of anger, depressive affect, and anxiety. Exclusion by White men predicted the greatest heavy drinking willingness, though exclusion by Black men predicted the greatest risky sex expectations. CONCLUSION This study is the first to demonstrate that exclusion from different social groups leads to differing patterns of negative affect and risky health cognitions in young adult Black women.
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Affiliation(s)
- Abby G Lieberman
- Department of Psychological and Brain Sciences, The George Washington University, Washington, DC, USA
| | - Michelle L Stock
- Department of Psychological and Brain Sciences, The George Washington University, Washington, DC, USA
| | - Katarina E AuBuchon
- Department of Psychological and Brain Sciences, The George Washington University, Washington, DC, USA
| | - Janine B Beekman
- Department of Psychological and Brain Sciences, The George Washington University, Washington, DC, USA
| | - Sharon F Lambert
- Department of Psychological and Brain Sciences, The George Washington University, Washington, DC, USA
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7
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Karvay YG, Helion C, Vafiadis A, Smith DV, Jarcho JM. Stress, trauma, and perception of eating behavior changes during the first weeks of the COVID-19 outbreak. Int J Eat Disord 2023; 56:169-181. [PMID: 36453227 PMCID: PMC9878268 DOI: 10.1002/eat.23863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 10/31/2022] [Accepted: 11/16/2022] [Indexed: 12/03/2022]
Abstract
OBJECTIVE The COVID-19 pandemic is one of the largest collective stressors in recent history. Consistent with prior research, this stress has led to impactful eating behavior change. While prior life traumas also impact eating behavior, it is unclear whether the current stress experienced during COVID-19, and prior life traumas (overall, socially relevant, and nonsocially relevant), interact to influence eating behavior changes. Moreover, it is unclear whether current stress and prior traumas impact how eating behavior changes are perceived (i.e., in magnitude, valence, or both) by the individuals experiencing the changes. Therefore, this study sought to examine both the relationship between current stress and perception of eating behavior changes, as well as the moderating impact of prior life traumas on this relationship. METHODS Between March and April 2020, participants completed a subjective, self-report online assessment of current stress, prior life traumas, pandemic-related changes in eating behaviors, and the perceived impact of eating behavior changes. RESULTS Higher current stress was associated with larger, more negative perceptions of eating behavior changes. This relationship was moderated by prior life traumas. Specifically, the association between current stress and perceived negative impact of eating behavior change was potentiated among those with more prior socially relevant (but not nonsocially relevant) traumas. DISCUSSION These results suggest eating behavior changes occurred early in the pandemic and were uniquely impacted by the cumulative effect of present stress and socially relevant prior life traumas. PUBLIC SIGNIFICANCE Changes in eating behaviors and pathology have been prevalent during COVID-19. We examined how stress and prior life traumas interacted during the first weeks of COVID-19 to influence perceptions of eating behavior change. As altered perception of eating behaviors is a notable feature of eating pathology, these results will help inform development of intervention targets for those at risk for developing disordered eating during future- and post-pandemic recovery.
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Affiliation(s)
| | - Chelsea Helion
- Department of Psychology and NeuroscienceTemple UniversityPhiladelphiaPennsylvaniaUSA
| | - Athena Vafiadis
- Department of Psychology and NeuroscienceTemple UniversityPhiladelphiaPennsylvaniaUSA,School of EducationDuquesne UniversityPittsburghPennsylvaniaUSA
| | - David V. Smith
- Department of Psychology and NeuroscienceTemple UniversityPhiladelphiaPennsylvaniaUSA
| | - Johanna M. Jarcho
- Department of Psychology and NeuroscienceTemple UniversityPhiladelphiaPennsylvaniaUSA
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Bey GS. The Identity Vitality-Pathology model: A novel theoretical framework proposing "identity state" as a modulator of the pathways from structural to health inequity. Soc Sci Med 2022; 314:115495. [PMID: 36335704 PMCID: PMC10269584 DOI: 10.1016/j.socscimed.2022.115495] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Accepted: 10/27/2022] [Indexed: 11/06/2022]
Affiliation(s)
- Ganga S Bey
- University of North Carolina at Chapel Hill, 123 W. Franklin St, Chapel Hill, NC, 27514, USA.
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9
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Brondolo E, Simons RR, Keating LH, Vincent B, Kittleman J, Roth A, Basello G, Danyluck C, Blair IV. Racial/Ethnic Discrimination and Food Consumption: Examination in Diverse Samples. Ann Behav Med 2022; 57:227-236. [PMID: 36356036 DOI: 10.1093/abm/kaac046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Racial/ethnic discrimination has been linked to poor health outcomes. Effects of discrimination on health behaviors, including patterns of food consumption, may contribute to health outcomes.
Purpose
We examined relations of discrimination to consumption of healthy and unhealthy foods in two diverse samples. Structural equation modeling was used to examine variations in associations of discrimination to consumption by the timing and type of discrimination, for healthy vs. unhealthy food, and by sample.
Methods
Study 1 included a racially and ethnically diverse sample of adults from New York City (NYC: N = 157); Study 2 included a sample of American Indian and Alaska Native (AI/AN) adults from the Denver metro area (N = 303), many of whom also identified with other racial/ethnic groups. Participants completed self-report measures of racial/ethnic discrimination, food consumption, life stressors, and sociodemographic variables.
Results
Structural equation models indicated discrimination was associated with food consumption. Tests of model invariance indicated that the model of discrimination to food consumption can be applied to both samples. Discrimination within the past-week was associated with more frequent consumption of both unhealthy and healthy foods, whereas lifetime discrimination was associated with more frequent consumption only of unhealthy foods.
Conclusions
The data were limited to self-report measures and only the frequency of consumption was assessed. The findings suggest discrimination may contribute to health disparities through effects on food consumption. Differential effects for past-week and lifetime discrimination suggest that multiple mechanisms may be involved.
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Affiliation(s)
| | | | | | | | | | - Alan Roth
- Jamaica Hospital Medical Center , New York , USA
| | - Gina Basello
- Jamaica Hospital Medical Center , New York , USA
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10
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Harris LK, Berry DC, Cortés YI. Psychosocial factors related to Cardiovascular Disease Risk in Young African American Women: a systematic review. ETHNICITY & HEALTH 2022; 27:1806-1824. [PMID: 34668802 PMCID: PMC9018871 DOI: 10.1080/13557858.2021.1990218] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Accepted: 10/01/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE African American women are exposed to multiple adverse psychosocial factors, including racism, discrimination, poverty, neighborhood stress, anxiety, and depression. The impact of these psychosocial factors on cardiovascular disease (CVD) risk in women during early adulthood is limited. This review aims to summarize and synthesize the recent literature on psychosocial factors related to CVD risk in young African American women. METHODS We conducted a comprehensive search of the literature in PubMed, APA PsycINFO, and CINAHL. We systematically reviewed the literature for studies examining associations between psychosocial factors (e.g. racism, discrimination, neighborhood stress, anxiety) and CVD risk factors (e.g. body mass index [BMI], blood pressure, diabetes) in African American women age 19-24 years. Eligible studies measured at least one psychosocial factor, a CVD risk factor, and included young adult African American women (age 19-24) or reported sex-stratified analyses. RESULTS We identified nine studies that met our inclusion criteria: six cross-sectional and three longitudinal studies. Of these, eight studies reported that psychosocial factors (i.e. perceived stress, racial discrimination, internalized racism, depression) are related to higher BMI and blood pressure. The majority of studies were conducted among college students or had a small sample size (<200). The quality of six studies was rated as excellent; the remainder were good and fair. CONCLUSIONS Findings from this review suggest that exposure to adverse psychosocial factors may be related to increased CVD risk in early adulthood (age 19-24) in African American women. However, larger prospective analyses are necessary to examine these associations.
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Affiliation(s)
- Latesha K. Harris
- School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Diane C. Berry
- School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Yamnia I. Cortés
- School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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11
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Javaras KN, LaFlamme EM, Porter LL, Reilly ME, Perriello C, Pope HG, Hudson JI, Gruber SA, Greenfield SF. Measuring Ostracism-Induced Changes in Consumption of Palatable Food: Feasibility of a Novel Behavioral Task. Front Psychol 2022; 13:853555. [PMID: 35664175 PMCID: PMC9157248 DOI: 10.3389/fpsyg.2022.853555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 04/25/2022] [Indexed: 11/13/2022] Open
Abstract
Purpose Ostracism is a highly aversive interpersonal experience. Previous research suggests that it can increase consumption of highly palatable food in some individuals, but decrease it in others. Thus, we developed the Cyberball-Milkshake Task (CMT), to facilitate research investigating individual differences in ostracism's effects on consumption of highly palatable food. We present data on feasibility for the CMT in a sample of young adult women. Materials and Methods Participants were 22 women, 18-30 years old, reporting very low or very high levels of emotional eating at screening. Participants performed the CMT, which consisted of 12 trials. Each trial included: playing a round of Cyberball (a computerized game of catch with fictitious "other participants" programmed to either include or exclude the participant); viewing a chocolate image; and then consuming a participant-determined amount of milkshake. Participants subsequently played an additional inclusion and exclusion round of Cyberball, each immediately followed by questionnaires assessing current mood and recent Cyberball experience. Results Cyberball exclusion (vs. inclusion) was associated with large, significant increases in reported ostracism and threats to self-esteem; exclusion's effects on affect were in the expected direction (e.g., increased negative affect), but generally small and non-significant. Milkshake intake was measurable for 95% of participants, on 96% of trials. Intake decreased quadratically across trials, with a steep negative slope for low trial numbers that decreased to the point of being flat for the highest trial numbers. Discussion The CMT is a generally feasible approach to investigating ostracism's effects on consumption of highly palatable food. The feasibility (and validity) of the CMT may benefit from modification (e.g., fewer trials and longer rounds of Cyberball). Future research should examine whether performance on a modified version of the CMT predicts real-world behavior in a larger sample.
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Affiliation(s)
- Kristin N Javaras
- Division of Women's Mental Health, McLean Hospital, Belmont, MA, United States.,Department of Psychiatry, Harvard Medical School, Boston, MA, United States
| | - Erin M LaFlamme
- Biological Psychiatry Laboratory, McLean Hospital, Belmont, MA, United States
| | - Lauren L Porter
- Division of Women's Mental Health, McLean Hospital, Belmont, MA, United States
| | - Meghan E Reilly
- Division of Women's Mental Health, McLean Hospital, Belmont, MA, United States.,Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, MA, United States
| | - Chris Perriello
- Biological Psychiatry Laboratory, McLean Hospital, Belmont, MA, United States
| | - Harrison G Pope
- Department of Psychiatry, Harvard Medical School, Boston, MA, United States.,Biological Psychiatry Laboratory, McLean Hospital, Belmont, MA, United States
| | - James I Hudson
- Department of Psychiatry, Harvard Medical School, Boston, MA, United States.,Biological Psychiatry Laboratory, McLean Hospital, Belmont, MA, United States
| | - Staci A Gruber
- Department of Psychiatry, Harvard Medical School, Boston, MA, United States.,Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, MA, United States.,Cognitive and Clinical Neuroimaging Core, McLean Hospital, Belmont, MA, United States
| | - Shelly F Greenfield
- Division of Women's Mental Health, McLean Hospital, Belmont, MA, United States.,Department of Psychiatry, Harvard Medical School, Boston, MA, United States.,Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, MA, United States
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12
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Zurita T, Kazmierski KFM, Wong L, Faulkner M, Kuo S, Huszti H, Rao U. Racial/ethnic differences in dietary intake among a diverse sample of adolescents: An experimental study. Pediatr Obes 2021; 16:e12823. [PMID: 34121364 PMCID: PMC8563420 DOI: 10.1111/ijpo.12823] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 05/10/2021] [Accepted: 05/14/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND African-American (AA) and Hispanic/Latina (HL) females have higher obesity prevalence than do non-Hispanic Whites (NHW); this may be due to AA and HL consuming more energy-dense foods in response to stressors. OBJECTIVES This study examined racial/ethnic differences in dietary intake under controlled conditions (relaxation and stress) in a diverse sample of adolescent females. METHODS Participants included 120 adolescent females (30% AA, 37% HL and 33% NHW) who participated in a laboratory food intake study. Using a randomized cross-over design, ad libitum food consumption was measured following control/relaxation and social-evaluative stress conditions. Food intake was indexed as consumed calories, added sugars and solid fats. RESULTS The effect of laboratory conditions on food intake varied by race/ethnicity, such that AA consumed more energy following relaxation than following stress. For NHW and HL, food intake did not differ between conditions. CONCLUSIONS To the best of our knowledge, these findings are the first to directly observe racial/ethnic differences in food intake in response to acute stress, which may contribute to obesity-related health disparities.
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Affiliation(s)
- Tomas Zurita
- Department of Psychiatry and Human Behavior, University of California Irvine (UCI), Irvine, California
| | - Kelly F. M. Kazmierski
- Department of Psychiatry and Human Behavior, University of California Irvine (UCI), Irvine, California
| | - Larissa Wong
- Department of Psychiatry and Human Behavior, University of California Irvine (UCI), Irvine, California
| | - Megan Faulkner
- Department of Psychiatry and Human Behavior, University of California Irvine (UCI), Irvine, California
| | - Sabrina Kuo
- Department of Psychiatry and Human Behavior, University of California Irvine (UCI), Irvine, California
| | - Heather Huszti
- Children’s Hospital of Orange County, Orange, California
| | - Uma Rao
- Department of Psychiatry and Human Behavior, University of California Irvine (UCI), Irvine, California,Children’s Hospital of Orange County, Orange, California,Department of Pediatrics, University of California Irvine, Irvine, California,Department of Psychological Science, University of California Irvine, Irvine, California,Center for the Neurobiology of Learning and Memory, University of California Irvine, Irvine, California
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Trolio V, Mehak A, Schell SE, Racine SE. Extending the scope of the interpersonal psychotherapy model of eating disorders: Integrating the role of 'feeling fat'. Appetite 2021; 166:105441. [PMID: 34090943 DOI: 10.1016/j.appet.2021.105441] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 03/29/2021] [Accepted: 05/17/2021] [Indexed: 11/19/2022]
Abstract
The interpersonal psychotherapy model of eating disorders (IPT-ED) argues that interpersonal problems result in negative affect, and that an inability to cope with this negative affect triggers ED symptoms. Relatedly, it is theorized that 'feeling fat' (i.e., the somatic experience of being overweight not entirely explained by one's body mass) results from shifting negative affect onto one's body, which can then be controlled via ED symptoms. Research has yet to identify why negative affect caused by interpersonal problems may trigger ED symptoms as opposed to other maladaptive behaviours. Integrating 'feeling fat' into the IPT-ED may help to explain this relationship. This study examined whether interpersonal problems positively related to ED symptoms via negative affect and 'feeling fat' in 190 undergraduate women (mean age [SD] = 19.05 [1.23]; mean BMI [SD] = 21.76 [3.17]; 72.8% Caucasian). Using both cross-sectional and longitudinal path analyses, we tested the indirect effects of ostracism and peer victimization on binge eating and restricting via negative affect and 'feeling fat' using serial indirect effects analyses. Cross-sectional path analysis revealed significant indirect effects of ostracism on both binge eating and restricting sequentially via negative affect and 'feeling fat', such that ostracism related to negative affect, which related to 'feeling fat', which was ultimately associated with disordered eating behaviours. Longitudinal path analysis replicated the significant indirect effects of ostracism on binge eating sequentially via negative affect and 'feeling fat'. Results suggest that individuals may displace negative feelings that result from ostracism onto their body, triggering 'feelings of fatness' and prompting ED symptoms. Future research should examine 'feeling fat' within the IPT-ED in a sample of individuals with EDs to determine its clinical utility beyond an undergraduate sample.
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Affiliation(s)
- Vittoria Trolio
- Department of Psychology, McGill University, 2001 ave. McGill College, 7th Floor, Montreal, H3A 1G1, Canada
| | - Adrienne Mehak
- Department of Psychology, McGill University, 2001 ave. McGill College, 7th Floor, Montreal, H3A 1G1, Canada
| | - Sarah E Schell
- Department of Psychology, McGill University, 2001 ave. McGill College, 7th Floor, Montreal, H3A 1G1, Canada
| | - Sarah E Racine
- Department of Psychology, McGill University, 2001 ave. McGill College, 7th Floor, Montreal, H3A 1G1, Canada.
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Ostracism and Problematic Smartphone Use: the Mediating Effect of Social Self-Efficacy and Moderating Effect of Rejection Sensitivity. Int J Ment Health Addict 2021. [DOI: 10.1007/s11469-021-00661-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
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15
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Chen S, Mallory AB. The effect of racial discrimination on mental and physical health: A propensity score weighting approach. Soc Sci Med 2021; 285:114308. [PMID: 34399293 PMCID: PMC8451383 DOI: 10.1016/j.socscimed.2021.114308] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Revised: 07/19/2021] [Accepted: 08/05/2021] [Indexed: 02/07/2023]
Abstract
RATIONALE The preponderance of research documents the negative consequences of racial discrimination for the mental and physical well-being across several racial/ethnic groups including Black Americans, Hispanic Americans, and Asian Americans. Despite this large body of research, few studies have attempted to evaluate racial discrimination as a casual factor of worse health among racial minority groups. The current study utilized nationally representative data to estimate the causal effect of racial discrimination on cardiovascular disease (CVD), self-rated physical health (SRH), body mass index (BMI), depression disorder, and substance use disorder. In addition, we examined whether the effect of racial discrimination on health was moderated by socio-demographic characteristics (i.e., age, race/ethnicity, sex, socioeconomic status, marital status, geographic location, and health insurance coverage). METHODS Data were from the combined National Survey of American Life and the National Latino and Asian American Study. We applied a propensity score weighting approach to estimate the differences between individuals who reported ever (N = 4358) or never (N = 1836) experiencing racial discrimination on a list of health outcomes (e.g., CVD, SRH, BMI, depression disorder, and substance use disorder). RESULTS Participants who reported ever experiencing racial discrimination were about 5 % higher CVD risk, had 0.12 points lower SRH, a 3 % higher probability of a depression disorder, and a 2 % higher probability of a substance use disorder. Moderation effects by race/ethnicity, sex, socioeconomic status, geographic region, and health insurance coverage were found. CONCLUSION Our study represents one of the first attempts to apply a propensity score weighting approach to causally link racial discrimination to worse health for racial minority individuals. This study adds to a larger body of research documenting the negative association between racial discrimination and health.
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Affiliation(s)
- Shanting Chen
- Department of Human Development and Family Sciences, University of Texas at Austin, 108 East Dean Keeton Street, Stop A2702, Austin, TX, 78712, United States.
| | - Allen B Mallory
- Human Development and Family Science, The Ohio State University, United States.
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16
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Kazmierski KFM, Gillespie ML, Kuo S, Zurita T, Felix D, Rao U. Stress-Induced Eating Among Racial/Ethnic Groups in the United States: a Systematic Review. J Racial Ethn Health Disparities 2021; 8:912-926. [PMID: 32839895 PMCID: PMC7902740 DOI: 10.1007/s40615-020-00849-w] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 08/11/2020] [Accepted: 08/12/2020] [Indexed: 12/27/2022]
Abstract
OBJECTIVE Racial/ethnic disparities in obesity may be due, in part, to minority groups consuming more energy-rich diets in response to greater stress exposure. The present study systematically reviewed the literature describing the effects of stress on food consumption among various racial/ethnic groups in the US. METHODS PubMed and PsycINFO databases were searched for studies reporting associations between stress and food consumption by different racial/ethnic groups, conducted between January 1, 1999 to November 25, 2019. The search included terms related to food consumption, stress, and race/ethnicity. After screening 3660 records, 30 studies were included for review. RESULTS The selected studies assessed diverse stressors and eating constructs; African-American and Hispanic/Latinx were the most commonly studied minority groups. Studies generally supported that diverse forms of stress exposure are associated with reduced healthy eating patterns and increased obesogenic eating patterns across racial/ethnic groups. However, studies that directly compared stress-eating associations among multiple racial/ethnic groups showed mixed results. CONCLUSION Members of diverse racial/ethnic groups are susceptible to stress-induced unhealthy eating patterns, though evidence is insufficient to conclude whether the degree of susceptibility differs among groups. Additional studies utilizing observational measures of food intake and culturally sensitive measures of stress are needed to identify the most influential stressors on dietary behaviors, to assess whether some stressors are more salient for given racial/ethnic groups, and to examine the extent to which stress-induced eating contributes to racial/ethnic disparities in obesity and obesity-related diseases.
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Affiliation(s)
- Kelly F M Kazmierski
- Department of Psychiatry & Human Behavior, College of Health Sciences, School of Medicine, University of California, Irvine, CA, USA
| | - Marie L Gillespie
- Department of Psychiatry & Human Behavior, College of Health Sciences, School of Medicine, University of California, Irvine, CA, USA
| | - Sabrina Kuo
- Department of Psychiatry & Human Behavior, College of Health Sciences, School of Medicine, University of California, Irvine, CA, USA
| | - Tomas Zurita
- Department of Psychiatry & Human Behavior, College of Health Sciences, School of Medicine, University of California, Irvine, CA, USA
| | - Dania Felix
- Department of Psychiatry & Human Behavior, College of Health Sciences, School of Medicine, University of California, Irvine, CA, USA
| | - Uma Rao
- Department of Psychiatry & Human Behavior, College of Health Sciences, School of Medicine, University of California, Irvine, CA, USA.
- Children's Hospital of Orange County, Orange, CA, USA.
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17
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Sharma N, Dhar RL. From curse to cure of workplace ostracism: A systematic review and future research agenda. HUMAN RESOURCE MANAGEMENT REVIEW 2021. [DOI: 10.1016/j.hrmr.2021.100836] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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18
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Gibbons FX, Gerrard M, Fleischli ME, Simons RL, Kingsbury JH. Perceived racial discrimination and healthy behavior among African Americans. Health Psychol 2021; 40:155-165. [PMID: 33630637 DOI: 10.1037/hea0001056] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
OBJECTIVE Numerous studies have found evidence of a link between perceived discrimination and unhealthy behavior, especially substance use. Within this body of literature, however, several studies have found unexpected evidence of a positive relation between perceived racial discrimination among African Americans-mostly women-and certain types of healthy behavior, primarily exercise and healthy eating. The current study further examined this positive relation, including an anticipated moderator: optimism. It also examined the relation between perceived racial discrimination and a correlate of unhealthy behavior: BMI. METHOD Six waves of data were collected over 14 years in three related samples of African Americans from families participating in the Family and Community Health Study. Each family included an adolescent (Mage = 10.5 at Wave 1), the adolescent's primary caregiver (Mage = 37), and, in some cases, an older sibling of that adolescent (Mage = 13). Wave 1 Ns were 889, 889, and 295, respectively. Healthy behavior was defined as diet and exercise. RESULTS There was very little evidence of a long-term relation between perceived racial discrimination and BMI in any sample, and no evidence of a relation between discrimination and healthy behavior among the males. However, correlational analyses revealed a positive prospective relation between discrimination and healthy behavior among all three groups of females; structural equation modeling indicated that this relation was stronger among women who were high in optimism. CONCLUSIONS Perceived racial discrimination does not appear to be related to BMI among African Americans, but it is related to healthy behavior among Black females who are high in dispositional optimism. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
| | - Meg Gerrard
- Department of Psychological Sciences, University of Connecticut
| | - Mary E Fleischli
- Institute for Collaboration on Health, Intervention, and Policy (InCHIP), University of Connecticut
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Manns-James L, Anthony MK, Neal-Barnett A. Racial Discrimination, Racial Identity, and Obesity in Collegiate African American Women. J Racial Ethn Health Disparities 2020; 8:1217-1231. [PMID: 33029746 DOI: 10.1007/s40615-020-00880-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 09/14/2020] [Accepted: 09/21/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To investigate relationships among racial discrimination, explicit racial identity, and obesity in young collegiate African American (AA) women aged 18-25. DESIGN Researchers recruited 136 women who self-identified as AA from a large Midwestern university. Racial discrimination (RD) was measured using lifetime overt experiences of discrimination, recent microaggressions, and vicarious RD directed towards close others. Explicit racial identity included dimensions of private regard, public regard, and centrality. Generalized obesity (elevated body mass index) and abdominal obesity (increased fat distribution in the midsection) were measured biometrically using kg/m2 and waist circumference, respectively. Hierarchical multiple regression was employed to explore main and interaction effects. RESULTS After controlling for adverse life events and income, overt RD, recent microaggressions, and private regard directly accounted for variance in both BMI and waist circumference. Public regard and centrality moderated relationships between RD variables and waist circumference. CONCLUSIONS RD and racial identity accounted for up to 13% of variance in BMI and waist circumference in main effects models among young collegiate AA women. While obesity is a multifactorial phenomenon, racial discrimination and racial identity may affect observed racial disparities in obesity rates among young women.
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Affiliation(s)
- Laura Manns-James
- Department of Midwifery and Women's Health, Frontier Nursing University, Versailles, KY, USA.
| | - Mary K Anthony
- College of Nursing, Kent State University, Kent, OH, USA
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20
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Schuch HS, Haag DG, Bastos JL, Paradies Y, Jamieson LM. Intersectionality, racial discrimination and oral health in Australia. Community Dent Oral Epidemiol 2020; 49:87-94. [PMID: 33022103 DOI: 10.1111/cdoe.12581] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2020] [Revised: 09/09/2020] [Accepted: 09/15/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND There is a dearth of studies on the extent to which perceived racial discrimination shapes oral health. Following an intersectional perspective, we estimated the prevalence of perceived racial discrimination in Australia, its association with oral health impairment, and examined whether this association was more severe among low socioeconomic status (SES) groups. METHODS Data came from the 2013 National Dental Telephone Interview Survey (N = 2798), a population-based study of Australian adults. Multivariable Poisson regression models were estimated to test the relationship between perceived racial discrimination and self-reported oral health impairment, as well as to investigate whether the magnitude of this association was greater among low-SES respondents. Relative Excess Risks due to Interaction (RERI) were used to indicate the presence of potentially large discrimination effects within low-SES strata. RESULTS Racial discrimination in the past 12 months was reported by 11.5% of all participants. Australians reporting racial discrimination had 1.4 (95% CI 1.1, 1.7) times the prevalence of impaired oral health. The association between perceived racial discrimination and oral health impairment was stronger among low-SES groups. The RERI was 0.55, indicating a super-additive Effect Measure Modification (EMM) by income on the additive scale. Similar results were observed with the EMM analyses by educational attainment. CONCLUSION Our findings indicate that perceived racial discrimination, as a specific form of widespread inequality, is associated with higher frequencies of oral health impairment among Australian adults. We also suggest that socially marginalized groups bear a greater burden of the oral health effects of racial discrimination.
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Affiliation(s)
- Helena S Schuch
- Postgraduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - Dandara G Haag
- Adelaide Dental School, Australian Research Centre for Population Oral Health (ARCPOH), University of Adelaide, Adelaide, Australia
| | - João Luiz Bastos
- Department of Public Health, Federal University of Santa Catarina, Santa Catarina, Brazil
| | - Yin Paradies
- Alfred Deakin Institute for Citizenship and Globalisation, Deakin University, Burwood, Australia
| | - Lisa M Jamieson
- Adelaide Dental School, Australian Research Centre for Population Oral Health (ARCPOH), University of Adelaide, Adelaide, Australia
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Salami TK, Carter SE, Cordova B, Flowers KC, Walker RL. The Influence of Race-Related Stress on Eating Pathology: The Mediating Role of Depression and Moderating Role of Cultural Worldview Among Black American Women. JOURNAL OF BLACK PSYCHOLOGY 2019. [DOI: 10.1177/0095798419887632] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The current study aimed to advance the eating pathology literature through investigating the association between a salient stressor for Black American women (race-related stress) and eating pathology, while also examining the potential mediating role of depressive symptoms on this association. In addition, the study aimed to examine the potential protective role of cultural worldview in this model. A community sample of 119 Black women between the ages of 18 and 60 years ( M = 36.34, SD = 12.51) were recruited for the study. Results supported a significant indirect effect of race-related stress on eating pathology through depressive symptoms. Moderated mediation analyses revealed a conditional effect of depression at various levels of worldview. Contrary to our hypotheses, participants with a more collectivistic and spiritual worldview often engaged in more eating pathology as a result of self-reported depressive symptoms stemming from experiences of race-related stress. Implications and future directions are discussed.
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Barnhart WR, Buelow MT, Trost Z. Effects of acute pain and pain-related fear on risky decision-making and effort during cognitive tests. J Clin Exp Neuropsychol 2019; 41:1033-1047. [PMID: 31366275 DOI: 10.1080/13803395.2019.1646711] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Introduction: The experience of acute pain and pain-related fear negatively impact cognition and behavior; however, little research has examined their impacts on risky decision-making and effort. The present study investigated the effects of acute pain and pain-related fear on risky decision-making and effort during cognitive tests. Method: Levels of pain-related fear were assessed. Healthy participants (n = 146) experienced acute pain induced via cold pressor task, and then were randomly assigned to one of the four conditions to induce pain-related fear: Pain Threat (n = 36), Pain Threat with Control (n = 39), Cognitive Threat with Control (n = 34), and Control (n = 36). Participants then completed measures of effort (Word Memory Test [WMT], self-reported effort) and risky decision-making (Iowa Gambling Task [IGT], Balloon Analogue Risk Task [BART]). Results: Collapsed across condition, participants did not learn to decide advantageously on the IGT following an acute pain experience. During the early trials (1-40) on the IGT, participants in the Pain Threat condition made riskier decisions. Higher levels of pain during the cold pressor task predicted less risky decisions on the BART, and participants in the Cognitive Threat with Control condition made less risky decisions. Participants in the Pain Threat with Control condition self-reported lower effort on cognitive tests, yet no group-based differences were seen in WMT performance. Greater pain-related fear predicted greater self-reported effort and better WMT performance, but no effects were seen on decision-making task performance. Conclusions: The experience of pain and the threat of additional pain can lead to changes in risky decision-making and effort on cognitive tasks. This threat of additional pain could activate underlying pain-related fear, creating hypervigilance to and avoidance of pain that affects subsequent task performance. Implications for research and clinical evaluation of acute pain and pain-related fear are discussed.
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Affiliation(s)
| | - Melissa T Buelow
- Department of Psychology, The Ohio State University Newark , Newark , Ohio , USA
| | - Zina Trost
- Department of Psychology, University of Alabama at Birmingham , Birmingham , Alabama , USA
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Molina KM, Estrella ML, Rivera-Olmedo N, Frisard C, Lemon S, Rosal MC. It Weigh(t)s on You: Everyday Discrimination and Adiposity Among Latinos. Obesity (Silver Spring) 2018; 26:1474-1480. [PMID: 30175908 PMCID: PMC6159926 DOI: 10.1002/oby.22248] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2016] [Revised: 08/22/2016] [Accepted: 10/31/2016] [Indexed: 12/16/2022]
Abstract
OBJECTIVE Evidence suggests discrimination increases the risk of obesity. The biopsychosocial model of racism posits that psychological factors such as depressive symptoms may link experiences of perceived interpersonal discrimination to obesity. This study tested whether self-reported experiences of everyday discrimination were associated with adiposity indicators and whether depressive symptoms explained these associations. METHODS Cross-sectional survey data of 602 Latino adults living in Lawrence, Massachusetts, from the Latino Health and Well-being Project (2011-2013) were used. Participants completed questionnaires assessing perceived everyday discrimination and depressive symptoms. Anthropometric measures (i.e., BMI and waist circumference [WC]) were obtained by trained staff. Structural equation modeling was employed to test for direct and indirect effects of perceived everyday discrimination on adiposity. RESULTS Perceived everyday discrimination was directly and positively associated with higher BMI and WC, independent of sociodemographic factors, physical activity, and stressful life events. Perceived everyday discrimination was not indirectly associated with BMI and WC through depressive symptoms. However, perceived everyday discrimination was associated with higher levels of depressive symptoms. CONCLUSIONS Self-reported everyday discrimination among Latino adults is associated with adiposity. Day-to-day interpersonal discrimination may be implicated in obesity disparities for Latino adults.
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Affiliation(s)
- Kristine M Molina
- Department of Psychology, Community and Prevention Research Program, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Mayra L Estrella
- Institute for Minority Health Research, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Noemi Rivera-Olmedo
- Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California, USA
| | - Christine Frisard
- Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA
| | - Stephenie Lemon
- Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA
| | - Milagros C Rosal
- Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA
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Bey GS, Ulbricht CM, Person SD. Theories for Race and Gender Differences in Management of Social Identity-Related Stressors: a Systematic Review. J Racial Ethn Health Disparities 2018; 6:117-132. [PMID: 29987597 DOI: 10.1007/s40615-018-0507-9] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2018] [Revised: 06/13/2018] [Accepted: 06/18/2018] [Indexed: 12/15/2022]
Abstract
Sociodemographic group-specific strategies for stress management may contribute to racial and gender disparities in health outcomes in the USA. We aimed to systematically review theoretical and empirical investigations of factors influencing variation in response to and management of identity-related stress among black and white Americans. OvidPsychInfo and PubMed databases were searched to identify eligible studies. Criteria were participant age of ≥ 18 years, conducted in the US sampling black or white participants, and published in English in a peer-reviewed journal. The final sample included 167 articles. Theories suggesting social status inequities as the primary contributor to disparate strategies employed by black and white women and men to manage social identity-related stress were most frequently tested and supported. Studies disproportionally focused on how women and black persons cope as targets of prejudice and discrimination rather than on how management strategies of men or white persons are affected as perpetrators. Finally, there was theoretical support for an interactive effect of race and gender on stress management, but empirical evidence was lacking, particularly among black men, white women, and white men. The literature could be strengthened through the use of prospective cohorts and nationally representative samples, as well as study designs accounting for potential within-race and within-gender variation in the effects of social identity-related stressors on coping. With greater consistency in methodology, future empirical studies may yield additional information regarding group differences in stress management pertinent to clarifying mechanisms for the health consequences of exposure to social inequity among black and white women and men.
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Affiliation(s)
- Ganga S Bey
- Department of Quantitative Health Sciences, University of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA, 01605, USA.
| | - Christine M Ulbricht
- Department of Quantitative Health Sciences, University of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA, 01605, USA
| | - Sharina D Person
- Department of Quantitative Health Sciences, University of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA, 01605, USA
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Bey GS, Waring ME, Jesdale BM, Person SD. Gendered race modification of the association between chronic stress and depression among Black and White U.S. adults. THE AMERICAN JOURNAL OF ORTHOPSYCHIATRY 2018; 88:151-160. [PMID: 29355367 DOI: 10.1037/ort0000301] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
Chronic stress stemming from social inequity has long been recognized as a risk factor for poor physical and psychological health, yet challenges remain in uncovering the mechanisms through which such exposures affect health outcomes and lead to racial and gender health disparities. Examination of sociocultural influences on group identity, coping, and the expression of stress may yield relevant insight into potential pathways of inequity's effect on risk for chronic disease. The objective of this study was to examine the relationship between chronic stress as measured by allostatic load (AL) and depression by gendered race group. Using National Health and Nutrition Examination Survey 2005-2010 data, we included Black and White U.S. adults aged 18-64 years (n = 6,431). AL was calculated using 9 biomarkers; scores ≥4 indicated high risk. Depression was assessed using the Patient Health Questionnaire-9; scores ≥10 indicated likely clinical depression. Logistic models estimated odds of depression as a function of AL for each gendered race group adjusting for age and family poverty-to-income ratio. Effect modification was assessed by analysis of variance and relative excess risk due to the interaction. We observed modification on the multiplicative scale. High AL was more strongly associated with depression among White women and Black men than among Black women or White men. In conclusion, a potential manifestation of high chronic stress burden, depression, differs across gendered race groups. These disparities may be due to group-specific coping strategies that are shaped by unequal social contexts. (PsycINFO Database Record
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Affiliation(s)
| | - Molly E Waring
- Department of Quantitative Health Sciences, University of Massachusetts Medical School
| | - Bill M Jesdale
- Department of Quantitative Health Sciences, University of Massachusetts Medical School
| | - Sharina D Person
- Department of Quantitative Health Sciences, University of Massachusetts Medical School
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Nadimpalli S, Keita A, Wang J, Kanaya A, Kandula N, Gans KM, Talegawkar S. Are Experiences of Discrimination Related to Poorer Dietary Intakes Among South Asians in the MASALA Study? JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2017; 49:872-876.e1. [PMID: 28919135 PMCID: PMC5682222 DOI: 10.1016/j.jneb.2017.07.013] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2016] [Revised: 07/05/2017] [Accepted: 07/20/2017] [Indexed: 05/05/2023]
Abstract
OBJECTIVE To examine associations between self-reported discrimination and dietary intakes among South Asian (SA) people. METHODS Data from the Mediators of Atherosclerosis in South Asians Living in America study were used to analyze the relationship between self-reported discrimination and dietary behaviors (n = 866). Self-reported discrimination was measured with the 9-item continuous Everyday Discrimination Scale. Diet was measured with a culturally tailored, validated, 163-item food frequency questionnaire for SA individuals. Dietary variables examined in these analyses included weekly consumption of fruits and vegetables and sweets. The researchers employed multiple logistic and linear regression models. RESULTS Self-reported discrimination was unrelated to fruit and vegetable intake but was positively associated with consumption of sweets per week (P = .001). CONCLUSIONS AND IMPLICATIONS Increased consumption of sweets may be a mechanism for SA individuals to cope with stressful experiences of discrimination. Further research examining discrimination and health behavior-related coping strategies among SA people is needed.
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Affiliation(s)
- Sarah Nadimpalli
- Department of Social and Behavioral Sciences, School of Public Health, Brown University, Providence, RI.
| | - Akilah Keita
- Department of Social and Behavioral Sciences, School of Public Health, Brown University, Providence, RI
| | - Jeremy Wang
- Department of Social and Behavioral Sciences, School of Public Health, Brown University, Providence, RI
| | - Alka Kanaya
- Division of General Internal Medicine, University of California at San Francisco, San Francisco, CA
| | - Namratha Kandula
- Department of Preventive Medicine, Northwestern University, Chicago, IL; Department of General Internal Medicine, Northwestern University, Chicago, IL
| | - Kim M Gans
- Department of Human Development and Family Studies, University of Connecticut, Storrs, CT
| | - Sameera Talegawkar
- Department of Exercise and Nutrition Sciences, George Washington University, Washington, DC
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Buelow MT, Wirth JH. Decisions in the face of known risks: Ostracism increases risky decision-making. JOURNAL OF EXPERIMENTAL SOCIAL PSYCHOLOGY 2017. [DOI: 10.1016/j.jesp.2016.07.006] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Darbor KE, Lench HC, Carter-Sowell AR. Do People Eat the Pain Away? The Effects of Acute Physical Pain on Subsequent Consumption of Sweet-Tasting Food. PLoS One 2016; 11:e0166931. [PMID: 27861581 PMCID: PMC5115833 DOI: 10.1371/journal.pone.0166931] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2016] [Accepted: 11/07/2016] [Indexed: 11/18/2022] Open
Abstract
Sweet tasting foods have been found to have an analgesic effect. Therefore people might consume more sweet-tasting food when they feel pain. In Study 1, participants were randomly assigned to a pain or non-pain condition and their consumption of cheesecake was measured. Participants ate more cheesecake (a sweet-tasting food) following a painful experience than a non-painful one. In Study 2, participants were randomly assigned to a painful experience or a resource depleting experience (i.e., squeezing a handgrip) and then were asked to taste test two foods, one sweet and one not sweet. Participants ate more sweet-tasting food following a painful experience than a non-painful or a resource-depleting experience. These differences were not present for consumption of non-sweet food. Further, habitual self-control predicted consumption of sweet-tasting food when in pain, with those lower in self-control particularly likely to eat more. Results suggest that people do eat more sweet-tasting food when they feel pain, particularly if they are not in the habit of controlling their impulses. These findings have implications for health given rising rates of obesity and pain-related diagnoses.
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Affiliation(s)
- Kathleen E. Darbor
- Department of Psychology, Texas A&M University, College Station, Texas, United States of America
| | - Heather C. Lench
- Department of Psychology, Texas A&M University, College Station, Texas, United States of America
- * E-mail:
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Kiat JE, Straley E, Cheadle JE. Why won't they sit with me? An exploratory investigation of stereotyped cues, social exclusion, and the P3b. Soc Neurosci 2016; 12:612-625. [PMID: 27557430 DOI: 10.1080/17470919.2016.1223167] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The importance of understanding how we anticipate and prepare for being socially excluded is underscored by the numerous adverse mental and physical consequences of social rejection. In this study, we adapted a social exclusion paradigm, the Lunchroom task, to investigate the use of social context cues in the formation of social outcome expectations as indexed by the P3b, an ERP component associated with attention orientation and context updating. In this task, Black and White participants were presented with either neutral or stereotyped cues prior to being exposed to simulated inclusion versus exclusion outcome scenarios. Black participants showed evidence of (1) a significantly reduced P3b response to exclusions preceded by stereotyped cues relative to neutral cue-related exclusions and (2) a marginally significant increase in the P3b response to inclusions relative to exclusions when both were preceded by stereotyped cues. Both of these findings suggest a key role for the use of social cues in the formation of outcome expectations. In line with our hypothesis that the random intermixing of inclusion and exclusion outcomes would prevent formation of outcome expectations when coupled with the absence of self-relevant cues, no overall P3b modulations were observed among a comparison group of White participants.
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Affiliation(s)
- John E Kiat
- a Department of Psychology , The University of Nebraska-Lincoln , Lincoln , NE , USA
| | - Elizabeth Straley
- b Department of Sociology , The University of Nebraska-Lincoln , Lincoln , NE , USA
| | - Jacob E Cheadle
- b Department of Sociology , The University of Nebraska-Lincoln , Lincoln , NE , USA
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The Effect of the Internal Side of Social Responsibility on Firm Competitive Success in the Business Services Industry. SUSTAINABILITY 2016. [DOI: 10.3390/su8020179] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Weight stigma and eating behavior: A review of the literature. Appetite 2016; 102:3-14. [PMID: 26829371 DOI: 10.1016/j.appet.2016.01.034] [Citation(s) in RCA: 171] [Impact Index Per Article: 21.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2015] [Revised: 12/19/2015] [Accepted: 01/28/2016] [Indexed: 01/17/2023]
Abstract
Weight stigma is a pervasive social problem, and this paper reviews the evidence linking weight stigma to eating behavior. Correlational studies consistently find that experiences with weight stigma are associated with unhealthy eating behaviors and eating pathology (such as binge eating, skipping meals), although results vary somewhat depending on the sample being studied and the specific stigma/eating constructs being assessed. Experimental studies consistently find that manipulations such as priming overweight stereotypes, exposure to stigmatizing content, and social exclusion all lead to increased food intake, but whether or not those manipulations capture the impact of weight stigma experiences per se is less clear. Finally, studies of stigma experiences in daily life show that more frequent stigma experiences are associated with decreased motivation to diet and with less healthy eating behaviors. Overall, this research highlights the potential for weight stigma to negatively impact individuals' eating behavior, which in turn could have consequences for their overall health and well-being.
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