Food insecurity and bulimia nervosa in the United States.
binge eating
binge-eating disorder
bulimia nervosa
food insecurity
overeating
weight
Journal
The International journal of eating disorders
ISSN: 1098-108X
Titre abrégé: Int J Eat Disord
Pays: United States
ID NLM: 8111226
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
03
01
2019
revised:
06
03
2019
accepted:
08
03
2019
pubmed:
29
3
2019
medline:
15
11
2019
entrez:
29
3
2019
Statut:
ppublish
Résumé
Food insecurity occurs when access to food is limited by financial hardship. Yet, paradoxically, food insecurity is associated with overeating, with emerging evidence that it may be related to disordered eating. A recent report found that food insecurity was associated with binge-eating disorder (BED), but it is not yet known whether food insecurity is also associated with bulimia nervosa (BN). Participants were 873 respondents recruited online who completed a battery of established measures and were categorized into three study groups: healthy-weight (HW), BED, and BN. Hierarchical logistic regressions evaluated the extent to which low and very low food security were associated with BN compared with HW and BED study groups. Low and very low food security were both associated with increased likelihood of BN group membership compared with HW but not BED. Our findings suggest that food insecurity is associated with BN and also suggest that food insecurity's association with BN is similar to that for BED. These findings highlight the need for greater clinical and research attention to associations between food insecurity and eating disorders that include binge eating to inform eating-disorder prevention and treatment.
Sections du résumé
BACKGROUND
Food insecurity occurs when access to food is limited by financial hardship. Yet, paradoxically, food insecurity is associated with overeating, with emerging evidence that it may be related to disordered eating. A recent report found that food insecurity was associated with binge-eating disorder (BED), but it is not yet known whether food insecurity is also associated with bulimia nervosa (BN).
METHODS
Participants were 873 respondents recruited online who completed a battery of established measures and were categorized into three study groups: healthy-weight (HW), BED, and BN. Hierarchical logistic regressions evaluated the extent to which low and very low food security were associated with BN compared with HW and BED study groups.
RESULTS
Low and very low food security were both associated with increased likelihood of BN group membership compared with HW but not BED.
CONCLUSIONS
Our findings suggest that food insecurity is associated with BN and also suggest that food insecurity's association with BN is similar to that for BED. These findings highlight the need for greater clinical and research attention to associations between food insecurity and eating disorders that include binge eating to inform eating-disorder prevention and treatment.
Identifiants
pubmed: 30920683
doi: 10.1002/eat.23074
pmc: PMC6555671
mid: NIHMS1017470
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
735-739Subventions
Organisme : NIDDK NIH HHS
ID : K24 DK070052
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States
Informations de copyright
© 2019 Wiley Periodicals, Inc.
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