Everyday discrimination as a predictor of maladaptive and adaptive eating: Findings from EAT 2018

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Abstract

Various types of stressors are associated with maladaptive eating, but how the stressor of everyday discrimination (e.g., less respect, poorer service) relates to maladaptive eating and adaptive eating remains unclear. We examined everyday discrimination as a predictor of maladaptive and adaptive eating. Data were collected in a population-based study, Eating and Activity over Time (N = 1410, ages 18–30). Everyday discrimination was categorized as none, low, moderate, or high. Outcomes included maladaptive eating (i.e., overeating and binge eating) and adaptive eating (i.e., intuitive eating and mindful eating). Modified Poisson regressions estimated the prevalence ratios (PRs) for overeating and binge eating associated with everyday discrimination. Linear regressions estimated associations between everyday discrimination and intuitive and mindful eating scores. After adjustment for age, ethnicity/race, gender, and socioeconomic status, moderate and high levels of discriminatory experiences were each associated with a significantly greater prevalence of binge eating (PR = 2.2, [95% CI = 1.3–3.7] and PR = 3.1, [95% CI = 2.0–4.7], respectively) and lower intuitive (β = −0.4, [95% CI = −0.7, −0.2] and β = −0.5 [95% CI = −0.8, −0.3], respectively), and mindful eating scores (β = −0.3, [95% CI = −0.6, −0.1] and β = −0.5 [95% CI = −0.8, −0.3], respectively) compared to young adults with no discriminatory experience. Public health efforts to prevent maladaptive eating and encourage the adoption of adaptive eating should consider the potential contribution of everyday discrimination and the need to advocate for equity and inclusion.

Original languageEnglish (US)
Article number105878
JournalAppetite
Volume170
DOIs
StatePublished - Mar 1 2022

Bibliographical note

Funding Information:
Data collection for the study was supported by Grant Numbers R01HL127077 and R35HL139853 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer). Cynthia Yoon's time was supported by Award Number T32DK083250 (PI: Robert W. Jeffery) from the National Institute of Diabetes and Digestive and Kidney Diseases. Vivienne Hazzard's time was supported by Award Number T32MH082761 (PI: Scott Crow) from the National Institute of Mental Health. Rebecca Emery's time was supported by the National Center for Advancing Translational Sciences under TL1 R002493 (PI: Fulkerson) and UL1 TR002494 (PI: Blazar). 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, the National Institute of Diabetes and Digestive and Kidney Diseases, or National Institute of Mental Health, the National Institutes of Health, or National Center for Advancing Translational Sciences.

Funding Information:
Data collection for the study was supported by Grant Numbers R01HL127077 and R35HL139853 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer). Cynthia Yoon's time was supported by Award Number T32DK083250 (PI: Robert W. Jeffery) from the National Institute of Diabetes and Digestive and Kidney Diseases . Vivienne Hazzard's time was supported by Award Number T32MH082761 (PI: Scott Crow) from the National Institute of Mental Health . Rebecca Emery's time was supported by the National Center for Advancing Translational Sciences under TL1 R002493 (PI: Fulkerson) and UL1 TR002494 (PI: Blazar). 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, the National Institute of Diabetes and Digestive and Kidney Diseases, or National Institute of Mental Health, the National Institutes of Health, or National Center for Advancing Translational Sciences.

Publisher Copyright:
© 2021

Keywords

  • Binge eating
  • Everyday discrimination
  • Intuitive eating
  • Mindful eating
  • Overeating

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