Nicole Larson1, Katie A Loth2, Marla E Eisenberg3, Vivienne M Hazzard4, Dianne Neumark-Sztainer5. 1. Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Suite 300, 1300 South Second Street, Minneapolis, MN 55454, United States of America. Electronic address: larsonn@umn.edu. 2. Department of Family Medicine and Community Health, University of Minnesota, Room 420, 717 Delaware Street SE, Minneapolis, MN 55414, United States of America. Electronic address: kloth@umn.edu. 3. Division of General Pediatrics and Adolescent Health, University of Minnesota, Room 385, 717 Delaware St SE, Minneapolis, MN 55455, United States of America. Electronic address: eisen012@umn.edu. 4. Sanford Center for Biobehavioral Research, 120 Eighth St S, Fargo, ND 58103, United States of America. Electronic address: viviennehazzard@gmail.com. 5. Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Suite 300, 1300 South Second Street, Minneapolis, MN 55454, United States of America. Electronic address: neuma011@umn.edu.
Abstract
PURPOSE: Body dissatisfaction and disordered eating are linked to adverse health consequences. Research describing socioeconomic patterns in the prevalence of these problems is important for informing the design of health services and efforts to improve health equity. METHODS: Population-based cohort study (EAT 2010-2018: Eating and Activity over Time) of socioeconomically and ethnically/racially diverse U.S. young people who completed surveys as adolescents in 2009-2010 (mean age = 14.5 years) and as emerging adults in 2018 (mean age = 22.0 years). Participants were recruited from 20 schools in Minneapolis-St. Paul, Minnesota. Household socioeconomic status was determined using adolescent report of parental education, employment, and public assistance benefits. Analyses were conducted using data from 1531 participants and regression models that accounted for repeated measures within individuals. RESULTS: Among females, high body dissatisfaction and unhealthy weight control behaviors (e.g., skipping meals) were more prevalent and regular use of lifestyle weight management behaviors (e.g., exercise) was less prevalent in the low SES group as compared to the middle and/or upper SES groups (p ≤ .010). Among males, thinness-oriented dieting, unhealthy weight control behaviors, and extreme weight control behaviors (e.g., taking diet pills) were all more prevalent in the low SES group as compared to the middle and/or upper SES groups (p ≤ .010). Few differences were observed across SES groups in models that adjusted for ethnic/racial identity and body mass index. CONCLUSIONS: There is a need for greater attention to the reach and relevance of efforts to prevent disordered eating and improve body satisfaction to ensure efforts benefit young people across SES groups.
PURPOSE: Body dissatisfaction and disordered eating are linked to adverse health consequences. Research describing socioeconomic patterns in the prevalence of these problems is important for informing the design of health services and efforts to improve health equity. METHODS: Population-based cohort study (EAT 2010-2018: Eating and Activity over Time) of socioeconomically and ethnically/racially diverse U.S. young people who completed surveys as adolescents in 2009-2010 (mean age = 14.5 years) and as emerging adults in 2018 (mean age = 22.0 years). Participants were recruited from 20 schools in Minneapolis-St. Paul, Minnesota. Household socioeconomic status was determined using adolescent report of parental education, employment, and public assistance benefits. Analyses were conducted using data from 1531 participants and regression models that accounted for repeated measures within individuals. RESULTS: Among females, high body dissatisfaction and unhealthy weight control behaviors (e.g., skipping meals) were more prevalent and regular use of lifestyle weight management behaviors (e.g., exercise) was less prevalent in the low SES group as compared to the middle and/or upper SES groups (p ≤ .010). Among males, thinness-oriented dieting, unhealthy weight control behaviors, and extreme weight control behaviors (e.g., taking diet pills) were all more prevalent in the low SES group as compared to the middle and/or upper SES groups (p ≤ .010). Few differences were observed across SES groups in models that adjusted for ethnic/racial identity and body mass index. CONCLUSIONS: There is a need for greater attention to the reach and relevance of efforts to prevent disordered eating and improve body satisfaction to ensure efforts benefit young people across SES groups.
Authors: Meg Bruening; Richard MacLehose; Katie Loth; Mary Story; Dianne Neumark-Sztainer Journal: Am J Public Health Date: 2012-01-19 Impact factor: 9.308
Authors: Dianne R Neumark-Sztainer; Sarah E Friend; Colleen F Flattum; Peter J Hannan; Mary T Story; Katherine W Bauer; Shira B Feldman; Christine A Petrich Journal: Am J Prev Med Date: 2010-11 Impact factor: 5.043