Show simple item record

2021-09-26Zeitschriftenartikel
The role of weight- and appearance-related discrimination on eating disorder symptoms among adolescents and emerging adults
dc.contributor.authorCohrdes, Caroline
dc.contributor.authorSantos-Hövener, Claudia
dc.contributor.authorKajikhina, Katja
dc.contributor.authorHölling, Heike
dc.date.accessioned2024-08-12T14:52:00Z
dc.date.available2024-08-12T14:52:00Z
dc.date.issued2021-09-26none
dc.identifier.other10.1186/s12889-021-11756-y
dc.identifier.urihttp://edoc.rki.de/176904/11894
dc.description.abstractBackground: Eating disorder symptoms (EDs) have been discussed as a prominent problem among late adolescent girls with serious health risks and long-term consequences. However, there is a lack of population-based evidence on EDs comprising the age range from early adolescence to emerging adulthood as well as considering both females and males equally. Additionally, the differential role of a comprehensive set of several relevant risk factors and particularly weight- and appearance-related discrimination warrants further attention. Thus, we aimed to contribute to a better understanding of sex- and age-related differences in associations between discrimination experience and other relevant personal risk factors (body image, social media use, self-efficacy, social support) with EDs. Furthermore, we were interested in the exploration of underlying mechanisms enhancing the risk of EDs by taking discrimination experience into account. Methods: Based on a logistic regression model, we investigated associations between weight- and appearance-related discrimination and EDs while controlling for other relevant personal risk factors in a subsample of N = 8504 adolescents and emerging adults (54.4% female, mean age = 20.71 years, SD = 4.32 years) drawn from a German representative health survey (KiGGS Wave 2). In a second step, we investigated the mediating role of discrimination experience between the other risk factors and EDs with the help of a path model. Results: While controlling for other relevant personal risk factors, weight- and appearance-related discrimination was significantly related to EDs. Whereas the risk of EDs was significantly enhanced in males and emerging adults frequently experiencing weight-related discrimination, adolescents showed a higher risk of EDs when experiencing appearance-related discrimination. Moreover, discrimination experience partly explained the associations between body image dissatisfaction, low self-efficacy, high media use and ED symptoms. Conclusions: The results highlight weight- and appearance-related discrimination as one central factor to be considered in the pathogeneses of EDs and underpin the need for discrimination prevention as well as the promotion of adaptive coping with discrimination experience to reduce the risk of developing ED symptoms. Males and emerging adults need particular attention when facing weight-related discrimination whereas risk constellations and EDs particularly affecting females need further investigation.eng
dc.language.isoundnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjecteating disorder symptomseng
dc.subjectadolescentseng
dc.subjectemerging adultseng
dc.subjectsex differenceseng
dc.subjectdiscriminationeng
dc.subjectsocial media useeng
dc.subjectbody imageeng
dc.subjectself-efficacyeng
dc.subjectsocial supporteng
dc.subjectKiGGS studyeng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleThe role of weight- and appearance-related discrimination on eating disorder symptoms among adolescents and emerging adultsnone
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/11894-4
dc.type.versionpublishedVersionnone
local.edoc.container-titleBMC Public Healthnone
local.edoc.container-issn1471-2458none
local.edoc.pages14none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://bmcpublichealth.biomedcentral.com/none
local.edoc.container-publisher-nameSpringer Naturenone
local.edoc.container-volume21none
local.edoc.container-reportyear2021none
dc.description.versionPeer Reviewednone

Show simple item record