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Abstract
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Introduction
In high-income countries, sexual minorities are at a higher risk for disordered eating behaviors. It is not known whether these findings can be extrapolated to Mexico.
Objective
Determine whether there are any differences in disordered eating behaviors among Mexican youth according to sexual orientation and analyze the potential role of experiences of violence and discrimination as mediators of these differences.
Method
Data from a representative sample of Mexican youth (12 to 29 years old, n = 27,876) were analyzed. Three groups were identified: young people who were not in love (NIL), who were in love with people of the opposite sex (ILOS), or in love with people of the same sex (ILSS). Restrictive behaviors, secret eating, and self-induced vomiting were identified through a scale created for the survey.
Results
ILSS men had a higher risk of restrictive thoughts and behaviors (B =.31), secret eating (OR = 2.21), and self-induced vomiting (OR = 3.65) than ILOS youth. Among women, there was only a difference in self-induced vomiting (RM = 2.49). In both sexes, being a young ILSS had an indirect effect on restrictive behaviors through its association with experiences of violence, discrimination at school, and sexual violence.
Discussion and conclusion
. Mexican sexual minority men are at a higher risk of disordered eating behaviors, whereas sexual minority women are at a higher risk of purging. Part of the differences in restrictive behaviors were explained by the increased risk for experiences of prejudice faced by sexual minority youth.
Keywords : Sexual orientation; eating and food ingestion disorders; inequities; discrimination; violence; gender.
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Introducción
En países de alto ingreso, las minorías sexuales tienen mayor riesgo de conductas alimentarias de riesgo. Se desconoce si esos hallazgos pueden ser extrapolados a México.
Objetivo
Determinar si existen disparidades en las conductas alimentarias de riesgo entre los jóvenes mexicanos según la orientación sexual y analizar el papel potencial de las experiencias de violencia y discriminación como mediadoras de tales disparidades.
Método
Se analizaron datos de una muestra representativa de jóvenes mexicanos (12 a 29 años, n = 27,876). Se identificaron tres grupos: jóvenes sin enamoramiento (sE), con enamoramiento por personas del otro sexo (cEOS) o con enamoramiento por personas del mismo sexo (cEMS). Las conductas restrictivas, comer a escondidas e inducirse vómito se identificaron a través de una escala creada para la encuesta.
Resultados
Los hombres cEMS tuvieron mayor riesgo de pensamientos y comportamientos restrictivos (B =.31), comer a escondidas (RM = 2.21) e inducirse vómito (RM = 3.65) en comparación con los jóvenes cEOS. Entre las mujeres, solo hubo diferencia en inducirse vómito (RM = 2.49). En ambos sexos, ser un joven cEMS tuvo un efecto indirecto sobre las conductas restrictivas a través su asociación con experiencias de violencia y discriminación escolares y violencia sexual.
Discusión y conclusión
Los hombres de minorías sexuales mexicanas tienen mayor riesgo de conductas alimentarias de riesgo, y las mujeres de minorías sexuales tienen mayor riesgo de una conducta de tipo purgativo. Parte de las disparidades en conductas restrictivas se explicaron por el mayor riesgo de experiencias de prejuicio que enfrentan los jóvenes de minorías sexuales.
Keywords : Orientación sexual; trastornos de la alimentación y de la ingestión de alimentos; inequidades; discriminación; violencia; género.
Language: en |