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Greater social adversity is associated with more disordered eating attitudes and behaviors among children from Southeast Michigan
dc.contributor.authorMcGowan, Andrea
dc.contributor.authorBarry, Mikayla R.
dc.contributor.authorSonneville, Kendrin R.
dc.contributor.authorLeung, Cindy W.
dc.date.accessioned2023-01-11T16:21:28Z
dc.date.available2024-01-11 11:21:27en
dc.date.available2023-01-11T16:21:28Z
dc.date.issued2022-12
dc.identifier.citationMcGowan, Andrea; Barry, Mikayla R.; Sonneville, Kendrin R.; Leung, Cindy W. (2022). "Greater social adversity is associated with more disordered eating attitudes and behaviors among children from Southeast Michigan." International Journal of Eating Disorders 55(12): 1670-1677.
dc.identifier.issn0276-3478
dc.identifier.issn1098-108X
dc.identifier.urihttps://hdl.handle.net/2027.42/175387
dc.description.abstractObjectiveThe objective of this study is to examine the association between indicators of social adversity, including socioeconomic status and race/ethnicity, and children’s disordered eating behaviors and attitudes.MethodsChildren ages 8–10 years old (n = 183) were recruited from Michigan. Data were collected through in-home surveys. The Children’s Eating Attitudes Test (ChEAT-24) measured disordered eating attitudes and behaviors in the sample. Cumulative social adversity was considered the sum of four binary variables: caregiver race/ethnicity, caregiver education, household income, and child-reported food security status. Linear mixed models examined the association between social adversity indicators and ChEAT-24 scores.ResultsChildren of primary caregivers of color had significantly higher ChEAT-24 scores than children of white caregivers (p = .03). Children who reported food insecurity had significantly higher ChEAT-24 scores compared to children who reported food security (p = .01). Compared to children with the lowest social adversity score, children with the highest score had a 4.8-unit higher ChEAT-24 score (95% CI .3–9.4), after adjusting for covariates. A significant trend was observed for greater social adversity and higher ChEAT-24 score (p-trend = .02).ConclusionA linear association was observed between greater social adversity and more disordered eating behaviors and attitudes among children in this sample. These findings emphasize the need for eating disorder research in children from racial/ethnic minorities and socioeconomically disadvantaged populations to support future prevention efforts.Public SignificanceGreater exposure to social adversity was associated with more disordered eating behaviors among preadolescent children. Given that eating disorders are understudied in lower-income and minority racial/ethnic populations, this study highlights the need for additional research to better support prevention and treatment efforts among children from socioeconomically diverse backgrounds.
dc.publisherJohn Wiley & Sons, Inc.
dc.subject.otherchild
dc.subject.othersocioeconomic factors
dc.subject.otherUnited States
dc.subject.otherpublic health
dc.subject.otherpoverty
dc.subject.otherfood insecurity
dc.subject.otherfeeding and eating disorders
dc.titleGreater social adversity is associated with more disordered eating attitudes and behaviors among children from Southeast Michigan
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPublic Health
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/175387/1/eat23775.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/175387/2/eat23775_am.pdf
dc.identifier.doi10.1002/eat.23775
dc.identifier.sourceInternational Journal of Eating Disorders
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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