[논문]Sexual victimization and adolescent weight regulation practices: a test across three community based samples

doi:10.1016/S0145-2134(00)00243-X

[해외논문] Sexual victimization and adolescent weight regulation practices: a test across three community based samples

Child abuse & neglect, v.25 no.2, 2001년, pp.291 - 305

Thompson, K.M. (Sociology, Department of Sociology, North Dakota State University, Fargo, ND 58105, USA) , Wonderlich, S.A. (Neuropsychiatric Research Institute, Department of Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, ND 58105, USA) , Crosby, R.D. (Neuropsychiatric Research Institute University of North Dakota School of Medicine and Health Sciences, Fargo, ND 58105, USA) , Mitchell, J.E. (Neuropsychiatric Research Institute University of North Dakota School of Medicine and Health Sciences, Fargo, ND 58105, USA)

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AbstractObjective: This study had four objectives: 1) to examine the association between sexual victimization and weight regulation across three samples of adolescent girls, 2) to assess whether sexual victimization is associated with more extreme forms of weight regulation in girls, 3) to discern whether sexual victimization has implications for the use of multiple forms of weight regulation, and 4) to address the role of physical victimization in explaining these relationships.Method: Data from three separate samples of 9th-12th graders were used to test these hypotheses. Girls from the upper Midwest responded to survey questions related to victimization and weight regulation in a largely urban sample (N = 2,086), a rural sample (N = 2,629), and a statewide sample (N = 966).Results: Logistic regression revealed that sexual victimization was consistently associated with weight regulation in adolescent girls, independent of the effects of physical victimization. In the urban sample, being sexually victimized was associated with an increase in the probability of purging by 18% relative to not being sexually victimized. Sexual victimization was associated more strongly with extreme forms of weight regulation and significantly discriminated whether girls would choose multiple weight regulation forms.Conclusions: Sexual victimization contributes unique variance to the probability that girls will practice weight regulation techniques. Data from three independent samples confirms that being violated sexually places girls at risk for various health compromising eating behaviors.

Abstract

RésuméObjectif. Cette étude comporte quatre objectifs: 1) Examiner l’association entre la victimisation sexuelle et la régulation du poids auprès de trois échantillons d’adolescentes, 2) évaluer si la victimisation sexuelle est associée avec des formes extrêmes de régulation du poids chez les filles, 3) discerner si la victimisation sexuelle a des implications dans l’utilisation de formes multiples de régulation du poids, et 4) aborder le rôle de la victimisation physique pour expliquer ces relations.Méthode. On a utilisé les données de trois échantillons séparés d’élèves de la 9ième à la 12ième année pour tester ces hypothèses. Des filles du haut Middle-West ont répondu aux questions d’une enquête concernant la victimisation et la régulation du poids. Elles appartenaient à un échantillon urbain(N = 2,086),à un échantillon rural (N = 2,629), et à un échantillon provenant de l’ensemble de l’Etat.Résultats. Une régression logique a révélé que la victimisation sexuelle était bien associée à la régulation du poids chez les adolescentes, indépendamment des effets de la victimisation physique. Dans l’échantillon urbain, la victimisation sexuelle était associée à une augmentation de la probabilité de prendre des purgatifs pour près de 18% par comparaison avec les non-victimisées sexuellement. La victimisation sexuelle était associée plus fortement avec des formes extrêmes de régulation du poids et discriminait significativement la possibilité pour les filles de choisir des formes multiples de régulation de leur poids.Conclusions. La victimisation sexuelle contribue selon une variance exceptionnelle à la probabilité selon laquelle les filles choisiront des techniques multiples de régulation de leur poids. Les données de trois échantillons indépendants confirment que le fait d’avoir été violées sexuellement place les adolescentes dans des situations à risque pour leur santé en recourant à des comportements alimentaires variés.

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