Traumatic event exposure associated with increased food insecurity and eating disorder pathology
The primary aim was to investigate the association between food insecurity (FI) and eating disorders, which are nutrition-based public health problems, with traumatic event exposure in a low-income marginalized population. The study also investigated the association between traumatic event exposure,...
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| Veröffentlicht in: | Public health nutrition 2018-11, Vol.21 (16), p.3058-3066 |
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| creator | Becker, Carolyn Black Middlemass, Keesha Johnson, Clara Taylor, Brigitte Gomez, Francesca Sutherland, Autumn |
| description | The primary aim was to investigate the association between food insecurity (FI) and eating disorders, which are nutrition-based public health problems, with traumatic event exposure in a low-income marginalized population. The study also investigated the association between traumatic event exposure, anxiety and weight stigma.
The study used self-report surveys in a cross-sectional design.
Food pantries affiliated with the local food bank in a major US city.
Participants (n 503) consisted of clients presenting to food pantries. Participants were predominantly female (76·5 %), Latino/Hispanic (64·6 %) and low-income (59 % reported earning under $US 10 000 per year).
Results indicated that 55·7 % of participants had directly experienced a traumatic event; this increased to 61·6 % when witnessing was included. Higher levels of FI were associated with greater traumatic event exposure. Increased exposure to traumatic events correlated with worsened overall eating disorder pathology (r=-0·239), weight stigma (r=-0·151) and anxiety (r=-0·210).
The present study is the first to investigate the association of FI, eating disorders and trauma in a low-income marginalized population. Results indicate that exposure to traumatic events is common in this civilian population and that traumatic event exposure is associated with higher levels of FI and eating disorder pathology. Results indicate that further research is warranted given that traumatic event exposure, eating disorder pathology, weight stigma and anxiety may complicate effective delivery of public health interventions in those living with FI. |
| doi_str_mv | 10.1017/S1368980018001738 |
| format | Article |
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The study used self-report surveys in a cross-sectional design.
Food pantries affiliated with the local food bank in a major US city.
Participants (n 503) consisted of clients presenting to food pantries. Participants were predominantly female (76·5 %), Latino/Hispanic (64·6 %) and low-income (59 % reported earning under $US 10 000 per year).
Results indicated that 55·7 % of participants had directly experienced a traumatic event; this increased to 61·6 % when witnessing was included. Higher levels of FI were associated with greater traumatic event exposure. Increased exposure to traumatic events correlated with worsened overall eating disorder pathology (r=-0·239), weight stigma (r=-0·151) and anxiety (r=-0·210).
The present study is the first to investigate the association of FI, eating disorders and trauma in a low-income marginalized population. Results indicate that exposure to traumatic events is common in this civilian population and that traumatic event exposure is associated with higher levels of FI and eating disorder pathology. Results indicate that further research is warranted given that traumatic event exposure, eating disorder pathology, weight stigma and anxiety may complicate effective delivery of public health interventions in those living with FI.</description><identifier>ISSN: 1368-9800</identifier><identifier>EISSN: 1475-2727</identifier><identifier>DOI: 10.1017/S1368980018001738</identifier><identifier>PMID: 30107865</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adult ; Adults ; Aged ; Anxiety ; Chronic illnesses ; Cross-Sectional Studies ; Diabetes ; Disorders ; Domestic violence ; Eating ; Eating disorders ; Epidemiology ; Exposure ; Families & family life ; Feeding and Eating Disorders - psychology ; Female ; Food ; Food security ; Food Supply ; Health care ; Health problems ; Health promotion ; Households ; Humans ; Hunger ; Income ; Life Change Events ; Low income groups ; Male ; Marginality ; Mental depression ; Mental disorders ; Mental health ; Middle Aged ; Nutrition ; Obesity ; Pathology ; Population studies ; Poverty ; Public health ; Quantitative psychology ; Research Paper ; Sex crimes ; Socioeconomic factors ; Stigma ; Stress ; Studies ; Surveys and Questionnaires ; Texas ; Trauma ; United States ; Weight ; Womens health</subject><ispartof>Public health nutrition, 2018-11, Vol.21 (16), p.3058-3066</ispartof><rights>The Authors 2018</rights><rights>The Authors 2018 2018 The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c472t-115655858be29bbc835c26c67e925106d31fee842116085aadb1f432d298221a3</citedby><cites>FETCH-LOGICAL-c472t-115655858be29bbc835c26c67e925106d31fee842116085aadb1f432d298221a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10260863/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10260863/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27323,27903,27904,33753,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30107865$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Becker, Carolyn Black</creatorcontrib><creatorcontrib>Middlemass, Keesha</creatorcontrib><creatorcontrib>Johnson, Clara</creatorcontrib><creatorcontrib>Taylor, Brigitte</creatorcontrib><creatorcontrib>Gomez, Francesca</creatorcontrib><creatorcontrib>Sutherland, Autumn</creatorcontrib><title>Traumatic event exposure associated with increased food insecurity and eating disorder pathology</title><title>Public health nutrition</title><addtitle>Public Health Nutr</addtitle><description>The primary aim was to investigate the association between food insecurity (FI) and eating disorders, which are nutrition-based public health problems, with traumatic event exposure in a low-income marginalized population. The study also investigated the association between traumatic event exposure, anxiety and weight stigma.
The study used self-report surveys in a cross-sectional design.
Food pantries affiliated with the local food bank in a major US city.
Participants (n 503) consisted of clients presenting to food pantries. Participants were predominantly female (76·5 %), Latino/Hispanic (64·6 %) and low-income (59 % reported earning under $US 10 000 per year).
Results indicated that 55·7 % of participants had directly experienced a traumatic event; this increased to 61·6 % when witnessing was included. Higher levels of FI were associated with greater traumatic event exposure. Increased exposure to traumatic events correlated with worsened overall eating disorder pathology (r=-0·239), weight stigma (r=-0·151) and anxiety (r=-0·210).
The present study is the first to investigate the association of FI, eating disorders and trauma in a low-income marginalized population. Results indicate that exposure to traumatic events is common in this civilian population and that traumatic event exposure is associated with higher levels of FI and eating disorder pathology. Results indicate that further research is warranted given that traumatic event exposure, eating disorder pathology, weight stigma and anxiety may complicate effective delivery of public health interventions in those living with FI.</description><subject>Adult</subject><subject>Adults</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Chronic illnesses</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Disorders</subject><subject>Domestic violence</subject><subject>Eating</subject><subject>Eating disorders</subject><subject>Epidemiology</subject><subject>Exposure</subject><subject>Families & family life</subject><subject>Feeding and Eating Disorders - psychology</subject><subject>Female</subject><subject>Food</subject><subject>Food security</subject><subject>Food Supply</subject><subject>Health care</subject><subject>Health problems</subject><subject>Health promotion</subject><subject>Households</subject><subject>Humans</subject><subject>Hunger</subject><subject>Income</subject><subject>Life Change Events</subject><subject>Low income groups</subject><subject>Male</subject><subject>Marginality</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Pathology</subject><subject>Population studies</subject><subject>Poverty</subject><subject>Public health</subject><subject>Quantitative psychology</subject><subject>Research Paper</subject><subject>Sex crimes</subject><subject>Socioeconomic factors</subject><subject>Stigma</subject><subject>Stress</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Texas</subject><subject>Trauma</subject><subject>United States</subject><subject>Weight</subject><subject>Womens health</subject><issn>1368-9800</issn><issn>1475-2727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kUtv1TAQhS0EoqXwA9ggS2zYBDx2_MgKoYqXVIkFZW0ce3KvqyS-2EnL_ff4qpfyEgvLHp0zn-doCHkK7CUw0K8-g1CmM4zB4Whh7pFTaLVsuOb6fn1XuTnoJ-RRKVeMMam1fkhOBAOmjZKn5OtlduvklugpXuO8UPy-S2XNSF0pyUe3YKA3cdnSOPuMrtRySCnUsqBfc1z21M2BYkXMGxpiSTlgpju3bNOYNvvH5MHgxoJPjvcZ-fLu7eX5h-bi0_uP528uGt9qvjQAUklppOmRd33vjZCeK680dlwCU0HAgGhaDqCYkc6FHoZW8MA7wzk4cUZe33J3az9h8DVLdqPd5Ti5vLfJRfunMset3aRrC4xXohKV8OJIyOnbimWxUywex9HNmNZiOTNGt6pjUK3P_7JepTXPNZ-tAxqt2pZ11QW3Lp9TKRmHu2mA2cMC7T8LrD3Pfo9x1_FzY9UgjlA39TmGDf76-__YH1nVpjw</recordid><startdate>20181101</startdate><enddate>20181101</enddate><creator>Becker, Carolyn Black</creator><creator>Middlemass, Keesha</creator><creator>Johnson, Clara</creator><creator>Taylor, Brigitte</creator><creator>Gomez, Francesca</creator><creator>Sutherland, Autumn</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7T2</scope><scope>7U3</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>BENPR</scope><scope>BHHNA</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20181101</creationdate><title>Traumatic event exposure associated with increased food insecurity and eating disorder pathology</title><author>Becker, Carolyn Black ; Middlemass, Keesha ; Johnson, Clara ; Taylor, Brigitte ; Gomez, Francesca ; Sutherland, Autumn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c472t-115655858be29bbc835c26c67e925106d31fee842116085aadb1f432d298221a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Chronic illnesses</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes</topic><topic>Disorders</topic><topic>Domestic violence</topic><topic>Eating</topic><topic>Eating disorders</topic><topic>Epidemiology</topic><topic>Exposure</topic><topic>Families & family life</topic><topic>Feeding and Eating Disorders - psychology</topic><topic>Female</topic><topic>Food</topic><topic>Food security</topic><topic>Food Supply</topic><topic>Health care</topic><topic>Health problems</topic><topic>Health promotion</topic><topic>Households</topic><topic>Humans</topic><topic>Hunger</topic><topic>Income</topic><topic>Life Change Events</topic><topic>Low income groups</topic><topic>Male</topic><topic>Marginality</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Nutrition</topic><topic>Obesity</topic><topic>Pathology</topic><topic>Population studies</topic><topic>Poverty</topic><topic>Public health</topic><topic>Quantitative psychology</topic><topic>Research Paper</topic><topic>Sex crimes</topic><topic>Socioeconomic factors</topic><topic>Stigma</topic><topic>Stress</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Texas</topic><topic>Trauma</topic><topic>United States</topic><topic>Weight</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Becker, Carolyn Black</creatorcontrib><creatorcontrib>Middlemass, Keesha</creatorcontrib><creatorcontrib>Johnson, Clara</creatorcontrib><creatorcontrib>Taylor, Brigitte</creatorcontrib><creatorcontrib>Gomez, Francesca</creatorcontrib><creatorcontrib>Sutherland, Autumn</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Social Services Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central</collection><collection>Sociological Abstracts</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Public health nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Becker, Carolyn Black</au><au>Middlemass, Keesha</au><au>Johnson, Clara</au><au>Taylor, Brigitte</au><au>Gomez, Francesca</au><au>Sutherland, Autumn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Traumatic event exposure associated with increased food insecurity and eating disorder pathology</atitle><jtitle>Public health nutrition</jtitle><addtitle>Public Health Nutr</addtitle><date>2018-11-01</date><risdate>2018</risdate><volume>21</volume><issue>16</issue><spage>3058</spage><epage>3066</epage><pages>3058-3066</pages><issn>1368-9800</issn><eissn>1475-2727</eissn><abstract>The primary aim was to investigate the association between food insecurity (FI) and eating disorders, which are nutrition-based public health problems, with traumatic event exposure in a low-income marginalized population. The study also investigated the association between traumatic event exposure, anxiety and weight stigma.
The study used self-report surveys in a cross-sectional design.
Food pantries affiliated with the local food bank in a major US city.
Participants (n 503) consisted of clients presenting to food pantries. Participants were predominantly female (76·5 %), Latino/Hispanic (64·6 %) and low-income (59 % reported earning under $US 10 000 per year).
Results indicated that 55·7 % of participants had directly experienced a traumatic event; this increased to 61·6 % when witnessing was included. Higher levels of FI were associated with greater traumatic event exposure. Increased exposure to traumatic events correlated with worsened overall eating disorder pathology (r=-0·239), weight stigma (r=-0·151) and anxiety (r=-0·210).
The present study is the first to investigate the association of FI, eating disorders and trauma in a low-income marginalized population. Results indicate that exposure to traumatic events is common in this civilian population and that traumatic event exposure is associated with higher levels of FI and eating disorder pathology. Results indicate that further research is warranted given that traumatic event exposure, eating disorder pathology, weight stigma and anxiety may complicate effective delivery of public health interventions in those living with FI.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>30107865</pmid><doi>10.1017/S1368980018001738</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10260863 |
| source | MEDLINE; Sociological Abstracts; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Adult Adults Aged Anxiety Chronic illnesses Cross-Sectional Studies Diabetes Disorders Domestic violence Eating Eating disorders Epidemiology Exposure Families & family life Feeding and Eating Disorders - psychology Female Food Food security Food Supply Health care Health problems Health promotion Households Humans Hunger Income Life Change Events Low income groups Male Marginality Mental depression Mental disorders Mental health Middle Aged Nutrition Obesity Pathology Population studies Poverty Public health Quantitative psychology Research Paper Sex crimes Socioeconomic factors Stigma Stress Studies Surveys and Questionnaires Texas Trauma United States Weight Womens health |
| title | Traumatic event exposure associated with increased food insecurity and eating disorder pathology |
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