Influential factors of emotional overeating among college students based on social ecosystem theory in Anhui Province
-
摘要:
目的 探讨在特定社会文化背景下影响大学生情绪化过度进食行为的因素,为制定减少大学生不良饮食行为的干预策略提供新思路。 方法 采用多阶段抽样的方法,抽取安徽省北部、中部和南部5座城市2 045名大学生,基于社会生态系统理论框架设计问卷,测量大学生个人层面、人际层面、物理环境以及宏观层面的影响因素,采用情绪化过度进食量表(Emotional Overeating Questionnaire, EOQ)进行大学生情绪化过度进食行为频率的测量,并采用二元Logistic回归分析各因素对大学生情绪化过度进食行为的影响。 结果 全因素调节模型结果中,错误社会饮食观念影响(OR=1.28,95%CI=1.16~1.41)、情绪量表得分(OR=1.46,95%CI=1.24~1.73)、亲密朋友态度(OR=0.75,95%CI=0.59~0.95)与情绪化过度进食行为有相关性,性别、城乡出身、月生活费、父母态度、到常去的校外快餐店的距离及每天摄入食物包装上的营养成分和热量信息未标注比例与情绪化过度进食均无相关性(P值均>0.05)。 结论 错误社会饮食观念影响与情绪量表得分增加了情绪化过度进食的风险,亲密朋友态度则降低了情绪化过度进食的风险。应继续关注大学生的心理健康,降低情绪反应,并通过开展健康饮食宣教活动倡导同伴间正确的饮食观念,帮助大学生自觉抵御社会环境中容易造成不良进食行为的因素,树立正确饮食观念"。 Abstract:Objective To investigate the underlying influential factors related to emotional overeating behavior among college students, and to provide a reference for formulating intervention strategies for prevention of unhealthy eating behavior of college students. Methods A questionnaire designed based on the social ecosystem theory was used to assess the potential influential factors of at personal, social, physical and macro level emotional overeating behavior of 2 045 college students. The Emotional Overeating Questionnaire was used to measure the frequency of emotional overeating behavior among normal weight college students. Binary Logistic regression analysis was performed to analyze the association between dietary norms and the influence emotional overeating behaviors. Results In the full adjusted model, dietary norms (OR=1.28, 95%CI=1.16-1.41), emotion scale (OR=1.46, 95%CI=1.24-1.73) and close friends' attitude(OR=0.75, 95%CI=0.59-0.95)were associated with emotional overeating behaviors. Sex, urban and rural origin, monthly living expenses, parental attitude, distance to frequent fast food restaurants outside the school, and the unmarked proportion of nutritional content and calorie information on food packaging were not associated with emotional overeating behaviors (P>0.05). Conclusion Dietary norms and emotion scale might increase the risk of motional overeating, close friends' attitude might reduce the risk of emotional overeating. For reducing the frequency of unhealthy eating behavior, our results implied that 1) it's necessary to improve mental health of the college students; strengthening health education in order to make them distinguish the unhealthy dietary norms is important; peer education might be effective. -
Key words:
- Emotions /
- Eating disorders /
- Health education /
- Regression analysis /
- Students
-
表 1 大学生情绪化过度进食影响因素Logistic回归分析[n=2 045,OR值(OR值95%CI)]
Table 1. Logistic regression analysis of factors affecting college students' emotional overeating[n=2 045, OR(OR95%CI)]
影响因素 选项 模型1 模型2 性别 0.99(0.83~1.18) 1.01(0.84~1.20) 城乡出身 0.95(0.77~1.17) 0.97(0.78~1.19) 月生活费/元 1 000~1 499 1.05(0.87~1.28) 1.05(0.86~1.28) ≥1 500 1.01(0.76~1.34) 1.03(0.99~1.52) 个人影响 情绪量表得分 1.46(1.24~1.73)* 错误社会饮食观念影响 1.28(1.16~1.41)* 人际影响 父母态度 1.23(0.99~1.52) 亲密朋友态度 0.75(0.59~0.95)* 到常去校外快餐店的距离/m 500~1 000 0.88(0.69~1.12) 1 001~2 000 1.05(0.81~1.37) >2 000 0.91(0.65~1.27) 摄入食物的营养成分及能量信息未标注比例 1/2左右 0.89(0.67~1.17) 1/3左右或更少 0.90(0.71~1.14) 注:*P<0.05;模型1自变量为性别、城乡出身、月生活费;模型2自变量为性别、城乡出身、月生活费、情绪量表得分、错误社会饮食观念影响、人际影响、物理环境设置、宏观系统影响。 -
[1] CHEN Y, PENG Q, YANG Y, et al. The prevalence and increasing trends of overweight, general obesity, and abdominal obesity among Chinese adults: a repeated cross-sectional study[J]. BMC Public Health, 2019, 19(7656): 59-63. [2] LAZAREVICH I, CAMACHO M E I, VELÁZQUEZ-ALVA M D C, et al. Relationship among obesity, depression, and emotional eating in young adults[J]. Appetite, 2016, 107: 639-644. DOI: 10.1016/j.appet.2016.09.011. [3] 孙文喜. 生态移民儿童情绪化进食行为的研究[D]. 银川: 宁夏医科大学, 2016.SUN W X. A study of emotional eating in ecological migrant children[D]. Yinchuan: Ningxia Medical University, 2016. [4] MASHEB R M, GRILO C M. Emotional overeating and its associations with eating disorder psychopathology among overweight patients with Binge eating disorder[J]. Int J Eat Disord, 2006, 39(2): 141-146. doi: 10.1002/eat.20221 [5] 沈晶, 何莉, 安若鹏. 饮食环境对中国居民饮食行为及肥胖的影响[J]. 中华流行病学杂志, 2019, 40(10): 1296-1303.SHEN J, HE L, AN R P. Food environment and its relation to diet behavior and obesity in China[J]. Chin J Epidemiol, 2019, 40(10): 1296-1303. [6] 林志标. 当前我国老年人健康传播问题与对策: 基于社会生态系统理论模型的分析[J]. 宁波广播电视大学学报, 2020, 18(3): 17-23. https://www.cnki.com.cn/Article/CJFDTOTAL-NBGB202003005.htmLIN Z B. Problems and countermeasures of health communication of elderly people in China: an analysis based on the theory of social ecosystem[J]. J Ningbo Radio TV Univ, 2020, 18(3): 17-23. https://www.cnki.com.cn/Article/CJFDTOTAL-NBGB202003005.htm [7] 黄书琳. 生态系统理论视域下高校辅导员帮扶重病学生个案研究[J]. 开封教育学院学报, 2019, 39(7): 126-127. https://www.cnki.com.cn/Article/CJFDTOTAL-KFJY201907057.htmHUANG S L. The case study of college counselors helping critically ill students from the perspective of ecosystem theory[J]. J Kaifeng Inst Educ, 2019, 39(7): 126-127. https://www.cnki.com.cn/Article/CJFDTOTAL-KFJY201907057.htm [8] FORD T, LEE H S, JEON M J. The emotional eating and negative food relationship experiences of obese and overweight adults[J]. Soc Work Health Care, 2017, 56(6): 488-504. doi: 10.1080/00981389.2017.1301620 [9] KUMIKO O, TOMOKI M, KATSUYASU K, et al. Association of anthropometric status, perceived stress, and personality traits with eating behavior in university students[J]. Eat Weight Disord: EWD, 2019, 24(3): 521-531. doi: 10.1007/s40519-018-00637-w [10] MARY S, DIANNE N, SIMONE F. Individual and environmental influences on adolescent eating behaviors[J]. J Am Dietet Assoc, 2002, 102(Suppl 3): 40-51. http://her.oxfordjournals.org/external-ref?access_num=11902388&link_type=MED [11] 王倩. 大学生身体自我呈现自信心、社会性体格焦虑与饮食行为的关系研究[D]. 开封: 河南大学, 2013.WANG Q. The study on relations of undergraduate' physical self-presentation confidence, social physique anxiety and eating behavior[D]. Kaifeng: Henan University, 2013. [12] 沙冕, 卢金逵, 伍晓艳, 等. 大学生外卖食品消费及家庭影响因素分析[J]. 中国学校卫生, 2019, 40(7): 1068-1070. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201907033.htmSHA M, LU J K, WU X Y, et al. The analysis of college students' takeaway food consumption and family influencing factors[J]. Chin J Sch Health, 2019, 40(7): 1068-1070. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201907033.htm [13] 许辰, 陈红, 秦婧雪, 等. 不同亚类限制性饮食者情绪唤醒状态下的进食行为[J]. 中国临床心理学杂志, 2013, 21(5): 697-702. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201305001.htmXU C, CHEN H, QIN J X, et al. Emotional arousal and eating behavior in different subgoups of restrained eaters[J]. Chin J Clin Psychol, 2013, 21(5): 697-702. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201305001.htm [14] 李松子. 情绪诱发状态下情绪化进食者对食物注意偏向的研究: 来自眼动研究的证据[D]. 成都: 四川师范大学, 2016.LI S Z. The attentional bias for food among emotional eaters in emotional states-the evidences from eve movement studies[D]. Chengdu: Sichuan Normal University, 2016. [15] 赵思琦, 张守臣, 金童林, 等. 神经质对青少年情绪化饮食的影响: 一个有调节的中介效应模型[J]. 心理科学, 2019, 42(2): 477-483. https://www.cnki.com.cn/Article/CJFDTOTAL-XLKX201902031.htmZHAO S Q, ZHANG S C, JIN T L, et al. Adolescents: the role of experiential avoidance and self-esteem[J]. J Psychol Sci, 2019, 42(2): 477-483. https://www.cnki.com.cn/Article/CJFDTOTAL-XLKX201902031.htm [16] ALTHEIMER G, HEATHER L U. Do emotions cause eating?The role of previous experiences and social context in emotional eating[J]. Current Direct Psychol Sci, 2019, 28(3): 234-240. doi: 10.1177/0963721419837685 [17] DAUKENOV Z. 哈萨克语和汉语谚语对比研究[D]. 上海: 华东师范大学, 2017.DAUKENOV Z. A comparative study of Kazakh and Chinese Proverbs: a case study of proverbs in diet[D]. Shanghai: East China Normal University, 2017. [18] ZHANG Y, MA D, CUI R, et al. Facilitators and barriers of adopting healthy lifestyle in rural China: a qualitative analysis through social capital perspectives[J]. Nagoya J Med Sci, 2016, 78(2): 163-173. http://pubmedcentralcanada.ca/pmcc/articles/PMC4885816/ [19] HIGGS S. Social norms and their influence on eating behaviors[J]. Appetite, 2015, 86: 38-44. DOI: 10.1016/j.appet.2014.10.021. [20] KEMP E, BUI M, GRIER S. When food is more than nutrition: understanding emotional eating and overconsumption[J]. J Consum Behav, 2013, 12(3): 204-213. doi: 10.1002/cb.1413 [21] GOUVEIA M J, CANAVARRO M C, MOREIRA H. How can mindful parenting be related to emotional eating and overeating in childhood and adolescence?The mediating role of parenting stress and parental child-feeding practices[J]. Appetite, 2019, 138: 102-114. DOI: 10.1016/j.appet.2019.03.021. [22] 李瑞芹. 社会化饮食对青少年健康食品消费的影响: 基于认同的中介作用[D]. 长春: 吉林大学, 2018.LI R Q. Research on the impact of social eating on healthy food consumption of teenagers: based on the mediation effect of identity[D]. Changchun: Jilin University, 2018. [23] THOMPSON K A, KELLY N R, SCHVEY N A, et al. Internalization of appearance ideals mediates the relationship between appearance-related pressures from peers and emotional eating among adolescent boys and girls[J]. Eat Behav, 2017, 24: 66-73. DOI: 10.1016/j.eatbeh.2016.12.008. [24] SOGARI G, VELEZ-ARGUMEDO C, GóMEZ M I, et al. College students and eating habits: a study using an ecological model for healthy behavior[J]. Nutrients, 2018, 10(12): 1823. doi: 10.3390/nu10121823 [25] 张晓航. 当代大学生消费行为习惯研究: 基于零花钱支出的调查结果[J]. 中国商论, 2016(25): 74-75. DOI: 10.3969/j.issn.1005-5800.2016.25.039.ZHANG X H. Spending habits of contemporary college ctudents: based on the survey results of pocket money expenditure[J]. China J Commer, 2016(25): 74-75. DOI: 10.3969/j.issn.1005-5800.2016.25.039. [26] 梁国伟. 食品标签认知与消费者购买行为研究: 以B大学为例[D]. 北京: 对外经济贸易大学, 2017.LIANG G W. Study on food labelling and consumer purchasing behaviors: B University as an example[D]. Beijing: University of International Business and Economics, 2017. [27] 周彦优, 弓媛媛, 刘金, 等. 大学生饮食知识、态度、行为的调查研究[J]. 食品安全导刊, 2018(33): 179-181. DOI: 10.16043/j.cnki.cfs.2018.33.140.ZHOU Y Y, GONG Y Y, LIU J, et al. Dietary knowledge, attitude and behavior among college students[J]. China Food Safety Magazine, 2018(33): 179-181. DOI: 10.16043/j.cnki.cfs.2018.33.140. [28] ROBERTO C A, KAWACHI I. Use of psychology and behavioral economics to promote healthy eating[J]. Am J Prev Med, 2014, 47(6): 832-837. doi: 10.1016/j.amepre.2014.08.002 [29] 赵月琴. 高中生身体意象、调节方式与情绪性饮食之间的关系[D]. 兰州: 西北师范大学, 2018.ZHAO Y Q. The relationship between body image, regulation and emotional diet of high school students[D]. Lanzhou: Northwest Normal University, 2018.
计量
- 文章访问数: 507
- HTML全文浏览量: 238
- PDF下载量: 20
- 被引次数: 0