Sexual and physical abuse and identity of the perpetrator: Associations with binge eating and overeating in Project EAT 2018

Cynthia Yoon, Rebecca L. Emery, Susan M. Mason, Dianne Neumark-Sztainer

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Background: Sexual and physical abuse are risk factors for binge eating and overeating, but few studies have examined association of the identity of the perpetrator with survivors' risk of binge eating and overeating. Purpose: To examine the risk of binge eating and overeating by (1) type of abuse and identity of the perpetrators and (2) cumulative abuse experiences/perpetrators. Methods: Data came from Eating and Activity over Time (N = 1407; ages 18–30 during 2017–2018). Sexual abuse perpetrators included family members, non-family members, and intimate partners. Physical abuse perpetrators included family members and intimate partners. Cumulative abuse experiences were defined as the number of types of abuse experienced. Modified Poisson regressions were used to examine the risk of binge eating (overeating with loss of control) and overeating (without loss of control), by (1) abuse type and perpetrator and (2) cumulative abuse experiences. Results: Abuse was more strongly associated with binge eating than overeating. For binge eating, risk factors included familial and intimate partner sexual abuse (RR = 1.48 [95% CI = 1.01–2.17] and 2.41, [95% CI = 1.70–3.41], respectively) and physical abuse (RR = 1.84, [95% CI = 1.33–2.53] and 1.95, [95% CI = 1.35–2.81], respectively), after adjustment for sociodemographic variables. For overeating, associations with physical abuse were close to the null, and those with sexual abuse were modest, with wide CIs that overlapped the null. Abuse experiences were cumulatively associated with binge eating, but not overeating. Conclusion: Assessment of identity of the perpetrator, and cumulative abuse experiences/perpetrators may assist in identifying people at the greatest risk of binge eating.

Original languageEnglish (US)
Article number101577
JournalEating Behaviors
Volume43
DOIs
StatePublished - Dec 2021

Bibliographical note

Funding Information:
Data collection for the study was supported by the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer) [grant numbers R01HL127077 and R35HL139853]. Cynthia Yoon‘s time was supported by the National Institute of Diabetes and Digestive and Kidney Diseases (PI: Robert W. Jeffery) [award number T32DK083250]. Rebecca Emery's time was supported by the National Center for Advancing Translational Sciences (PI: Fulkerson) [TL1 R002493] and (PI: Blazar) [UL1 TR002494]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute, the National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Mental Health, or the National Institutes of Health.

Funding Information:
Data collection for the study was supported by the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer) [grant numbers R01HL127077 and R35HL139853]. Cynthia Yoon‘s time was supported by the National Institute of Diabetes and Digestive and Kidney Diseases (PI: Robert W. Jeffery) [award number T32DK083250]. Rebecca Emery’s time was supported by the National Center for Advancing Translational Sciences (PI: Fulkerson) [TL1 R002493] and (PI: Blazar) [UL1 TR002494]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute, the National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Mental Health, or the National Institutes of Health.

Publisher Copyright:
© 2021

Keywords

  • Binge eating
  • Intimate partner violence (IPV)
  • Overeating
  • Perpetrator
  • Physical abuse
  • Sexual abuse

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural

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