Indicators of Eating Disorders in Sexually Abused Brazilian Adolescents: Family and School Contexts

Eating disorders, characterized by abnormal eating behaviors, are among a wide variety of psychiatric conditions that mainly affect children and adolescents. These disorders have a multifactorial origin and can be associated with restrictive diets, negative feelings, harmful family relationships, an...

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Main Authors: Julia Altoé Andrade, Luciane Bresciani Salaroli, Priscilla Rayanne e Silva Noll, Matias Noll, Sheila Oliveira Feitosa, Rodrigo Daminello Raimundo, Adriana Gonçalves de Oliveira, Carolina Rodrigues Mendonça, Luiz Carlos de Abreu
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/8/1393
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author Julia Altoé Andrade
Luciane Bresciani Salaroli
Priscilla Rayanne e Silva Noll
Matias Noll
Sheila Oliveira Feitosa
Rodrigo Daminello Raimundo
Adriana Gonçalves de Oliveira
Carolina Rodrigues Mendonça
Luiz Carlos de Abreu
author_facet Julia Altoé Andrade
Luciane Bresciani Salaroli
Priscilla Rayanne e Silva Noll
Matias Noll
Sheila Oliveira Feitosa
Rodrigo Daminello Raimundo
Adriana Gonçalves de Oliveira
Carolina Rodrigues Mendonça
Luiz Carlos de Abreu
author_sort Julia Altoé Andrade
collection DOAJ
description Eating disorders, characterized by abnormal eating behaviors, are among a wide variety of psychiatric conditions that mainly affect children and adolescents. These disorders have a multifactorial origin and can be associated with restrictive diets, negative feelings, harmful family relationships, and post-traumatic stress. Thus, this study’s objective was to evaluate the association between indicators of eating disorders and family and school contexts in Brazilian adolescents who previously experienced sexual abuse and examine the findings based on sex. National School Health Survey data were utilized. Among 102,301 students between 11 and 19 years of age, 4124 reported having experienced sexual abuse and were included in this study. Self-report questionnaires were used to assess participants’ health status and the presence of risk behaviors, which were examined through multivariate analysis using a Poisson regression model. The results indicated positive relationships between self-induced vomiting, laxative misuse, and other purgative methods and infrequent meals with family, hunger, and the presence of violence in students’ daily lives, regardless of sex (<i>p</i> < 0.05). In addition, body dissatisfaction and negative feelings about one’s body were associated with having been bullied or teased by schoolmates for both sexes (<i>p</i> < 0.05). Distant relationships with parents were associated with purgative methods and body dissatisfaction among female students (<i>p</i> < 0.05). In conclusion, body dissatisfaction, negative feelings about one’s body, laxative misuse, self-induced vomiting, and purgative methods were found to be associated with factors in family and school contexts such as hunger, infrequent meals with family, family violence, distant relationships with parents, and bullying at school in adolescents who have previously experienced sexual abuse.
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spelling doaj.art-6b94b32815ab44c08d870b7d4bf262aa2023-11-19T00:40:55ZengMDPI AGChildren2227-90672023-08-01108139310.3390/children10081393Indicators of Eating Disorders in Sexually Abused Brazilian Adolescents: Family and School ContextsJulia Altoé Andrade0Luciane Bresciani Salaroli1Priscilla Rayanne e Silva Noll2Matias Noll3Sheila Oliveira Feitosa4Rodrigo Daminello Raimundo5Adriana Gonçalves de Oliveira6Carolina Rodrigues Mendonça7Luiz Carlos de Abreu8Nutrition and Health Postgraduate Program, Health Sciences Center, Federal University Espirito Santo, Vitória 29075-910, BrazilNutrition and Health Postgraduate Program, Health Sciences Center, Federal University Espirito Santo, Vitória 29075-910, BrazilInstituto Federal Goiano, Ceres 76300-000, BrazilInstituto Federal Goiano, Ceres 76300-000, BrazilInstituto Federal Goiano, Ceres 76300-000, BrazilLaboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário FMABC, Santo André 09060-590, BrazilLaboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário FMABC, Santo André 09060-590, BrazilHealth Sciences Postgraduate Program, Medical School, Universidade Federal de Goiás, Goiânia 74605-080, BrazilNutrition and Health Postgraduate Program, Health Sciences Center, Federal University Espirito Santo, Vitória 29075-910, BrazilEating disorders, characterized by abnormal eating behaviors, are among a wide variety of psychiatric conditions that mainly affect children and adolescents. These disorders have a multifactorial origin and can be associated with restrictive diets, negative feelings, harmful family relationships, and post-traumatic stress. Thus, this study’s objective was to evaluate the association between indicators of eating disorders and family and school contexts in Brazilian adolescents who previously experienced sexual abuse and examine the findings based on sex. National School Health Survey data were utilized. Among 102,301 students between 11 and 19 years of age, 4124 reported having experienced sexual abuse and were included in this study. Self-report questionnaires were used to assess participants’ health status and the presence of risk behaviors, which were examined through multivariate analysis using a Poisson regression model. The results indicated positive relationships between self-induced vomiting, laxative misuse, and other purgative methods and infrequent meals with family, hunger, and the presence of violence in students’ daily lives, regardless of sex (<i>p</i> < 0.05). In addition, body dissatisfaction and negative feelings about one’s body were associated with having been bullied or teased by schoolmates for both sexes (<i>p</i> < 0.05). Distant relationships with parents were associated with purgative methods and body dissatisfaction among female students (<i>p</i> < 0.05). In conclusion, body dissatisfaction, negative feelings about one’s body, laxative misuse, self-induced vomiting, and purgative methods were found to be associated with factors in family and school contexts such as hunger, infrequent meals with family, family violence, distant relationships with parents, and bullying at school in adolescents who have previously experienced sexual abuse.https://www.mdpi.com/2227-9067/10/8/1393eating disorderslaxativesadolescents healthsexual violencesexual crimessexual assault victims
spellingShingle Julia Altoé Andrade
Luciane Bresciani Salaroli
Priscilla Rayanne e Silva Noll
Matias Noll
Sheila Oliveira Feitosa
Rodrigo Daminello Raimundo
Adriana Gonçalves de Oliveira
Carolina Rodrigues Mendonça
Luiz Carlos de Abreu
Indicators of Eating Disorders in Sexually Abused Brazilian Adolescents: Family and School Contexts
Children
eating disorders
laxatives
adolescents health
sexual violence
sexual crimes
sexual assault victims
title Indicators of Eating Disorders in Sexually Abused Brazilian Adolescents: Family and School Contexts
title_full Indicators of Eating Disorders in Sexually Abused Brazilian Adolescents: Family and School Contexts
title_fullStr Indicators of Eating Disorders in Sexually Abused Brazilian Adolescents: Family and School Contexts
title_full_unstemmed Indicators of Eating Disorders in Sexually Abused Brazilian Adolescents: Family and School Contexts
title_short Indicators of Eating Disorders in Sexually Abused Brazilian Adolescents: Family and School Contexts
title_sort indicators of eating disorders in sexually abused brazilian adolescents family and school contexts
topic eating disorders
laxatives
adolescents health
sexual violence
sexual crimes
sexual assault victims
url https://www.mdpi.com/2227-9067/10/8/1393
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