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. 2023 Sep 18;14:1221816. doi: 10.3389/fpsyg.2023.1221816
Sex Ethnicity/race
Male (n = 406) Female (n = 481) p value Non-Hispanic White (n = 134) Non-Hispanic Black or African American (n = 125) Hispanic (n = 294) Non-Hispanic Asian American (n = 310) Racial- minority or multiracial (n = 24) p value
Disordered eating behaviors aPRa (95% CI)
Overeatingb 49.3 (49.1, 49.5) 41.6 (41.4, 41.8) .02 44.0 (43.6, 44.4) 48.0 (47.6, 48.4) 47.3 (47.1, 47.5) 41.3 (41.1, 41.5) 58.3 (57.5, 59.1) 0.3
Binge eatingc 32.0 (31.7, 32.3) 58.0 (57.7, 58.3) <.01 47.5 (47.0, 48.0) 38.3 (37.8, 38.8) 43.9 (43.5, 44.3) 50.0 (49.6 50.4) 28.6 (27.4, 29.8) 0.4
Unhealthy weight control behaviorsd 44.6 (44.4, 44.8) 58.2 (58.0, 58.4) <.01 44.8 (44.4, 45.2) 47.2 (46.8, 47.6) 51.4 (51.2, 51.6) 57.7 (57.5, 57.9) 50.0 (49.2, 50.8) 0.09
Associated symptoms of binge eatinge 22.9 (22.7, 23.1) 35.1 (34.9, 35.3) <.01 30.6 (30.2, 31.0) 15.2 (14.7, 15.7) 33.7 (33.4, 34.0) 31.6 (31.4, 31.8) 20.8 (19.8, 21.8) <0.01
Concerns with weight and body shapef 40.6 (40.4, 40.8) 51.6 (51.4, 51.8) <.01 42.5 (42.1, 42.9) 34.4 (34.0, 34.8) 52.4 (52.2, 52.6) 48.1 (47.9, 48.3) 41.7 (40.9, 42.5) 0.01
Intuitive eating Adj βg (95% CI)
Reliance on hunger and satiety intuitive eatingh 18.5 (18.1, 18.9) 18.4 (18.0, 18.8) 0.9 18.5 (17.7, 19.3) 19.3 (18.5, 20.1) 18.3 (17.9, 18.7) 18.4 (18.0, 18.8) 16.9 (16.5, 17.3) 0.04

Racial minority or other includes American Indian, Alaskan Native, Native Hawaiian, Pacific Islanders. Models examining sex differences in disordered eating behaviors and reliance on hunger and satiety intuitive eating were adjusted for age, ethnicity/race, parental maximum educational attainment, and BMI. Models examining ethnic/racial differences in disordered eating behaviors and reliance on hunger and satiety intuitive eating were adjusted for age, sex, parental maximum educational attainment, and BMI. aaPR, adjusted prevalence ratio. b–fDisordered eating was assessed from the Questionnaire on Eating and Weight Patterns-5 (QEWP-5). dWeight and shape concerns refer to weight and shape being the main things or most important. eAssociated symptoms of binge eating include: eating much more rapidly than usual, eating until uncomfortably full, eating large amounts of food when not feeling physically hungry, eating alone because embarrassed by how much you were eating, feeling disgusted with oneself, depressed, or feeling guilty after overeating. fUnhealthy weight control behaviors were confirmed if participants responded yes to any of the unhealthy weight control behaviors assessed. gadj β = adjusted beta coefficient, adjusted for age, ethnicity/race, parental education attainment, and BMI. hReliance on hunger and satiety intuitive eating was assessed from the subscale of reliance on hunger and satiety from the Intuitive Eating Scales-2; higher scores of reliance on hunger and satiety intuitive eating indicate greater reliance on hunger and satiety intuitive eating.