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<p>Background: Disordered eating behaviors (e.g., overeating, binge eating) peak during college. To prevent disordered eating behaviors (DEBs), studies have explored factors related to DEBs. Childhood experiences, in particular, adverse childhood experiences (ACEs) are known risk factors, whereas benevolent childhood experiences (BCEs) are known protective factors for DEBs. However, whether ACEs and BCEs have a joint effect on DEBs is poorly understood. Objective: To examine how childhood experiences are related to DEBs among college students. Methods: Data were derived from a cross-sectional study of college students (<i>N</i> = 1,634; 58.2% women, M<sub><i>age</i></sub> 20.4 ± 3.2yrs in 2022–2023). ACEs (e.g., abuse, neglect, sibling aggression) and BCEs (e.g., liked oneself, had a good caregiver) were self-reported and classified into four categories: high ACEs and low BCEs; high ACEs and high BCEs; low ACEs and low BCEs; low ACEs and high BCEs. Five DEBs (e.g., overeating, binge eating) were self-reported. Logistic regressions and modified Poisson regressions were used to examine associations between childhood experiences and DEBs. Results: The predicted probability (PP) of DEBs were highest in the high ACEs low BCEs category (PP = 38.5%-64.2%) after adjustment for sociodemographic variables. Predicted probability was lowest in the low ACEs high BCEs category (PP = 22.1%-47.4%) and such college students had 0.59 to 0.75 times the prevalence of DEBs than those in the high ACEs low BCEs category. Conclusion: <b>Low ACEs and high BCEs may have a joint effect against DEBs in college students.</b> To mitigate the risk of DEBs, public health efforts should consider simultaneously preventing ACEs and promoting BCEs.</p>

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Associations of Adverse and Benevolent Childhood Experiences with Disordered Eating Behaviors among College Students: A Cross-Sectional Study

  • 期刊论文

  • 发表日期：

    2025年8月6日

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  • Cynthia Y. Yoon,
  • Craig A. Johnston

摘要

Background: Disordered eating behaviors (e.g., overeating, binge eating) peak during college. To prevent disordered eating behaviors (DEBs), studies have explored factors related to DEBs. Childhood experiences, in particular, adverse childhood experiences (ACEs) are known risk factors, whereas benevolent childhood experiences (BCEs) are known protective factors for DEBs. However, whether ACEs and BCEs have a joint effect on DEBs is poorly understood. Objective: To examine how childhood experiences are related to DEBs among college students. Methods: Data were derived from a cross-sectional study of college students (N = 1,634; 58.2% women, Mage 20.4 ± 3.2yrs in 2022–2023). ACEs (e.g., abuse, neglect, sibling aggression) and BCEs (e.g., liked oneself, had a good caregiver) were self-reported and classified into four categories: high ACEs and low BCEs; high ACEs and high BCEs; low ACEs and low BCEs; low ACEs and high BCEs. Five DEBs (e.g., overeating, binge eating) were self-reported. Logistic regressions and modified Poisson regressions were used to examine associations between childhood experiences and DEBs. Results: The predicted probability (PP) of DEBs were highest in the high ACEs low BCEs category (PP = 38.5%-64.2%) after adjustment for sociodemographic variables. Predicted probability was lowest in the low ACEs high BCEs category (PP = 22.1%-47.4%) and such college students had 0.59 to 0.75 times the prevalence of DEBs than those in the high ACEs low BCEs category. Conclusion: Low ACEs and high BCEs may have a joint effect against DEBs in college students. To mitigate the risk of DEBs, public health efforts should consider simultaneously preventing ACEs and promoting BCEs.