Abstract
Purpose
Disordered eating patterns, particularly binge eating, are prevalent in Hispanic samples, yet the biopsychosocial risk factors remain understudied in minority populations. The relationship between diet self-efficacy and bulimic symptoms has been established in non-Hispanic white samples but not yet in Hispanics. This study sought to identify the direct role of diet self-efficacy on eating disorder risk and symptomology in a multicultural Hispanic sample, and to investigate the potential indirect relations among diet self-efficacy, self-esteem, body mass index (BMI), and eating disorder risk and symptomology in Hispanics and non-Hispanic whites.
Methods
The present study surveyed 1339 college students from diverse ethnic backgrounds. Participants completed four standardized scales to assess acculturation, diet self-efficacy, global self-esteem, and eating disorder symptomology and risk. Self-reported height and weight were used for BMI calculations, and the data were analyzed in a robust maximum-likelihood structural equation modeling (SEM) framework.
Results
The findings highlighted diet self-efficacy as a predictor of eating disorder risk and symptomology. Diet self-efficacy partially explained the covariation between self-esteem and eating disorder risk and symptomology, and between BMI and eating disorder risk and symptomology for the entire sample.
Conclusion
Diet self-efficacy emerged as an important construct to consider in developing eating disorder prevention and treatment models.
Similar content being viewed by others
Notes
While there has been debate regarding the terms Hispanic and Latino, in the geographic region where the study took place the majority of residents—including survey participants—generally self-identify as Hispanic, thus we use this term in reference to our sample and Latino/Latina when that is how the sample is referred to in other studies [1].
References
Stephens DP, Fernández PB, Richman EL (2012) Ni Pardo, Ni Prieto: the influence of parental skin color messaging on heterosexual emerging adult white-Hispanic women’s dating beliefs. Women Ther 35:4–18. doi:10.1080/02703149.2012.634714
Stepler R, Brown A (2015) Statistical portrait of Hispanics in the United States, 1980–2013. In: Pew Research Center. http://www.pewhispanic.org/2015/05/12/statistical-portrait-of-hispanics-in-the-united-states-2013-key-charts/. Accessed 21 Jun 2015
Reyes-Rodríguez ML, Franko DL, Matos-Lamourt A, Bulik CM, Von Holle A, Camara-Fuentes LR, Rodríguez-Angleró D, Cervantes-López S, Suárez-Torres A (2011) Eating disorder symptomology: prevalence among Latino college freshmen students. J Clin Psychol 66:666–679. doi:10.1002/jclp.20684
Marques L, Alegria M, Becker AE, Chen C, Fang A, Chosak A, Belo Diniz J (2011) Comparative prevalence, correlates of impairment, and service utilization for eating disorders across U.S. ethnic groups: implications for reducing ethnic disparities in health care access for eating disorders. Int J Eat Disord 44:412–420. doi:10.1002/eat.20787
Alegria M, Woo M, Cao Z, Torres M, Meng X, Striegel-Moore R (2007) Prevalence and correlates of eating disorders in Latinos in the United States. Int J Eat Disord 40(Suppl):S15–S21. doi:10.1002/eat.20406
Flegal KM, Carroll MD, Ogden CL, Curtin LR (2010) Prevalence and trends in obesity among US adults, 1999–2008. JAMA 303:235–241. doi:10.1001/jama.2009.2014
Cohn LD, Adler NE, Irwin CE, Millstein SG, Kegeles SM, Stone G (1987) Body-figure preferences in male and female adolescents. J Abnorm Psychol 96:276–279. doi:10.1037/0021-843X.96.3.276
Crago M, Shisslak CM, Estes LS (1996) Eating disturbances among American minority groups: a review. Int J Eat Disord 19:239–248. doi:10.1002/(SICI)1098-108X(199604)19:3<239:AID-EAT2>3.0.CO;2-N
Franko DL, Jenkins A, Roehrig JP, Luce KH, Crowther JH, Rodgers RF (2012) Psychometric properties of measures of eating disorder risk in Latina college women. Int J Eat Disord 45:592–596. doi:10.1002/eat.20979
Gentile K, Raghavan C, Rajah V, Gates K (2007) It doesn’t happen here: eating disorders in an ethnically diverse sample of economically disadvantaged, urban college students. Eat Disord 15:405–425. doi:10.1080/10640260701667904
Austin SB, Spadano-Gasbarro J, Greaney ML, Richmond TK, Feldman HA, Osganian SK, Hunt AT, Mezgebu S, Peterson KE (2011) Disordered weight control behaviors in early adolescent boys and girls of color: an under-recognized factor in the epidemic of childhood overweight. J Adolesc Health 48:109–112. doi:10.1016/j.jadohealth.2010.05.017
Stein KF, Chen D-GD, Corte C, Keller C, Trabold N (2013) Disordered eating behaviors in young adult Mexican American women: prevalence and associations with health risks. Eat Behav 14:476–483. doi:10.1016/j.eatbeh.2013.08.001
Becker AE, Franko DL, Speck A, Herzog DB (2003) Ethnicity and differential access to care for eating disorder symptoms. Int J Eat Disord 33:205–212. doi:10.1002/eat.10129
Menon CV, Harter SL (2012) Examining the impact of acculturative stress on body image disturbance among Hispanic college students. Cultur Divers Ethnic Minor Psychol 18:239–246. doi:10.1037/a0028638
Perez M, Voelz ZR, Pettit JW, Joiner TE (2002) The role of acculturative stress and body dissatisfaction in predicting bulimic symptomatology across ethnic groups. Int J Eat Disord 31:442–454. doi:10.1002/eat.10006
Doris E, Shekriladze I, Javakhishvili N, Jones R, Treasure J, Tchanturia K (2015) Is cultural change associated with eating disorders? A systematic review of the literature. Eat Weight Disord 20:149–160. doi:10.1007/s40519-015-0189-9
Franko DL, Jenkins A, Rodgers R (2012) Toward reducing risk for eating disorders and obesity in Latina college women. J Couns Dev 90:298–307. doi:10.1002/j.1556-6676.2012.00038.x
Bandura A (1977) Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 84:191–215. doi:10.1037/0033-295X.84.2.191
Bandura A (1982) Self-efficacy mechanism in human agency. Am Psychol 37:122–147. doi:10.1037/0003-066X.37.2.122
Bandura A (2000) Exercise of human agency through collective efficacy. Curr Dir Psychol Sci 9:75–78. doi:10.1111/1467-8721.00064
Pajares F, Johnson M (1996) Self-efficacy beliefs and the writing performance of entering high school students. Psychol Sch. doi:10.1002/(SICI)1520-6807(199604)33:2<163:AID-PITS10>3.0.CO;2-C
Sabogal F, Otero-Sabogal R, Perez-Stable EJ, Marín BV, Marín G (1989) Perceived self-efficacy to avoid cigarette smoking and addiction: differences between Hispanics and non-Hispanic whites. Hisp J Behav Sci 11:136–147. doi:10.1177/07399863890112003
Howell EA, Mora PA, Horowitz CR, Leventhal H (2005) Racial and ethnic differences in factors associated with early postpartum depressive symptoms. Obstet Gynecol 105:1442–1450. doi:10.1016/j.biotechadv.2011.08.021
Stotland S, Zuroff DC, Roy M (1991) Situational dieting self-efficacy. Appetite 17:81–90. doi:10.1016/0195-6663(91)90063-X
Etringer BD, Altmaier EM, Bowers W (1989) An investigation into the cognitive functioning of bulimic women. J Couns Dev 68:216–219. doi:10.1002/j.1556-6676.1989.tb01360.x
Striegel-Moore RH, Silberstein LR, Frensch P, Rodin J (1989) A prospective study of disordered eating among college students. Int J Eat Disord 8:499–509. doi:10.1002/1098-108X(198909)8:5<499:AID-EAT2260080502>3.0.CO;2-A
Bardone-Cone AM, Abramson LY, Vohs KD, Heatherton TF, Joiner TE (2006) Predicting bulimic symptoms: an interactive model of self-efficacy, perfectionism, and perceived weight status. Behav Res Ther 44:27–42. doi:10.1016/j.brat.2004.09.009
Kinsaul JAE, Curtin L, Bazzini D, Martz D (2014) Empowerment, feminism, and self-efficacy: relationships to body image and disordered eating. Body Image 11:63–67. doi:10.1016/j.bodyim.2013.08.001
Macneil L, Esposito-Smythers C, Mehlenbeck R, Weismoore J (2012) The effects of avoidance coping and coping self-efficacy on eating disorder attitudes and behaviors: a stress-diathesis model. Eat Behav 13:293–296. doi:10.1016/j.eatbeh.2012.06.005
Jáuregui Lobera I, Estébanez S, Santiago Fernández MJ, Álvarez Bautista E, Garrido O (2009) Coping strategies in eating disorders. Eur Eat Disord Rev 17:220–226. doi:10.1002/erv.920
Steele MM, Daratha KB, Bindler RC, Power TG (2011) The relationship between self-efficacy for behaviors that promote healthy weight and clinical indicators of adiposity in a sample of early adolescents. Health Educ Behav 38:596–602. doi:10.1177/1090198110387514
Steele AL, Bergin J, Wade TD (2011) Self-efficacy as a robust predictor of outcome in guided self-help treatment for broadly defined bulimia nervosa. Int J Eat Disord 44:389–396. doi:10.1002/eat.20830
AbuSabha R, Achterberg C (1997) Review of self-efficacy and locus of control for nutrition- and health-related behavior. J Am Diet Assoc 10:1122–1132. doi:10.1016/S0002-8223(97)00273-3
Shea ME, Pritchard ME (2007) Is self-esteem the primary predictor of disordered eating? Personal Individ Differ 42:1527–1537. doi:10.1016/j.paid.2006.10.026
Ross M, Wade TD (2004) Shape and weight concern and self-esteem as mediators of externalized self-perception, dietary restraint and uncontrolled eating. Eur Eat Disord Rev 12:129–136. doi:10.1002/erv.531
Cain AS, Bardone-Cone AM, Abramson LY, Vohs KD, Joiner TE (2008) Refining the relationships of perfectionism, self-efficacy, and stress to dieting and binge eating: examining the appearance, interpersonal, and academic domains. Int J Eat Disord 41:713–721. doi:10.1002/eat.20563
Ackard DM, Cronemeyer CL, Franzen LM, Richter SA, Norstrom J (2011) Number of different purging behaviors used among women with eating disorders: psychological, behavioral, self-efficacy and quality of life outcomes. Eat Disord 19:156–174. doi:10.1080/10640266.2010.511909
Garner DM, Olmstead MP, Polivy J (1983) Development and validation of a multidimensional eating disorder inventory for anorexia-nervosa and bulimia. Int J Eat Disord 2:15–34. doi:10.1002/1098-108x(198321)2:2<15:Aid-Eat2260020203>3.0.Co;2-6
Berman ES (2006) The relationship between eating self-efficacy and eating disorder symptoms in a non-clinical sample. Eat Behav 7:79–90. doi:10.1016/j.eatbeh.2005.07.004
Kasparek DG, Corwin SJ, Valois RF, Sargent RG, Lewis Morris R (2008) Selected health behaviors that influence college freshman weight change. J Am Coll Health 56:437–444. doi:10.3200/JACH.56.44.437-444
Frazier LD, Vacarro JA, Garcia S, Fallahazad N, Rathi K, Shrestha A, Perez N (2015) Diet self-efficacy and physical self-concept of college students at risk for eating disorders. J Behav Health 4(4):97–100. doi:10.5455/jbh.184462
Hoyt WD, Ross SD (2003) Clinical and subclinical eating disorders in counseling center clients. J Coll Stud Psychother 17:39–54. doi:10.1300/J035v17n04_06
Forsén Mantilla E, Bergsten K, Birgegård A (2014) Self-image and eating disorder symptoms in normal and clinical adolescents. Eat Behav 15:125–131. doi:10.1016/j.eatbeh.2013.11.008
Striegel-Moore RH, Rosselli F, Perrin N, DeBar L, Wilson GT, May A, Kraemer HC (2009) Gender difference in the prevalence of eating disorder symptoms. Int J Eat Disord 42:471–474. doi:10.1002/eat.20625
Stommel M, Schoenborn CA (2009) Accuracy and usefulness of BMI measures based on self-reported weight and height: findings from the NHANES & NHIS 2001–2006. BMC Public Health 9:421. doi:10.1186/1471-2458-9-421
Belon KE, McLaughlin EA, Smith JE, Bryan AD, Witkiewitz K, Lash DN, Winn JL (2015) Testing the measurement invariance of the eating disorder inventory in nonclinical samples of Hispanic and Caucasian women. Int J Eat Disord 48:262–270. doi:10.1002/eat.22286
Belon KE, Smith JE, Bryan AD, Lash DN, Winn JL, Gianini LM (2011) Measurement invariance of the Eating Attitudes Test-26 in Caucasian and Hispanic women. Eat Behav 12:317–320. doi:10.1016/j.eatbeh.2011.07.007
Rutt CD, Coleman KJ (2001) The evaluation of a measurement model for the body image questionnaire and the eating attitudes test in a Hispanic population. Hisp J Behav Sci 23:153–170. doi:10.1177/0739986301232003
Stich C, Knauper B, Tint A (2009) A scenario-based dieting self-efficacy scale the DIET-SE. Assessment 16:16–30. doi:10.1177/1073191108322000
Marsh HW, Richards GE, Johnson S, Roche L (1994) Physical Self-Description Questionnaire: psychometric properties and a multitrait-multimethod analysis of relations to existing instruments. J Sport Exerc Psychol 16:270–305
Marin G, Sabogal F, Marin BVO, Perez-Stable EJ (1987) Development of a short acculturation scale for Hispanics. Hisp J Behav Sci 9:183–205
Garner DM, Olmstead MP, Bohr Y, Garfinkel PE (1982) The eating attitudes test: psychometric features and clinical correlates. Psychol Med 12:871–878
Mintz LB, O’Halloran MS (2000) The eating attitudes test: validation with DSM-IV eating disorder criteria. J Pers Assess 74:489–503. doi:10.1207/S15327752JPA7403_11
Anderson DA, Lundgren JD, Shapiro JR, Paulosky CA (2004) Assessment of eating disorders: review and recommendations for clinical use. Behav Modif 28:763–782. doi:10.1177/0145445503259851
Perez M, Warren CS (2013) Assessing eating behaviors in Hispanics. In: Benuto LT (ed) Guide to psychological assessment with Hispanics. Springer, New York, pp 215–241. doi:10.1007/978-1-4614-4412-1
Muthén LK, Muthén BO (2010) Mplus user’s guide, 6th edn. Muthén & Muthén, Los Angeles
Hu L, Bentler PM (1999) Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model A Multidiscip J 6:1–55. doi:10.1080/10705519909540118
Curran PJ, West SG, Finch JF (1996) The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis. Psychol Methods 1:16–29. doi:10.1037/1082-989X.1.1.16
Brunt A, Rhee Y, Zhong L (2008) Differences in dietary patterns among college students according to body mass index. J Am Coll Health 56:629–634. doi:10.3200/JACH.56.6.629-634
Satorra A, Bentler PM (2001) A scaled difference chi-square test statistic for moment structure analysis. Psychometrika 66:507–514. doi:10.1007/BF02296192
Tofighi D, MacKinnon DP (2011) RMediation: an R package for mediation analysis confidence intervals. Behav Res Methods 43:692–700. doi:10.3758/s13428-011-0076-x
MacKinnon DP, Lockwood CM, Hoffman JM, West SG, Sheets V (2002) A comparison of methods to test mediation and other intervening variable effects. Psychol Methods 7:83–104. doi:10.1037/1082-989X.7.1.83
Cain AS, Bardone-Cone AM, Abramson LY, Vohs KD, Joiner TE (2010) Prospectively predicting dietary restraint: the role of interpersonal self-efficacy, weight/shape self-efficacy, and interpersonal stress. Int J Eat Disord 43:505–512. doi:10.1002/eat.20740
Prestwich A, Kellar I, Parker R et al (2013) How can self-efficacy be increased? Meta-analysis of dietary interventions. Health Psychol Rev 8:270–285. doi:10.1080/17437199.2013.813729
Michie S, Abraham C, Whittington C et al (2009) Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol 28:690–701. doi:10.1037/a0016136
Polivy J, Herman CP (1985) Dieting and binging. A causal analysis. Am Psychol 40:193–201. doi:10.1037/0003-066X.40.2.193
Thompson-Brenner H, Franko DL, Thompson DR et al (2013) Race/ethnicity, education, and treatment parameters as moderators and predictors of outcome in binge eating disorder. J Consult Clin Psychol 81:710–721. doi:10.1037/a0032946
Acknowledgements
The research was supported by funding from the University Graduate School, Florida International University, awarded to the first author (JFS).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
Ethical approval
The current study was approved by the Institutional Review Board of Florida International University.
Informed consent
All participants provided written informed consent.
Rights and permissions
About this article
Cite this article
Saunders, J.F., Frazier, L.D. & Nichols-Lopez, K.A. Self-esteem, diet self-efficacy, body mass index, and eating disorders: modeling effects in an ethnically diverse sample. Eat Weight Disord 21, 459–468 (2016). https://doi.org/10.1007/s40519-015-0244-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40519-015-0244-6