Orthorexia nervosa in gay men—the result of a spanish-polish eating disorders study

BMC Public Health

Research

Michał Czapla¹  Piotr Karniej²  Raúl Juárez-Vela³  Iván Santolalla-Arnedo³  Vicente Gea-Caballero⁴  Pablo del Pozo-Herce⁵  Anthony Dissen⁶  Jesús Pérez⁷ 

[1] Faculty of Health Sciences, Group of Research in Care (GRUPAC), University of La Rioja, 26004, Logroño, Spain;Department of Emergency Medical Service, Wroclaw Medical University, 51-618, Wroclaw, Poland;Institute of Heart Disease, University Hospital, Wroclaw, Poland;Faculty of Health Sciences, Group of Research in Care (GRUPAC), University of La Rioja, 26004, Logroño, Spain;Faculty of Finance and Management, WSB University in Wrocław, 53-609, Wrocław, Poland;Faculty of Health Sciences, Group of Research in Care (GRUPAC), University of La Rioja, 26004, Logroño, Spain;Group of Research in Sustainability of the Health System, Biomedical Research Center of La Rioja (CIBIR), La Rioja, Spain;Faculty of Health Sciences, Valencian International University, Pintor Sorolla 21 46002, Valencia, Spain;Research Group in Community Health and Care (SALCOM), Valencian International University, Valencia, Spain;Group of Research in Sustainability of the Health System, Biomedical Research Center of La Rioja (CIBIR), La Rioja, Spain;Department of Psychiatry, Fundación Jiménez Díaz University Hospital, Madrid, Spain;Health Research Institute, Fundación Jiménez Diaz, Madrid, Spain;School of Nursing, Fundación Jiménez Diaz. Autonomous University, Madrid, Spain;Health Science Faculty, Stockton University, Stockton, New Jersey, USA;Institute of Biomedical Research of Salamanca (IBSAL), Psychiatry Unit, Department of Medicine, Universidad de Salamanca, Salamanca, Spain;Department of Psychiatry, University of Cambridge, Cambridge, UK;Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK;Norwich Medical School, University of East Anglia, Norwich, UK;

关键词: Orthorexia nervosa;    Eating disorders;    Gay;    Stigma;    PrEP;   

DOI  :  10.1186/s12889-022-14943-7

 received in 2022-06-14, accepted in 2022-12-26,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundThe purpose of this exploratory study was to identifying demographic factors and unique predictors of ON e.g., the use of pre-exposure prophylaxis (PrEP), the use of social media and the Grindr ® dating application among a sample group of Spanish and Polish identifying gay men.MethodsThe study was conducted in Poland and Spain between March and June 2021 using questionary: ORTO-15. Data was collected using a three-section self-administered questionnaire. The first section contained demographic data, the second part was the Polish and Spanish version of the Orto-15, and the third part was the Polish and Spanish version of the EAT-26.ResultsTotal enrollment was 394 gay men. In regression proportional hazards single model, significant predictors of ON were: age (OR = 0.964, 95% CI, 0.944–0.984), BMI (OR = 0.895, 95% CI, 0.848–0.944), staying in an informal relationship compared to being single (OR = 2.138, 95%CI, 1.225–3.732), occasional use of Pre-exposure Prophylaxis (OR = 4.667, 95%CI, 1.186–18.362) and use of the Grindr application (OR = 5.312, 95%CI, 3.373–8.365). Instagram users had lower risk of ON (OR = 0.479, 95%CI, 0.279–0.822). The multivariate analysis showed that Grindr usages (OR = 4.72; 95%CI, 2.89–7.72) correlated with higher risk of ON. Higher BMI (OR = 0.913, 95%CI, 0.861–0.98) and daily use of Pre-exposure Prophylaxis (OR = 0.142, 95%CI, 0.03–0.674) is associated with lower risk of ON.ConclusionsThe most important predictors of orthorexia nervosa in gay men are: low BMI and the use of Grindr. The effect of daily usage of PrEP is associated with lower risk, and occasional use is associated with increased risk, of orthorexia nervosa.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 20