The Relationship of Intimate Partner Violence and Help-Seeking with Eating Disorder Symptoms

The current study used the SVAWS, MMEA, BES, and EAT 26 to test the hypothesis that victims of IPV would have a greater number of and more severe eating disorder symptoms than those who have not been victimized. The current study also used the SRQ, BES, and EAT 26 to test the hypothesis that of those who experienced IPV and sought help, those who received positive reactions would have a different number and severity of eating disorder symptoms than those who received negative reactions. Two MANVOVAs did not find support for these hypotheses however, exploratory analyses did find relationships of IPV and frequency of receiving negative reactions to help-seeking with symptoms of Bulimia Nervosa. Implications are discussed

The Association of Objectification and Discrimination with Partner Gender and Disordered Eating Behaviors in Bisexual Women

Sexual minority women are at increased risk of negative outcomes compared to heterosexual women. Bisexual women report disparities when compared to both heterosexual and lesbian women. The disparities experienced by bisexual women also appear to vary based on the gender of their partner, with those partnered with men reporting more negative health outcomes than those partnered with women. One area in which heterosexual and sexual minority women’s experiences differ is in the experience of objectification or being treated as a body rather than a person. While objectification has been linked to negative outcomes, such as body shame and disordered eating behaviors, in heterosexual women, the findings regarding sexual minority women have been inconsistent, with little research on the experiences of bisexual women, specifically. The current study aimed to expand the literature on bisexual women’s experience of objectification and its relation to partner gender. Two groups of bisexual women, those currently in relationships with women and those currently in relationships with men, were recruited in order to test a model of objectification theory. Results indicated that objectification and discrimination were significantly related to disordered eating behaviors, but not to body surveillance or body shame. Additionally, partner gender moderated the association of discrimination with body surveillance, but no other hypothesized pathways. The results of this study suggest that the experiences of objectification and body image may be different for bisexual women compared to heterosexual and lesbian women

From guidelines to local realities: evaluation of oral rehydration therapy and zinc supplementation in Guatemala

Objectives: Diarrhea remains a leading cause of morbidity and mortality for children in low- and middle-income countries throughout the Americas. WHO guidelines have been developed to incorporate zinc supplementation (ZS) with traditional oral rehydration therapy (ORT) to shorten duration and reduce poor health outcomes. Guatemala adopted these guidelines in 2011, but they have not yet been fully implemented at the community level. The objectives of this study were to co-design an ORT/ZS training program with community health promoters appropriate to the local context and to understand how training with the promoters changes attitudes and behaviors of community members. Methods: In an observational study, community health promoters were trained in rural Guatemala according to WHO guidelines and collaboratively developed training curriculum to implement in their community. Community-based surveys, interviews, and focus group discussions were used to assess acceptability, accessibility, and availability of oral rehydration therapy and zinc supplementation

Rationale and Design of a Remote Web-Based Daily Dairy Study Examining Sexual Minority Stress, Relationship Factors, And Alcohol Use In Same-Sex Female Couples Across the United States: Study Protocol of Project Relate

Background: The Healthy People 2020 initiative aims to reduce health disparities, including alcohol use, among sexual minority women (SMW; eg, lesbian, bisexual, queer, and pansexual). Compared with heterosexual women, SMW engage in more hazardous drinking and report more alcohol-related problems. Sexual minority stress (ie, the unique experiences associated with stigmatization and marginalization) has been associated with alcohol use among SMW. Among heterosexuals, relationship factors (eg, partner violence and drinking apart vs together) have also been associated with alcohol use. Negative affect has also been identified as a contributor to alcohol use. To date, most studies examining alcohol use among SMW have used cross-sectional or longitudinal designs. Objective: Project Relate was designed to increase our understanding of alcohol use among young SMW who are at risk for alcohol problems. The primary objectives of this study are to identify daily factors, as well as potential person-level risk and protective factors, which may contribute to alcohol use in SMW. Secondary objectives include examining other physical and mental concerns in this sample (eg, other substance use, eating, physical activity, and stress). Methods: Both partners of a female same-sex couple (aged 18-35 years; n=150 couples) are being enrolled in the study following preliminary screening by a market research firm that specializes in recruiting sexual minority individuals. Web-based surveys are being used to collect information about the primary constructs of interest (daily experiences of alcohol use, sexual minority stress, relationship interactions, and mood) as well as secondary measures of other physical and mental health constructs. Data are collected entirely remotely from women across the United States. Each member of eligible couples completes a baseline survey and then 14 days of daily surveys each morning. Data will be analyzed using multilevel structural equation modeling. Results: To date, 208 women (ie, 104 couples) were successfully screened and enrolled into the study. In total, 164 women have completed the 14-day daily protocol. Compliance with completing the daily diaries has been excellent, with participants on average completing 92% of the daily diaries. Data collection will be completed in fall 2018, with results published as early as 2019 or 2020. Conclusions: Project Relate is designed to increase our understanding of between- and within-person processes underlying hazardous drinking in understudied, at-risk SMW. The study includes a remote daily diary methodology to provide insight into variables that may be associated with daily hazardous alcohol use. Before the development of programs that address hazardous alcohol use among young SMW, there is a need for better understanding of individual and dyadic variables that contribute to risk in this population. The unique challenges of recruiting and enrolling SMW from across the United States in a daily diary study are discussed

From guidelines to local realities: evaluation of oral rehydration therapy and zinc supplementation in Guatemala

ABSTRACT Objective Diarrhea remains a leading cause of morbidity and mortality for children in low- and middle-income countries throughout the Americas. The World Health Organization (WHO) has developed guidelines on incorporating zinc supplementation (ZS) with traditional oral rehydration therapy (ORT) in order to shorten the duration of diarrheal episodes and to reduce poor health outcomes. Guatemala adopted these guidelines in 2011, but they have not yet been fully implemented at the community level. The objectives of this study were: (1) to co-design an ORT/ZS training program for community members with local health promoters that is appropriate to the local context and (2) to understand how attitudes and behaviors of community members changed after receiving training from the study promoters. Methods In an observational study, community health promoters in rural Guatemala were trained according to WHO guidelines, and they worked collaboratively with the study team to develop a training curriculum to implement in their community. Community-based surveys, interviews, and focus group discussions were used to assess acceptability, accessibility, and availability of oral rehydration therapy and zinc supplementation. Results Use of ORT increased from 63% to 95% among community members following training by local health promoters. Satisfaction with the service offered by health promoters increased from 63% to 90% amongst community members trained by the study promoters. However, knowledge and use of zinc supplementation remained low, which was attributable to unavailability of zinc in the study community. Conclusions Use of trained community health promoters is an effective way to translate WHO guidelines to local contexts and overcome sociocultural barriers to care. However, the health system’s structure must support availability of essential medicines in order to effectively implement those guidelines