{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T12:47:02Z","timestamp":1776170822111,"version":"3.50.1"},"reference-count":42,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Disordered eating behaviors (DEBs) in adolescence are influenced by family structure and dynamics, including parental supervision, emotional support, and exposure to neglect or abuse. This study examined the associations between adolescents' relationships with parents or guardians, including indicators of neglect and abuse, and the prevalence of DEBs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study assessed DEBs and family relationship indicators, including the frequency of shared meals, parental awareness of adolescents' free\u2010time activities, emotional understanding, and experiences of physical or sexual assault. Data were obtained from the 2019 National School\u2010Based Health Survey, a representative sample of 95,367 Brazilian students aged 13\u201317 years. Poisson regression models estimated adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs), stratified by sex.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fully adjusted analyses revealed that girls were significantly more likely to report DEBs when living with neither parent (PR\u2009=\u20091.34; 95% CI: 1.03\u20131.75) or never having family meals (PR\u2009=\u20092.36; 95% CI: 1.96\u20132.84). DEBs were more prevalent in both sexes when their parents did not supervise their school attendance or were unaware of their free\u2010time activities and when their parents provided limited emotional support. Furthermore, reporting experiencing parental physical aggression or sexual abuse within the past year was also associated with a higher prevalence of DEBs (\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value\u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings suggest that parental neglect is associated with an increased likelihood of DEBs in adolescents and that experiences of parental aggression and sexual abuse may further compound this potential risk. These results underscore the importance of family\u2010based prevention strategies in addressing adolescent eating disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.71578","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T11:15:48Z","timestamp":1766056548000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Parent\u2010Adolescent Relationships and Disordered Eating Behavior: Evidence From a Cross\u2010Sectional Nationwide Study in Brazil"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0088-8607","authenticated-orcid":false,"given":"Arthur Eumann","family":"Mesas","sequence":"first","affiliation":[{"name":"Health and Social Research Center Universidad de Castilla\u2010La Mancha Cuenca 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Santo Samborond\u00f3n Ecuador"},{"name":"Vicerrector\u00eda de Investigaci\u00f3n y Posgrado Universidad de Los Lagos Osorno Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6121-7893","authenticated-orcid":false,"given":"Vicente","family":"Mart\u00ednez\u2010Vizca\u00edno","sequence":"additional","affiliation":[{"name":"Health and Social Research Center Universidad de Castilla\u2010La Mancha Cuenca Spain"},{"name":"Universidad Aut\u00f3noma de Chile Facultad de Ciencias de la Salud Talca Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4203-9400","authenticated-orcid":false,"given":"Alberto Dur\u00e1n","family":"Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Public Health Universidade Estadual de Londrina Londrina 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