Rural/Urban Differences in the Distribution of Eating Disorder Symptoms among Adolescents from Community Samples

Rural/Urban Differences in the Distribution of Eating Disorder Symptoms among Adolescents from Community Samples
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社区样本中青少年饮食失调症状分布的城乡差异

DOI:
10.1080/00048670701332292
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发表时间:
2007
影响因子:
4.6
通讯作者:
C. Masala
C. Masala
中科院分区:
医学2区
文献类型:
--
作者:
A. Preti;C. Pinna;S. Nocco;S. Pilia;E. Mulliri;V. Micheli;Maria Consuleo Casta;Donatella Rita Petretto;C. Masala

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目的:在过去30年中,经常报告城乡在精神疾病流行率方面存在差异,其中包括饮食失调症状和自杀率的分布。性别、年龄和社会经济地位在居住地差异中的作用在过去的研究中往往被忽视。方法:两个独立社区的学生样本(平均年龄=17.4岁,标准差=1.4),取自市区高中学生(卡利亚里; n=817)和农村(卡波尼亚; n=507)的饮食态度测试(EAT),爱丁堡暴食调查测试(BITE),身体态度测验(BAT)和修订的霍普金斯症状自评量表(SCL-90-R)。结果:女生在各量表上的得分均高于男生。在男性参与者中,城市样本的EAT得分高于农村样本。相反,在男性和女性学生中,农村样本在BITE症状子量表上的得分较高。当比较仅限于那些在EAT和BITE上得分高于建议截止值的学生的比例时,城市样本中的学生人数超过了农村样本中的学生人数。没有发现其他差异。社会经济地位和年龄并没有影响饮食失调症状报告的居住地的差异。结论:尽管在阅读来自自我报告工具的结果时需要谨慎,但很明显,影响饮食失调症状分布的因素及其居住地的心理相关性远比目前认为的要复杂得多。
Objective: Rural/urban differences in the prevalence of mental disorders have often been reported in the last 30 years, among others in the distribution of eating disorder symptoms and suicide rates. The role of sex, age and socioeconomic status in the differences by place of residence has often been neglected in past studies. Method: Two independent community samples of students (mean age=17.4 years, SD=1.4), taken from among those attending high school in an urban district (Cagliari; n=817) and in a rural one (Carbonia; n=507) of south Sardinia, Italy, were invited to fill in the Eating Attitudes Test (EAT), the Bulimic Investigatory Test of Edinburgh (BITE), the Body Attitudes Test (BAT) and the revised Hopkins Symptom checklist (SCL-90-R). Results: Female students scored higher than male students on all inventories. In male participants, the scores on the EAT were higher in the urban than in the rural sample. Conversely, in both male and female students the rural sample reported higher scores on the BITE symptoms subscale. When the comparison was confined to the fraction of those who scored higher than the suggested cut-off on the EAT and the BITE, students in the urban sample outnumbered those in the rural sample. No other differences were found. Socioeconomic status and age did not influence the differences in the reporting of eating disorder symptoms by place of residence. Conclusions: Although caution is required when reading the findings drawn from self-report instruments, it is evident that the factors influencing the distribution of eating disorder symptoms and their psychological correlates by place of residence are far more complex than currently thought.
DOI: 10.1037/1082-989x.7.1.83
发表时间: 2002-03-01
影响因子: 7
作者:
MacKinnon, DP;Lockwood, CM;Sheets, V
通讯作者: Sheets, V
DOI: 10.1016/0197-2456(90)90005-m
发表时间: 1990-04-01
期刊: CONTROLLED CLINICAL TRIALS
影响因子: --
作者:
DUPONT, WD;PLUMMER, WD
通讯作者: PLUMMER, WD
自我报告体重的准确性:与暴饮暴食或克制状态以及饮食失调症状的协变。
DOI: 10.1016/0306-4603(92)90047-y
发表时间: 1992
影响因子: 4.4
作者:
Smith,GT;Hohlstein,LA;Atlas,JG
通讯作者: Atlas,JG