"Prevalence of disordered eating and eating disorders among Norwegian university students before and after the COVID-19 pandemic, 2018 and 202.: The SHoT study."

IF 4.5 3区 医学 Q2 NUTRITION & DIETETICS
Lisa Marie Jacobsen, Gørill Haugan, Gina Dimitropoulos, Amelia Austin, Børge Sivertsen, Tonje Braaten, Ottar Bjerkeset
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引用次数: 0

Abstract

Objective: The prevalence of eating disorders (EDs) is increasing, but little is known about their trends among university students, particularly following COVID-19. This study examines prevalence in EDs and disordered eating (DE) symptoms among students in 2018 and 2022, focusing on gender and socio-demographic disparities.

Methods: Data were drawn from the Students' Health and Well-being Study (SHoT) in 2018 (n = 50 054) and 2022 (n = 59 544), a large-scale Norwegian survey covering full-time university students aged 18-36. Participants completed self-report measures assessing symptoms of DE (EDS scale) and ED diagnoses, socio-demographic variables, lifestyle, gender identity and financial status. Statistical analyses included logistic regression to assess associations between factors known to be linked to DE and EDs, chi-square tests for group comparisons, and t-tests for continuous variables.

Results: From 2018 to 2022, the prevalence of self-reported EDs increased among females (3.5% in 2018 and 4.5% in 2022) and males (0.4% in 2018 and 0.6% in 2022), while gender-diverse students exhibited the overall highest ED rates (around 10% in both surveys). Anorexia nervosa remained the most common ED among females. Daily/almost daily exercise, financial difficulties, loneliness, and living alone were closely linked to EDs, odds ratios (ORs) ranging from 1.3 to 3.7 in females. Similar patterns were seen for female DE cases. Although numbers were low, financial difficulties and particularly loneliness indicated higher risk for DE and any EDs among males.

Discussion: The findings suggest a relative rise in ED prevalence among students after the COVID-19 pandemic, while DE symptoms and -cases only changed minimally. These findings highlight the need for enhanced awareness and student mental health services, particularly for gender-diverse individuals, and to improve early detection and intervention strategies among those facing financial hardship and loneliness.

“2018年和2020年2019冠状病毒病大流行前后挪威大学生饮食失调和饮食失调的患病率。: SHoT研究。”
目的:饮食失调(EDs)的患病率正在上升,但对其在大学生中的趋势知之甚少,特别是在2019冠状病毒病(COVID-19)之后。本研究调查了2018年和2022年学生ed和饮食失调(DE)症状的患病率,重点关注性别和社会人口差异。方法:数据来自2018年(n = 50 054)和2022年(n = 59 544)的学生健康与福祉研究(SHoT),这是一项针对18-36岁全日制大学生的大规模挪威调查。参与者完成了评估ED症状(EDS量表)和ED诊断、社会人口变量、生活方式、性别认同和经济状况的自我报告测量。统计分析包括逻辑回归来评估已知与DE和ed相关的因素之间的关联,卡方检验用于组比较,t检验用于连续变量。结果:从2018年到2022年,自我报告的ED患病率在女性(2018年为3.5%,2022年为4.5%)和男性(2018年为0.4%,2022年为0.6%)中有所增加,而性别不同的学生的ED总体比例最高(两项调查均约为10%)。神经性厌食症仍然是女性中最常见的ED。每天或几乎每天锻炼、经济困难、孤独和独居与ed密切相关,女性的比值比(or)在1.3至3.7之间。在女性DE病例中也发现了类似的模式。虽然人数很少,但经济困难,尤其是孤独感表明男性患DE和ed的风险更高。讨论:研究结果表明,在COVID-19大流行后,学生ED患病率相对上升,而DE症状和病例仅发生微小变化。这些发现强调需要提高认识和学生心理健康服务,特别是对性别多样化的个人,并改善面临经济困难和孤独的人的早期发现和干预策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Eating Disorders
Journal of Eating Disorders Neuroscience-Behavioral Neuroscience
CiteScore
5.30
自引率
17.10%
发文量
161
审稿时长
16 weeks
期刊介绍: Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.
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