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成都市区1486名女性大、中学生进食障碍的现况调查 被引量:15

A cross-sectional investigation on eating disorders in 1486 female students from universities, senior high schools and junior high schools in Chengdu
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摘要 目的探讨女性大、中学生进食障碍的患病率及其相关因素。方法采用最优分配分层整群随机抽样法从成都市区抽取大学6所、普通高中1所、普通中专1所、成人中专2所、职业高中1所、初中3所,共1486名女性大、中学生,采用进食障碍问卷、体像障碍量表、抑郁自评量表、贝克焦虑自评量表、自编调查问卷进行现场调查。采用t检验和logistic回归分析数据。结果成都市女性大、中学生进食障碍估计患病率3.32%;各年龄组中17岁组估计患病率最高(7.16%);各学龄阶段中高中组最高(5.21%)。进食障碍倾向组在认识偏差(P=0.009)、期望偏差(P=0.000)方面均比非进食障碍倾向组得分高。关注减肥相关媒体宣传、童年时父母关系紧张、童年时受虐待、进食障碍问卷的不满体型因子、内感受意识因子及焦虑是进食障碍倾向的相关危险因素。结论进食障碍在女性大、中学生中估计患病率较高,应积极干预。 Objective To investigate the prevalence of eating disorders and its correlated factors in female students of universities, senior high schools and junior high schools. Methods A total of 1486 female students took part in the study. They were sampled by optimum distributing delaminating grouping method,representing the female students in 6 universities and 8 high schools in the 5 urban areas in Chengdu. Participants completed the Eating Disorder Inventory(EDI),Body Mass Index-based Silhouette Matching Test(BMI-SMT), Self-rating Depression Scale, Beck Anxiety Inventory and a self-administered questionnaire in the class time. We performed the t test and logistic regression to analysis the data. Results The estimated total prevalence of eating disorders in the female students was 3.32%. 17 years old (7.16 % ) was the easiest age to develop eating disorders while in senior high school (5.21% ) showing the highest prevalence rate. There were differences between the eating disorders tendency group and none eating disorders tendency group in cognitive warp (P = 0. 009) and expectation warp (P = 0. 000) of BMI-SMT. The related factors of eating disorders were: concerning about the idol at media, non-harmonious parental relationships and being abused in childhood, body dissatisfaction factor of EDI,interoceptive awareness factor of EDI and anxiety. Conclusion The total prevalence of female students' eating disorders in Chengdu was high and more attention should be paid to them on their mental health.
出处 《中华流行病学杂志》 CAS CSCD 北大核心 2008年第4期321-324,共4页 Chinese Journal of Epidemiology
关键词 进食障碍 神经性厌食症 神经性贪食症 患病率 Eating disorders Anorexia nervosa Bulimia nervosa Prevalence
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