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. 2014 Sep 11;14:943.
doi: 10.1186/1471-2458-14-943.

The Changing Demographic Profile of Eating Disorder Behaviors in the Community

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Free PMC article

The Changing Demographic Profile of Eating Disorder Behaviors in the Community

Deborah Mitchison et al. BMC Public Health. .
Free PMC article

Abstract

Background: The perception that eating disorders occur predominantly in young white upper-class women has been challenged. This study examined temporal differences to the demographic correlates of eating disorder behaviors over a 10-year period.

Methods: Data from cross-sectional general population surveys in 1998 (n = 3010) and 2008 (n = 3034) were collected on demographics (sex, age, income, residency), current eating disorder behaviors (binge eating, extreme dieting, purging), and health-related quality of life (SF-36).

Results: Below-median annual household income was associated with increased prevalence rates from 1998 to 2008 in binge eating, extreme dieting, and purging. Male sex was associated with increased prevalence rates in extreme dieting and purging. Age over 45 years was associated with increased prevalence rates in purging. In 2008 versus 1998, binge eating was associated with greater mental health-related quality of life impairment in males but not females; and greater physical health-related quality of life impairment in regional but not metropolitan areas. Extreme dieting was also associated with greater physical health-related quality of life impairment in 2008 versus 1998 in the lower but not the higher socioeconomic sector.

Conclusions: Findings suggest the 'democratization' of disordered eating, with greatest levels of associated impairment being within marginalized demographic sectors. Implications include the need for broader intervention programs and recruitment of demographically representative samples in eating disorder research.

Figures

Figure 1
Figure 1
The prevalence of eating disorder behaviors within demographic sectors in the 1998 and 2008 surveys. a. Prevalence of objective binge eating within demographic sectors in the 1998 and 2008 surveys. b. Prevalence of extreme dieting within demographic sectors in the 1998 and 2008 surveys. c Prevalence of purging within demographic sectors in the 1998 and 2008 surveys. Significant differences within demographic sectors between survey years (e.g. males in 1998 vs. males in 2008) indicate the results of χ2 tests. Significant differences between demographic sectors over time (e.g. males vs. females) indicate the results of the Altman and Bland method to compare odds ratios derived from ordinal logistic regressions. *p < 0.05, **p < 0.01, ***p < 0.001.

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References

    1. Bruch H. The Golden Cage: The Enigma of Anorexia Nervosa. Cambridge: Harvard University Press; 1978.
    1. Mond J, Hay P, Rodgers B, Owen C. Mental health literacy and eating disorders: what do women with bulimic eating disorders think and know about bulimia nervosa and its treatment? J Ment Health. 2008;17(6):565–575. doi: 10.1080/09638230701677787. - DOI
    1. Drummond M. Men, body image, and eating disorders. Int J Men’s Health. 2002;1(1):89–103. doi: 10.3149/jmh.0101.89. - DOI
    1. Harvey J, Robinson J. Eating disorders in men: current considerations. J Clin Psychol Med Settings. 2003;10(4):297–306. doi: 10.1023/A:1026357505747. - DOI
    1. Lewinsohn P, Seeley J, Moerk K, Striegel-Moore R. Gender differences in eating disorder symptoms in young adults. Int J Eat Disord. 2002;32(4):426–440. doi: 10.1002/eat.10103. - DOI - PubMed
Pre-publication history
    1. The pre-publication history for this paper can be accessed here: http://www.biomedcentral.com/1471-2458/14/943/prepub

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