Kaltiala-Heino R, Rissanen A, Rimpelä M, Rantanen P
University of Tampere, Tampere School of Public health and Tampere University Hospital, Finland.
Acta Psychiatr Scand. 1999 Jul;100(1):33-9. doi: 10.1111/j.1600-0447.1999.tb10911.x.
Studies on the prevalence of bulimia and bulimic behaviour have focused on female populations from their late teens. This study assesses the prevalence of bulimia and bulimic behaviour in 14- to 16-year-old adolescents. Biological, sociodemographic and social correlates of these disorders are sought.
A self-report questionnaire was administered to pupils of the 8th and 9th grades of secondary school in four regions of Finland. In total, 4453 girls and 4334 boys aged 14 to 16 years participated.
Bulimia was detected in 1.8% of girls and 0.3% of boys. Bulimic eating behaviour was reported by 14.4% of subjects. Sociodemographic variables were not associated with increased risk. Bulimia was associated with being bullied by peers and higher than average weight in both sexes.
Bulimia and bulimic eating behaviour appear to be more common than was previously thought in middle adolescence, and also among boys. Bulimia deserves more attention in younger age groups than main risk groups so far considered.
关于暴食症及暴食行为患病率的研究主要集中在接近成年期的女性群体。本研究评估了14至16岁青少年中暴食症及暴食行为的患病率,并探究了这些疾病的生物学、社会人口统计学及社会相关因素。
对芬兰四个地区中学八年级和九年级的学生进行了一项自填式问卷调查。共有4453名14至16岁的女孩和4334名男孩参与。
在女孩中,暴食症的检出率为1.8%,在男孩中为0.3%。14.4%的受试者报告有暴食饮食行为。社会人口统计学变量与风险增加无关。暴食症与遭受同伴欺凌以及男女高于平均体重有关。
暴食症及暴食饮食行为在青春期中期似乎比以前认为的更为常见,在男孩中也是如此。与目前所认为的主要风险群体相比,暴食症在较年轻年龄组中应得到更多关注。