Lee S, Lee A M
Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China.
Int J Eat Disord. 2000 Apr;27(3):317-27. doi: 10.1002/(sici)1098-108x(200004)27:3<317::aid-eat9>3.0.co;2-2.
To examine disordered eating and its psychological correlates among female high school students in three Chinese communities that lay on a gradient of socioeconomic development in China.
796 Chinese students from Hong Kong, Shenzhen, and rural Hunan completed a demographic and weight data sheet, the Eating Attitudes Test (EAT-26), a Body Dissatisfaction Scale (BDS), the Beck Depression Inventory (BDI), and the Rosenberg Self-Esteem Scale (RSES).
Compared to students in Hunan and to a lesser extent students in Shenzhen, students from Hong Kong were slimmer, but desired a lower body mass index (BMI), reported more body dissatisfaction, exhibited a more typical EAT-26 factor structure, scored higher on the "fat concern and dieting" factor, and constituted more EAT-26 high scorers. Multiple regression analyses indicated that BDS was the most significant predictor of fat concern at each site, but this effect was strongest in Hong Kong. Hunan students had significantly higher BDI scores but lower fat concern than Shenzhen and Hong Kong students.
The consistent gradient of fat concern across the three communities gives credence to the view that societal modernization fosters disordered eating in women, possibly via the gendered social constraints that accompany it. It is also expressive of the marked socioeconomic heterogeneity within China nowadays. The predictable rising rate of eating disorders that follows global change will pose a growing public health challenge to Asian countries.
在中国三个社会经济发展呈梯度分布的社区中，研究高中女生的饮食失调及其心理相关因素。
来自香港、深圳和湖南农村的796名中国学生完成了一份人口统计学和体重数据表、饮食态度测试（EAT - 26）、身体不满意量表（BDS）、贝克抑郁量表（BDI）和罗森伯格自尊量表（RSES）。
与湖南学生相比，在较小程度上也与深圳学生相比，香港学生更苗条，但期望更低的体重指数（BMI），报告更多的身体不满意，表现出更典型的EAT - 26因子结构，在“对脂肪的关注和节食”因子上得分更高，并且构成更多的EAT - 26高分者。多元回归分析表明，BDS是每个地点对脂肪关注的最显著预测因子，但这种效应在香港最为强烈。湖南学生的BDI得分显著高于深圳和香港学生，但对脂肪的关注较低。
三个社区中对脂肪关注的一致梯度支持了这样一种观点，即社会现代化可能通过伴随而来的性别社会限制，促使女性出现饮食失调。这也体现了当今中国显著的社会经济异质性。随着全球变化而来的饮食失调发病率的可预测上升，将给亚洲国家带来日益严峻的公共卫生挑战。
