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中国武汉女大学生进食障碍患病率的两阶段流行病学研究。

A two-stage epidemiologic study on prevalence of eating disorders in female university students in Wuhan, China.

机构信息

Wuhan Mental Health Center, Wuhan Hospital for Psychotherapy, affiliated to Tongji Medical College, Huazhong University of Science and Technology, Kaiming Road 44#, Wuhan, China,

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2014 Mar;49(3):499-505. doi: 10.1007/s00127-013-0694-y. Epub 2013 Jun 7.

DOI:10.1007/s00127-013-0694-y
PMID:23744441
Abstract

BACKGROUND

The community prevalence of eating disorders among Chinese young women may now be similar to their western counterparts.

AIM

To investigate the prevalence of eating disorders (ED) in female university students in Wuhan, China, using a two-stage design.

METHOD

In stage one, 99.1% (N = 8,444) of eligible students (N = 8,521) completed the eating disorder inventory-1 (EDI-1) and a survey of relevant anthropomorphic data. A total of 421 women scored above the cut-off for EDE-1, as defined by a set of criteria similar to those of Keski-Rahkonen (Int J Eat Disord 39:754-762, 2006). 257 (61%) of these case-positive women and a random sample of case-negative women (312 out of 8,023, 4%) whose scores did not exceed the defined cut-off were interviewed using the eating disorder examination (EDE) and the structured clinical interview for DSM-IV axis I disorders (SCID-I).

RESULTS

On interview with the SCID-I, 79 women were diagnosed with an ED. Among them, 10 had anorexia nervosa (AN), 21 bulimia nervosa (BN), and 48 binge eating disorder (BED) The results showed a prevalence rate of 1.05% (95% CI = 0.02-2.08) for AN, 2.98% (95% CI = 1.21-4.74) for BN, and 3.53% (95% CI = 1.75-5.30) for BED.

CONCLUSION

The prevalence of ED among female university students in China is now similar to that of their western counterparts, and BED is the most common ED followed by BN and AN similarly.

摘要

背景

中国年轻女性的饮食障碍患病率现在可能与西方同龄人相似。

目的

采用两阶段设计,调查中国武汉女大学生的饮食障碍(ED)患病率。

方法

在第一阶段,99.1%(N=8444)符合条件的学生(N=8521)完成了饮食障碍量表-1(EDI-1)和相关人体测量数据的调查。共有 421 名女性的 EDI-1 得分超过了 Keski-Rahkonen 定义的临界值(Int J Eat Disord 39:754-762, 2006)。其中 257 名阳性病例女性(61%)和得分未超过定义临界值的随机阴性病例女性(8023 名中的 312 名,4%)进行了饮食障碍检查(EDE)和 DSM-IV 轴 I 障碍的结构化临床访谈(SCID-I)。

结果

在 SCID-I 访谈中,79 名女性被诊断为 ED。其中,10 名患有神经性厌食症(AN),21 名患有神经性贪食症(BN),48 名患有暴食障碍(BED)。结果显示,AN 的患病率为 1.05%(95%CI=0.02-2.08),BN 为 2.98%(95%CI=1.21-4.74),BED 为 3.53%(95%CI=1.75-5.30)。

结论

中国女大学生的 ED 患病率现在与西方同龄人相似,BED 是最常见的 ED,其次是 BN 和 AN。

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Int J Eat Disord. 2012 Apr;45(3):428-38. doi: 10.1002/eat.20931. Epub 2011 Jul 8.
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