Faculty of Medicine and Health Sciences, University Malaysia Sarawak, Sarawak, Malaysia.
Nutr Health. 2024 Sep;30(3):587-595. doi: 10.1177/02601060221132597. Epub 2022 Oct 26.
Disordered eating is common among late adolescents and young adults who pursue an idealised body image. This study aims to determine the prevalence of disordered eating between males and females and its associated factors among college and university students in Sarawak. A cross-sectional study involving 20 public and private colleges and universities in Sarawak, from September 2017 to March 2020. Respondents completed self-administered questionnaires both in the English and Malay language. Data about sociodemographic characteristics, body mass index, eating attitude, body dissatisfaction, perceived sociocultural pressure, self-esteem, drive for muscularity and perfectionism were collected. A total of 776 respondents (male: 30.9%; female: 69.1%) aged 19 to 25 years old took part in the study. The overall prevalence of disordered eating was 25.2% (95% confidence interval (CI) 21.9; 28.7) with females (28.6%, 95% CI 24.6; 32.9) higher than males (15.6%, 95% CI 10.5; 21.9). Multivariate analysis showed for both male and female models, perceived sociocultural pressure (male: β = 1.125, < 0.01; female: β = 1.052, = 0.003), drive for muscularity (male: β = 1.033, = 0.017; female: β = 1.032, < 0.01) and perfectionism (male: β = 1.098, = 0.02; female:β = 1.119, < 0.01) were predictors for disordered eating. The prevalence of disordered eating among college and university students in Sarawak was high. The findings suggest that although there were gender differences in the prevalence of disordered eating, its associated factors were the same. The findings of this study will be useful for designing and implementing disordered eating prevention and intervention programme.
饮食失调在追求理想化身体形象的青少年晚期和年轻成年人中很常见。本研究旨在确定沙捞越大学生中男性和女性饮食失调的患病率及其相关因素。这是一项横断面研究，涉及 2017 年 9 月至 2020 年 3 月期间沙捞越的 20 所公立和私立学院和大学。受访者用英语和马来语填写了自我管理的问卷。收集了社会人口统计学特征、体重指数、饮食态度、身体不满、感知社会文化压力、自尊、肌肉发达和完美主义的驱动力等数据。共有 776 名年龄在 19 至 25 岁的受访者（男性：30.9%；女性：69.1%）参加了这项研究。饮食失调的总体患病率为 25.2%（95%置信区间（CI）21.9%；28.7%），女性（28.6%，95%CI 24.6%；32.9%）高于男性（15.6%，95%CI 10.5%；21.9%）。多变量分析显示，在男性和女性模型中，感知社会文化压力（男性：β=1.125， < 0.01；女性：β=1.052， = 0.003）、肌肉发达的驱动力（男性：β=1.033， = 0.017；女性：β=1.032， < 0.01）和完美主义（男性：β=1.098， = 0.02；女性：β=1.119， < 0.01）是饮食失调的预测因素。沙捞越大学生饮食失调的患病率很高。研究结果表明，尽管饮食失调的患病率存在性别差异，但相关因素是相同的。本研究的结果将有助于设计和实施饮食失调预防和干预计划。
