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互联网成瘾、抑郁症状和焦虑症状与孟加拉国大学生饮食障碍的风险相关。

Internet addiction, depressive symptoms, and anxiety symptoms are associated with the risk of eating disorders among university students in Bangladesh.

机构信息

Department of Food Microbiology, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, 8602, Bangladesh.

Nutrition Initiative, Kushtia, Bangladesh.

出版信息

Sci Rep. 2023 Nov 22;13(1):20527. doi: 10.1038/s41598-023-47101-z.

Abstract

The risk of developing an eating disorder among university students is higher than the general population in Bangladesh. Since psychiatric disorders (such as depression and anxiety) and addictive behaviors (e.g., internet addiction) predominantly exist among university students in the country, these may increase their vulnerability to developing an eating disorder. The association of internet addiction, depression, and anxiety with the risk of eating disorders among Bangladeshi university students is relatively unknown; therefore, this study investigates the association. This study was a cross-sectional design. Students (N = 700) from two public universities in Bangladesh completed the Patient Health Questionnaire (PHQ-9) scale, the Generalized Anxiety Disorder (GAD-7) tool, and Orman's Internet Addiction Survey (OIAS) to measure exposure variables. Eating Attitudes Test-26 (EAT-26) assessed the outcome variable. Multivariable logistic regression analysis showed that internet addiction [adjusted odds ratio (aOR) for moderate addiction = 2.15 and severe addiction = 3.95], depressive (aOR 3.04), and anxiety (aOR 2.06) symptoms were associated with an increased risk of eating disorder among study participants. Future longitudinal studies on university students are recommended to gain a better understanding about the causal factors of eating disorder to support intervention initiatives and strategies by public health practitioners and policy experts.

摘要

在孟加拉国,大学生中出现饮食失调的风险高于普通人群。由于该国的大学生中普遍存在精神障碍(如抑郁和焦虑)和成瘾行为(如网络成瘾),这可能会增加他们出现饮食失调的脆弱性。网络成瘾、抑郁和焦虑与孟加拉国大学生饮食失调风险之间的关联尚不清楚;因此,本研究对此进行了调查。本研究采用横断面设计。来自孟加拉国两所公立大学的学生(N=700)完成了患者健康问卷(PHQ-9)量表、广泛性焦虑障碍(GAD-7)工具和 Orman 的网络成瘾调查(OIAS),以测量暴露变量。饮食态度测试-26(EAT-26)评估了结果变量。多变量逻辑回归分析表明,网络成瘾(中度成瘾的调整后优势比[aOR]为 2.15,重度成瘾为 3.95)、抑郁(aOR 3.04)和焦虑(aOR 2.06)症状与研究参与者中饮食失调风险增加相关。建议对大学生进行未来的纵向研究,以更好地了解饮食失调的因果因素,为公共卫生从业者和政策专家提供干预措施和策略的支持。

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