Tekola Abainash, Regassa Lemma Demissie, Berhanu Hiwot, Mandefro Miheret, Shawel Samrawit, Kassa Obsan, Roba Kedir Teji
College of Health and Medical Science, Haramaya University, Harar, Ethiopia.
Front Psychiatry. 2024 Dec 18;15:1459073. doi: 10.3389/fpsyt.2024.1459073. eCollection 2024.
Adolescent eating disorders impair physical and mental development and are associated with poor health outcomes in adulthood. However, there is little research on disordered eating in Ethiopia, particularly in the study area. As a result, the purpose of this study is to examine disordered eating behaviors and associated factors in secondary school adolescents in the study area.
A school-based cross-sectional study was conducted among 1104 secondary school adolescents in Harar town from June 30 to July 15, 2022. Multistage cluster sampling was used, and data was collected using self-administered questionnaires. The eating attitude test-26 was used to assess disordered eating behaviors, and scores of 20 and above were considered to have disordered eating behaviors. A binary logistic regression analysis was done to identify factors associated with disordered eating behaviors and the statistical significance level was set at a p-value of 0.05.
In this study, 28.37% [95% CI (25.73%, 31.16%)] of the adolescents had disordered eating behaviors. Being female [AOR = 1.81, 95% CI (1.29, 2.53)], being from a mother, attending technical school [AOR = 3.61, 95% CI: (1.85, 7.04)], and having a higher-educated father [AOR = 1.55, 95% CI: (1.02, 2.36)] were significantly associated with disordered eating behaviors. Furthermore, desire to lose weight [AOR = 2.09, 95% CI (1.49, 2.93)], smoking [AOR = 3.64, 95% CI (2.24, 5.91)], emotional problems [AOR = 1.7, 95% CI (1.14, 2.55)], and body image dissatisfaction [AOR = 0.96, 95% CI (0.94, 0.97)] were associated with disordered eating.
In Harar, almost three out of ten secondary school adolescents had disordered eating behaviors. Personal, behavioral, and socio-demographic factors were associated with disordered eating. Since the prevalence of disordered eating is significant at the study site, all relevant stakeholders should have to develop appropriate interventions that target modifiable factors to reduce the burden.
青少年饮食失调会损害身心健康，并与成年后的不良健康结果相关。然而，埃塞俄比亚关于饮食紊乱的研究很少，特别是在研究区域。因此，本研究的目的是调查研究区域内中学生的饮食紊乱行为及其相关因素。
2022年6月30日至7月15日，在哈拉尔镇的1104名中学生中进行了一项基于学校的横断面研究。采用多阶段整群抽样，通过自填问卷收集数据。使用饮食态度测试-26来评估饮食紊乱行为，得分20分及以上被认为有饮食紊乱行为。进行二元逻辑回归分析以确定与饮食紊乱行为相关的因素，统计学显著性水平设定为p值0.05。
在本研究中，28.37%[95%置信区间(25.73%, 31.16%)]的青少年有饮食紊乱行为。女性[AOR = 1.81, 95%置信区间(1.29, 2.53)]、母亲为[具体情况未明确]、就读于技术学校[AOR = 3.61, 95%置信区间:(1.85, 7.04)]以及父亲受教育程度较高[AOR = 1.55, 95%置信区间:(1.02, 2.36)]与饮食紊乱行为显著相关。此外，减肥欲望[AOR = 2.09, 95%置信区间(
