不同性别中学生进食障碍及危险因素分析

褚成静; 周凌峰; 杨敏

doi:10.11847/zgggws2014-30-10-03

不同性别中学生进食障碍及危险因素分析

Eating disorder and its risk factors among middle school students

摘要

摘要: 目的了解不同性别中学生进食障碍患病率及相关危险因素。方法采用分层整群随机抽样法从广东省东莞市抽取7所普通中学共3 351名中学生，采用进食障碍问卷、抑郁自评量表、焦虑自评量表、家庭环境问卷及自编调查问卷进行调查。结果东莞市中学生进食障碍估计患病率为2.06%，男生为1.42%，女生为2.16%；认为变瘦才能吸引异性（OR=2.648，P=0.024）、个体的内感受意识（OR=1.123，P=0.006）、不满体形（OR=1.080，P=0.010）、无效能感（OR=1.115，P=0.024）、人际不信任（OR=0.873，P=0.025）、焦虑（OR=0.933，P=0.010）是女生进食障碍患病的危险因素，内感受意识（OR=1.385，P=0.034）、不满体形（OR=1.254，P=0.012）、家庭环境因素中的娱乐性（OR=0.455，P=0.037）是男生进食障碍患病危险因素。结论男女生进食障碍患病的危险因素不同，家庭成员的娱乐性成为男性进食障碍的独特因素。

Abstract: Objective To explore the prevalence and risk factors of eating disorder among middle school students.Methods A total of 3 351 middle school students from seven schools of Dongguan, Guangdong province were selected with stratified cluster random sampling and surveyed with Eating Disorder Inventory(EDI), Self-Rating Depression Scale(SDS), Self-Rating Anxiety Scale(SAS), and Family Environment Scale(FES-CV).Results The estimated overal prevalence of eating disorders in the students was 2.06%(1.42% for the boys and 2.16% for the girls).Four factors of EDI were significantly associated with eating disorder among the girls.Entertainment of family was a special factor for eating disorder in the boys.Conclusion There are gender differences in risk factors of eating disorder among middle school students, and entertainment of family member is a special factor for boys.

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