A two-stage epidemiologic study on prevalence of eating disorders in female university students in Wuhan, China
- 1.1k Downloads
The community prevalence of eating disorders among Chinese young women may now be similar to their western counterparts.
To investigate the prevalence of eating disorders (ED) in female university students in Wuhan, China, using a two-stage design.
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).
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.
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.
KeywordsPrevalence Two-stage Eating disorders Community sample China
This work has been funded by National Key Technologies R&D Program (National demonstrative study on comprehensive screening, evaluation and intervention for issues of family, marriage and parent–child relation, 2009 BAI77B05) and Human development and mental health in Hubei province key laboratory open project (200902).
Conflict of interest
- 15.Fu DD, Wang JP, Wang XY, Chen W (2008) Eating disorder of female university students in Beijing and its relation with personality. Chin J Clin Psychol 16:31–33Google Scholar
- 17.Pavlova B, Uher R, Dragomirecka E, Papezova H (2010) Trends in hospital admissions for eating disorders in a country undergoing a socio-cultural transition, the Czech Republic 1981–2005Google Scholar
- 20.Zhang DR, Kong QM (2004) Applicability of EDI-1 in Beijing. Chin Mental Health J 18:48–50Google Scholar
- 21.Tachi T, Murakami K, Washizuka T, Ikuta N, Nishizono AM, Miyake Y (2005) Application of the eating disorder examination (EDE) to Japanese patients with eating disorders: reliability and validity of the Japanese version of EDE. Jpn J Psychosom Med 45(5):785–792Google Scholar
- 22.Lau LLS, Lee S, Lee E, Wong W (2006) Cross-cultural validity of the eating disorder examination: a study of Chinese outpatients with eating disorders in Hong Kong. Hong Kong J Psychiatry 16:132–136Google Scholar
- 24.Tong J, Shi J, Wang J, Zhang H, Zhang SF, Wu XY et al (2011) Validity and reliability of the Chinese language version of the eating disorder examination (CEDE) in Mainland China: implications for the identity and nosology of the eating disorders. Int J Eat Disord 44:76–80PubMedCrossRefGoogle Scholar
- 26.Fairburn C, Cooper Z (1993) The eating disorder examination. In: Fairburn CG, Wilson GT (eds) Binge eating: nature, assessment, and treatment. Guilford Press, New York, pp 317–360Google Scholar
- 31.Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, WHO World Mental Health Survey Consortium et al (2004) Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 291:2581–2590PubMedCrossRefGoogle Scholar
- 34.Hsu LKG, Wan YM, Chang H, Summergrad P, Tsang B, Chen HT (2008) Stigma of depression is more severe among Chinese Americans than Caucasian Americans. Psychiatry 71:210–218Google Scholar