Skip to main content
Log in

Eating Attitudes and Dieting Behavior Among Religious Subgroups of Israeli-Arab Adolescent Females

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

Abstract

Objectives The aim of the study was to compare the eating attitudes and behaviors, including weight concerns and dieting behavior, among three religious subgroups (Moslems, Druze, and Christians) and three age subgroups (12–13, 14–15, and 16–18 years old) of Israeli-Arab adolescent females. Methods The sample consisted of 1141 Israeli-Arab adolescent females, including 926 (81.2%) Moslem, 128 (11.2%) Christian, and 87 (7.6%) Druze schoolgirls in the seventh to twelfth grades. Participants were assessed using the EAT–26 questionnaire. Results The results showed that 75% of the students had a negative EAT-26 score (>20) and that 25% of the students had a positive EAT-26 score (<20). No significant differences were found in total scores, subscale scores, or scores above 20 between the age subgroups or the religious subgroups. The results demonstrated a high prevalence of disturbed eating attitudes and behaviors among Israeli-Arab adolescent schoolgirls. Discussion Higher prevalence of disturbed eating attitudes found among Israeli-Arab schoolgirls as compared to their Jewish counterparts. Although our sample is a communal based, there still remains an open question as to why the desired “slenderness culture” evident in the results is not reflected in the number of ED clinic referrals, among clinical population. These discrepancies were discussed in light of ethnicity-specific factors that may influence the perceived severity of eating disorders and the receptiveness of primary practitioners to address them.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Al-Issa, M. (1966). Psychiatry in Iraq. The British Journal of Psychiatry, 112, 827–832.

    Article  PubMed  Google Scholar 

  • Al-Subaie, A. (1998). Eating attitude test in Arabic: Psychometric features and normative data. Annals of Saudi Medicine, 19, 447–453.

    Google Scholar 

  • Al-Subaie, A. S. (2000). Some correlates of dieting behavior in Saudi schoolgirls. The International Journal of Eating Disorders, 28, 242–246. doi :10.1002/1098-108X(200009)28:2<242::AID-EAT16>3.0.CO;2-Z.

    Article  PubMed  CAS  Google Scholar 

  • Al-Subaie, A., Al-Shammari, S., Bamgboye, E., Al-Sabhan, K., Al-Shehri, S., & Bannah, A. R. (1996). Validity of the Arabic version of the Eating Attitude Test. The International Journal of Eating Disorders, 20, 321–324. doi :10.1002/(SICI)1098-108X(199611)20:3<321::AID-EAT12>3.0.CO;2-2.

    Article  PubMed  CAS  Google Scholar 

  • Apter, A., Abu Shah, M., Iancu, I., Abramovitch, H., Weizman, A., & Tyano, S. (1994). Cultural effects on eating attitudes in Israeli subpopulations and hospitalized anorectics. Genetic, Social, and General Psychology Monographs, 120, 83–99.

    PubMed  CAS  Google Scholar 

  • Barak, A., & Golan, G. (2000). Counseling psychology in Israel: Successful accomplishments of a nonexistent specialty. The Counseling Psychologist, 28, 100–116. doi:10.1177/0011000000281006.

    Article  Google Scholar 

  • Becker, A. E., Franko, D. L., Speck, A., & Herzog, D. B. (2002). Ethnicity and differential access to care for eating disorder symptoms. The International Journal of Eating Disorders, 33, 205–212. doi:10.1002/eat.10129.

    Article  Google Scholar 

  • Ben-Ari, A. (1998). Understanding of and attitudes towards self-help: Views from Palestinian and Israeli members of self-help groups. Journal of Social Service Research, 24, 131–148. doi:10.1300/J079v24n01_06.

    Article  Google Scholar 

  • Ben-Ari, A. (2001). Alternative modalities of help within socio-political and ethnic minorities: Self-help among Arabs living in Israel. Community Mental Health Journal, 37, 245–259. doi:10.1023/A:1017581130865.

    Article  PubMed  CAS  Google Scholar 

  • Ben-Ari, A., & Azaiza, F. (2003). Effectiveness of helplines among sociopolitical minorities: A view from both sides of the line. Families in Society, 84, 417–422.

    Google Scholar 

  • Button, E. J., Loan, P., Davies, J., & Sonuga-Barke, E. J. S. (1997). Self esteem, eating problems, and psychological well being in a cohort of schoolgirls aged 15–16: A questionnaire and interview study. The International Journal of Eating Disorders, 21, 39–47. doi :10.1002/(SICI)1098-108X(199701)21:1<39::AID-EAT5>3.0.CO;2-4.

    Article  PubMed  CAS  Google Scholar 

  • Central Bureau of Statistics. (2004). Statistical Abstract of Israel. Israel: Jerusalem.

    Google Scholar 

  • Cooper, Z. (1995). Epidemiology, etiology and course of eating disorders. In K. D. Brownell & C. G. Fairburn (Eds.), Eating disorders and obesity: A comprehensive handbook (pp. 199–244). The Guilford Press: New York.

    Google Scholar 

  • Choudry, I. Y., & Mumford, D. B. (1992). A pilot study of eating disorders in Mirpur (Pakistan) using an Urdu version of the eating attitudes test. The International Journal of Eating Disorders, 11, 243–251. doi :10.1002/1098-108X(199204)11:3<243::AID-EAT2260110307>3.0.CO;2-P.

    Article  Google Scholar 

  • Crago, M., Shisslak, C. M., & Estes, L. S. (1996). Eating disturbances among American minority groups: A review. The International Journal of Eating Disorders, 19, 239–248. doi :10.1002/(SICI)1098-108X(199604)19:3<239::AID-EAT2>3.0.CO;2-N.

    Article  PubMed  CAS  Google Scholar 

  • Dancyger, I. F., & Garfinkel, P. E. (1995). The relationship of partial syndrome eating disorders to anorexia nervosa and bulimia nervosa. Psychological Medicine, 25, 1019–1025.

    PubMed  CAS  Google Scholar 

  • Deter, H. C., Herzog, W., & Manz, R. (1994). Do patients with anorexia nervosa return to psychological health? Results of a 12-year follow-up of 103 patients. Zeitschrift fur Psychosomatische Medizin und Psychoanalyse, 40, 155–173. German.

    PubMed  CAS  Google Scholar 

  • Devaud, C., Jeannin, A., Narring, F., Ferron, C., & Michaud, P. A. (1998). Eating disorders among female adolescents in Switzerland: Prevalence and associations with mental and behavioral disorders. The International Journal of Eating Disorders, 24, 207–216. doi :10.1002/(SICI)1098-108X(199809)24:2<207::AID-EAT10>3.0.CO;2-W.

    Article  PubMed  CAS  Google Scholar 

  • Dolan, B. J. (1991). Cross-cultural aspects of anorexia nervosa and bulimia: A review. The International Journal of Eating Disorders, 10, 67–78. doi :10.1002/1098-108X(199101)10:1<67::AID-EAT2260100108>3.0.CO;2-N.

    Article  Google Scholar 

  • Eckert, E. D., Halmi, K. A., Marchi, P., Grove, W., & Crosby, R. (1995). Ten-year follow-up of anorexia nervosa: Clinical course and outcome. Psychological Medicine, 25, 143–156.

    PubMed  CAS  Google Scholar 

  • Elsarrag, M. E. (1968). Psychiatry in the Northern Sudan: A study in comparative psychiatry. The British Journal of Psychiatry, 114, 945–948.

    Article  PubMed  CAS  Google Scholar 

  • Fisher, M., Pastore, D., Schneider, M., Pegler, C., & Napolitano, B. (1994). Eating attitudes in Urban and Suburban Adolescents. The International Journal of Eating Disorders, 16, 67–94. doi :10.1002/1098-108X(199407)16:1<67::AID-EAT2260160107>3.0.CO;2-I.

    Article  PubMed  CAS  Google Scholar 

  • Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The eating attitudes test: Psychometric features and clinical correlates. Psychological Medicine, 12, 871–878.

    PubMed  CAS  Google Scholar 

  • Gotestam, K. G., Eriksen, L., Heggestad, T., & Nielsen, S. (1998). Prevalence of eating disorders in Norwegian general hospitals 1990–1994: Admissions per year and seasonality. The International Journal of Eating Disorders, 23, 57–64. doi :10.1002/(SICI)1098-108X(199801)23:1<57::AID-EAT7>3.0.CO;2-0.

    Article  PubMed  CAS  Google Scholar 

  • Haj-Yahia, M. (1994). The Arab family in Israel: Cultural values and their linkage to social work. Society & Welfare, 14, 249–264.

    Google Scholar 

  • Haj-Yahia, M. (1995). Wife abuse in the Arab society in Israel: Some challenge for future change. Paper presented at the international study group on future intervention with battered women and their families. The School of Social Work, University of Haifa, Israel.

  • Haj-Yahia, M. (1997). Culturally sensitive supervision of Arab social work students in Western universities. Social Work, 42, 166–174.

    Google Scholar 

  • Harel, Y., Ellenbogen-Frankovits, S., Molcho, M., Abu-Ashas, K., & Habib, J. (2002). Youth in Israel. Jerusalem, Israel: Brookdale Institute.

    Google Scholar 

  • Herzog, D. B., Greenwood, D. N., Dorer, D. J., Flores, A. T., Ekeblad, E. R., Richards, A., et al. (2000). Mortality in eating disorders: A descriptive study. The International Journal of Eating Disorders, 28, 20–26. doi :10.1002/(SICI)1098-108X(200007)28:1<20::AID-EAT3>3.0.CO;2-X.

    Article  PubMed  CAS  Google Scholar 

  • Ianuca, I. (1990). Validation of the EAT in Israel. Unpublished doctoral dissertation. School of Medicine; Tel Aviv University, Israel.

  • Katzman, M. A., Hermans, K. M. E., Hoken, D. V., & Hoek, H. W. (2004). Not your “Typical Island Woman”: Anorexia nervosa is reported only in Subcultures in Curacao. Culture, Medicine and Psychiatry, 28, 463–492. doi:10.1007/s11013-004-1065-7.

    Article  PubMed  Google Scholar 

  • Kiriike, N., & Nagata, T. (1997). Cross–culture studies. Bailliere’s Clinical Psychiatry, 3, 339–351.

    Google Scholar 

  • Latzer, Y. (2003). Disordered eating and attitudes in Israel. In M. R. Giovanni (Ed.), Eating disorders in the Mediterranean area: An exploration in transcultural psychology. (Chapter 13, pp. 159–182). Huntington, NY: Nova Science Publisher.

    Google Scholar 

  • Latzer, Y., & Shatz, S. (1999). Comprehensive community prevention of disturbed attitudes to weight control: A three level intervention program. Eating Disorders: The Journal of Treatment and Prevention, 7, 3–31.

    Google Scholar 

  • Latzer, Y., & Shatz, S. (2001). Disturbed attitudes to weight control in female kibbutz adolescents: A preliminary study with a view to prevention. Eating Disorders: The Journal of Treatment and Prevention, 9, 225–237.

    CAS  Google Scholar 

  • Latzer, Y., & Tzischinsky, O. (2003). Weight concern, dieting and eating behavior: A survey of Israeli high-school girls. International Journal of Adolescents Medicine and Health, 15, 295–305.

    Google Scholar 

  • Latzer, Y., & Tzischinsky, O. (2005). Eating attitudes in a varied group of Israeli adolescent females: A comparison study. Journal of Adolescence, 28, 317–323. doi:10.1016/j.adolescence.2004.12.004.

    Article  PubMed  CAS  Google Scholar 

  • Latzer, Y., Tzischinsky, O., & Azaiza, F. (2007a). Disordered eating related behaviors among Arab schoolgirls in Israel: An epidemiological study. The International Journal of Eating Disorders, 40(3), 263–270. doi:10.1002/eat.20348.

    Article  PubMed  Google Scholar 

  • Latzer, Y., Tzischinsky, O., & Geraisy, N. (2007b). Comparative study of eating related attitudes and psychological traits between Israeli Arab and Jewish schoolgirls. Journal of Adolescence, 30(4), 627–637. doi:10.1016/j.adolescence.2006.06.002.

    Article  PubMed  Google Scholar 

  • Latzer, Y., Vander, S., & Gilat, I. (2008). Socio-demographic characteristics of ED patients in an outpatient clinic: A descriptive epidemiological study. European Eating Disorders Review, 16, 139–146.

    Article  PubMed  Google Scholar 

  • Lee, A. M., & Lee, S. (1996). Disordered eating and its psychosocial correlates among Chinese adolescent females in Hong Kong. The International Journal of Eating Disorders, 20, 177–183. doi :10.1002/(SICI)1098-108X(199609)20:2<177::AID-EAT8>3.0.CO;2-D.

    Article  PubMed  CAS  Google Scholar 

  • Lichener, P., Arnett, J., Rallo, J. S., Srikameswaran, S., & Vulcano, B. (1986). An epidemiologic study of maladaptive eating attitudes in a Canadian school age population. The International Journal of Eating Disorders, 5, 969–982. doi :10.1002/1098-108X(198609)5:6<969::AID-EAT2260050602>3.0.CO;2-P.

    Article  Google Scholar 

  • Malach-Pines, A., & Zaidman, N. (2003). Israeli Jews and Arabs: Similarities and differences in the utilization of social support. Journal of Cross-Cultural Psychology, 34, 465–480. doi:10.1177/0022022103034004006.

    Article  Google Scholar 

  • Mckay, M., & Fanning, P. (2000). Self esteem (3rd ed.). CA, Oakland: New Harbinger Publications, Inc.

    Google Scholar 

  • Mann, A. H., Wakeling, A., Wood, K., Monec, E., Dobbs, R., & Szmulker, G. (1983). Screening for abnormal eating attitudes and psychiatric morbidity in an unselected population of 15-year-old schoolgirls. Psychological Medicine, 13, 573–580.

    Article  PubMed  CAS  Google Scholar 

  • Mitrany, E., Lubin, F., Chetrit, A., & Modan, B. (1995). Eating disorders among Jewish female adolescents in Israel: A 5-year study. The Journal of Adolescent Health, 6, 454–457. doi:10.1016/1054-139X(95)00005-D.

    Article  Google Scholar 

  • Mumford, D. B., Whitehouse, A. M., & Choudry, I. Y. (1992). Survey of eating disorders in English-medium schools in Lahore, Pakistan. The International Journal of Eating Disorders, 11, 173–184. doi :10.1002/1098-108X(199203)11:2<173::AID-EAT2260110208>3.0.CO;2-L.

    Article  Google Scholar 

  • Nakamura, K., Hoshino, Y., Watanabe, A., Honda, K., Niwa, S., Tominaga, K., et al. (1999). Eating problems in female Japanese high school students: A prevalence study. The International Journal of Eating Disorders, 26, 91–95. doi :10.1002/(SICI)1098-108X(199907)26:1<91::AID-EAT12>3.0.CO;2-M.

    Article  PubMed  CAS  Google Scholar 

  • Nasser, M. (1986). Comparative study of the prevalence of abnormal eating attitudes among Arab female students of both London and Cairo Universities. Psychological Medicine, 16, 621–625.

    PubMed  CAS  Google Scholar 

  • Nasser, M. (1988a). Culture and weight consciousness. Journal of Psychosomatic Research, 32, 573–577. doi:10.1016/0022-3999(88)90005-0.

    Article  PubMed  CAS  Google Scholar 

  • Nasser, M. (1988b). Eating disorders: The cultural dimension. Social Psychiatry and Psychiatric Epidemiology, 23, 184–187. doi:10.1007/BF01794786.

    Article  PubMed  CAS  Google Scholar 

  • Nasser, M. (1994a). Culture and research instruments: The performance of the eating attitudes test questionnaire in the Arabic culture. Arab Journal of Psychiatry, 5, 1–11.

    Google Scholar 

  • Nasser, M. (1994b). Screening for abnormal eating attitudes in a population of Egyptian secondary school girls. Social Psychiatry and Psychiatric Epidemiology, 29, 25–30.

    PubMed  CAS  Google Scholar 

  • Nasser, M. (1994c). The psychometric properties of the Eating Attitude Test in a non-Western population. Social Psychiatry and Psychiatric Epidemiology, 29, 88–94.

    PubMed  CAS  Google Scholar 

  • Nasser, M. (1997). The EAT speaks many languages: Review of the use of the EAT in eating disorders research. Eating and Weight Disorders, 2, 174–181.

    PubMed  CAS  Google Scholar 

  • Nasser, M., Katzman, M. A., & Gordon, R. A. (Eds.). (2001). Eating disorders and cultures in transition. London: Brunner-Routledge.

    Google Scholar 

  • Neumarker, K. J. (1997). Mortality and sudden death in Anorexia Nervosa. The International Journal of Eating Disorders, 21, 206–212. doi :10.1002/(SICI)1098-108X(199704)21:3<205::AID-EAT1>3.0.CO;2-O.

    Article  Google Scholar 

  • Neumarker, U., Dudeck, U., Vollrath, M., Neumarker, K. J., & Steinhausen, H. C. (1992). Eating attitudes among adolescent anorexia nervosa patients and normal subjects in former West and East Berlin: A transcultural comparison. The International Journal of Eating Disorders, 12, 281–289. doi :10.1002/1098-108X(199211)12:3<281::AID-EAT2260120308>3.0.CO;2-G.

    Article  Google Scholar 

  • Nobakht, M., & Dezhkam, M. (2000). An epidemiological study of eating disorders in Iran. The International Journal of Eating Disorders, 28, 265–271. doi :10.1002/1098-108X(200011)28:3<265::AID-EAT3>3.0.CO;2-L.

    Article  PubMed  CAS  Google Scholar 

  • Patton, G. C. (1988). The spectrum of eating disorders in adolescence. Journal of Psychosomatic Research, 32, 579–584. doi:10.1016/0022-3999(88)90006-2.

    Article  PubMed  CAS  Google Scholar 

  • Patton, G. C., Johnson-Sabine, E., Wood, K., & Mann, A. H. (1990). Abnormal eating attitudes in London schoolgirls: A prospective epidemiological study: Outcome at twelve month follow-up. Psychological Medicine, 20, 383–394.

    PubMed  CAS  Google Scholar 

  • Sasson, A., Lewin, C., & Roth, D. (1995). Dieting behavior and eating attitudes in Israeli children. The International Journal of Eating Disorders, 17, 67–72. doi :10.1002/1098-108X(199501)17:1<67::AID-EAT2260170109>3.0.CO;2-B.

    Article  PubMed  CAS  Google Scholar 

  • Scheinberg, Z., Bleich, A., & Kolovsky, M. (1992). Prevalence of eating disorders among female Israel Defense Force recruits. Harfeuah, 123, 73–78. Hebrew.

    CAS  Google Scholar 

  • Stein, D., Meged, S., Bar-Hanin, T., Blank, S., Elizur, A., & Weizman, A. (1997). Partial eating disorders in a community sample of female adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1116–1123. doi:10.1097/00004583-199708000-00019.

    Article  PubMed  CAS  Google Scholar 

  • Steinhausen, H. C., Winkler, C., & Meier, M. (1997). Eating disorders in adolescence in a Swiss epidemiological study. The International Journal of Eating Disorders, 22, 147–151. doi :10.1002/(SICI)1098-108X(199709)22:2<147::AID-EAT5>3.0.CO;2-F.

    Article  PubMed  CAS  Google Scholar 

  • Stice, E., Schupak-Neuberg, E., Shaw, H. E., & Stein, R. I. (1994). Relation of media exposure to eating disorder symptomatology: An examination of mediating mechanisms. Journal of Abnormal Psychology, 103, 836–840. doi:10.1037/0021-843X.103.4.836.

    Article  PubMed  CAS  Google Scholar 

  • Smolak, L., & Strigel-Moore, R. H. (2001). Challenging the myth of the mythy of the golden girl: Ethnicity and eating disorders. In R. H. Strigel-Moore & L. Smolak (Eds.), Eating Disorders: Innovative directions for research and practice (pp. 111–132). Washington, DC: American Psychological Association.

    Google Scholar 

  • Toro, J., Castro, J., Garcta, M., Perez, P., & Cuesta, L. (1989). Eating attitudes socio-demographic factors and body shape evaluation in adolescence. The British Journal of Medical Psychology, 62, 61–70.

    PubMed  Google Scholar 

  • Whitaker, A., Davies, M., Shaffer, D., & Johnson, J. (1989). The struggle to be thin: A survey of anorexic and bulimic symptoms in non-referred adolescent population. Psychological Medicine, 19, 143–163.

    PubMed  CAS  Google Scholar 

  • Wichstrom, L. (1995). Social, psychological and physical correlates of eating problems. A study of the general adolescent population in Norway. Psychological Medicine, 25, 567–579.

    PubMed  CAS  Google Scholar 

  • Witzum, E., Stein, D., & Latzer, Y. (2005). Anorexia Nervosa as a cultural related syndrome in the age of globalization. In R. Lev-Wizal, J. Tzvikal & N. Barak (Eds.), Women’s mental health in Israel: Save your soul (pp. 205–228). Jerusalem: Brookdale Institute.

    Google Scholar 

Download references

Acknowledgment

We would like to acknowledge and thank Galia Golan—Sprinzak for her valuable assistance and Sharon Woodrow for her editing and valuable comments.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yael Latzer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Latzer, Y., Azaiza, F. & Tzischinsky, O. Eating Attitudes and Dieting Behavior Among Religious Subgroups of Israeli-Arab Adolescent Females. J Relig Health 48, 189–199 (2009). https://doi.org/10.1007/s10943-008-9189-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-008-9189-7

Keywords

Navigation