Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: a national school-based cross-sectional study

Qi, Lian; Zuo, Xianbo; Mao, Yanyan; Luo, Shan; Zhang, Shucheng; Tu, Xin; Lou, Chaohua; Zhou, Weijin

doi:10.1186/s12199-017-0639-2

Cited by 29 publications

(23 citation statements)

References 39 publications

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“…In adolescence, especially in females, being taunted about being overweight or obese may contribute to the development of eating disorders such as anorexia nervosa, and internalizing problems such as suicidal thoughts and depression ( Lian et al, 2017 ). Significant residual obesity stigma remains against individuals who have lost weight ( Latner, Ebneter & O’Brien, 2012 ).…”

Section: Discussionmentioning

confidence: 99%

The association between chronic bullying victimization with weight status and body self-image: a cross-national study in 39 countries

et al. 2018

PeerJ

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BackgroundChildhood obesity and school bullying are pervasive public health issues and known to co-occur in adolescents. However, the association between underweight or thinness and chronic bullying victimization is unclear. The current study examined whether chronic bullying victimization is associated with weight status and body self-image.MethodsA school-based, cross-sectional study in 39 North American and European countries and regions was conducted. A total of 213,595 adolescents aged 11, 13, and 15 years were surveyed in 2009/10. Chronic bullying victimization was identified using the Revised Olweus Bully/Victim Questionnaire. Weight status was determined using self-reported height and weight and the body mass index (BMI), and body self-image was based on perceived weight. We tested associations between underweight and bullying victimization using three-level logistic regression models.ResultsOf the 213,595 adolescents investigated, 11.28% adolescents reported chronic bullying victimization, 14.80% were classified as overweight/obese according to age- and sex-specific BMI criteria, 12.97% were underweight, and 28.36% considered themselves a little bit fat or too fat, 14.57% were too thin. Bullying victimization was less common in older adolescent boys and girls. Weight status was associated with chronic bullying victimization (adjusted ORunderweight = 1.10, 95% CI = 1.05–1.16, p = 0.002; adjusted ORoverweight = 1.40, 95% CI = 1.32–1.49, p < 0.0001; adjusted ORobese = 1.91, 95% CI = 1.71–2.14, p < 0.0001). Body self-image also related to chronic bullying victimization (adjusted ORtoo thin = 1.42, 95% CI = 1.36–1.49, p < 0.0001; adjusted ORa little bit fat = 1.54, 95% CI = 1.48–1.61, p < 0.0001; adjusted ORtoo fat = 3.30, 95% CI = 2.96–3.68, p < 0.0001).ConclusionBoth perceived weight and self-rated overweight are associated with chronic bullying victimization. Both overweight and underweight children are at risk of being chronically bullied.

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Section: Discussionmentioning

confidence: 99%

The association between chronic bullying victimization with weight status and body self-image: a cross-national study in 39 countries

et al. 2018

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“…Nevertheless, recent studies on bulimic behaviours were conducted on the population of Brazilian women and were published by de Carvalho et al [28]. This topic has also been mentioned in research by Chapuis-de-Andrade et al [40]. In the first of these studies, the authors examined a sample of 27,501 volunteers aged 18-55, whose average age was 28.9 ± 8.7 years.…”

Section: Similarities and Differences Between Polish And Japanese Womenmentioning

confidence: 99%

“…In addition to physical (e.g., BMI-Body Mass Index) and socio-cultural risk factors, the psychological factors supporting the development of unhealthy eating behaviours are also worth mentioning. People who suffer from eating disorders often present comorbid disorders such as anxiety and affective disorders, self-harm, or abuse of psychoactive substances [4,40]. Chapuis-de-Andrade et al [36] studied a population of Brazilians with an average age of 28.9 ± 8.7 years (women constituted 69% of the research group): The results showed significant correlations between compensatory (bulimic) eating behaviours and affective factors.…”

Section: Risk Factors For Eating Disordersmentioning

confidence: 99%

Body Dissatisfaction, Restrictive, and Bulimic Behaviours among Young Women: A Polish–Japanese Comparison

Izydorczyk

Ha²,

Lizińczyk

et al. 2020

Nutrients

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The growing number of women, who are characterized by restrictive and bulimic behaviours towards their own body is observed especially in countries influenced by Westernalization. However, there is a lack of cross-cultural studies in this area. The main aim of the present study was to examine the psychological and socio-cultural risk factors for eating disorders in Polish and Japanese women. A cross-sectional research study was conducted among 18-to 29-year old Polish (n = 89) and Japanese (n = 97) women. The variables were measured using the Sociocultural Attitudes Towards Appearance Scale SATAQ-3, and the Eating Disorders Inventory EDI-3. The descriptive and comparative statistics, Spearman's rho, and the stepwise regression analysis were used. The global internalization of socio-cultural standards of body image proved to be a significant predictor of Body Dissatisfaction among Polish and Japanese women. The main analysis showed a significant relation between the Drive for Thinness and Interoceptive Deficits in the group of Japanese women, as well as a correlation between Drive for Thinness and Asceticism in the group of Polish women. The obtained results could improve the prevention aimed the dysfunctional eating behaviours. However, the cultural nuances need to be considered in understanding the risk factors for eating disorders.

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“…These girls were sampled using the multistage cluster sampling strategy. 14 There were 24 girls with missing records regarding menarche and 788 girls refused to undergo the physical examination (online supplementary table S ). Finally, 3478 girls were interviewed by both CASI and FFI.…”

Section: Methodsmentioning

confidence: 99%

Validity of self-reported age at menarche in computer-assisted interview among Chinese schoolgirls: a cross-sectional study

Mao

Zuo

et al. 2018

BMJ Open

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ObjectiveThe attitudes of girls regarding menarche vary according to their cultural backgrounds. Asian girls may hesitate to discuss menarche. Computer-assisted self-administered interviewing (CASI) is considered a valid and effective tool for investigating the timing of menarche; however, the validity of self-reported menarche data from CASI in Chinese culture is currently unknown. We aimed to validate the status and age of menarche attainment by comparing CASI with face-to-face interviewing (FFI).MethodsBased on a cross-sectional study, we collected information regarding the status and age of menarche attainment using CASI and FFI among Chinese schoolgirls. We explored the tools of standard epidemiological indices, including sensitivity, specificity, predictive values and accuracy to examine the capacity of CASI for correctly classifying the status of menarche. Both Pearson and Spearman correlations were calculated for the correlation of age at menarche using CASI with FFI. A Bland-Altman plot was drawn to measure the agreement between the two interview techniques.ResultsIn this study, CASI and FFI were conducted in 3478 schoolgirls with an average age (SD) of 14.3 years (2.46). Menarche attainment was reported in 2496 (71.2%) and 2538 (73.0%) girls using CASI and FFI, respectively. Compared with FFI, the sensitivity, specificity, positive predictive value (PPV), negative predictive value and the accuracy of CASI were 0.97, 0.80, 0.96 and 0.92, respectively. The correlation of age at menarche between CASI and FFI was 0.728. Approximately >95% and 76.3% of the difference in the age at menarche was within 12 months and 3 months, respectively, between the two interview methods. Among primary schoolgirls in grade 5, the sensitivity, specificity, PPV, accuracy and the correlation (0.335) of CASI was lower than those in other subgroups.ConclusionsOverall, the timing of menarche investigated using CASI was valid among all Chinese schoolgirls, except for those in grade 5 or lower.

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Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: a national school-based cross-sectional study

Cited by 29 publications

References 39 publications

The association between chronic bullying victimization with weight status and body self-image: a cross-national study in 39 countries

The association between chronic bullying victimization with weight status and body self-image: a cross-national study in 39 countries

Body Dissatisfaction, Restrictive, and Bulimic Behaviours among Young Women: A Polish–Japanese Comparison

Validity of self-reported age at menarche in computer-assisted interview among Chinese schoolgirls: a cross-sectional study

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