Karen M Davison1, Gillian L Marshall-Fabien2, Lovedeep Gondara3. 1. Intersections of Mental Health Perspectives in Addictions Research Training (IMPART) Program, British Columbia Centre of Excellence for Women's Health, Vancouver, BC, Canada; Health Science Program, Department of Biology, Kwantlen Polytechnic University, Surrey, BC, Canada. Electronic address: karen.davison@kpu.ca. 2. Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH, USA. 3. British Columbia Cancer Agency, Vancouver, BC, Canada.
Abstract
OBJECTIVE: This study examined sex differences and eating disorder risk among psychiatric conditions, compulsive behaviors (i.e., gambling, suicide thoughts and attempts) and substance use in a nationally representative sample. METHOD: Data from participants of the Canadian Community Health Survey Cycle 1.2 who completed the Eating Attitudes Test (n=5116) were analyzed. Sex differences were compared among psychiatric comorbidities according to eating disorder risk, binging, vomiting and dieting behavior. Poisson regression analysis provided prevalence ratios (PRs) of disordered eating adjusting for age, marital status, income, body mass index and recent distress. RESULTS: Pronounced sex differences were associated with eating disorder risk (PRs 4.89-11.04; all P values <.0001). Findings of particular interest included significantly higher PRs for eating disorder risk in males associated with gambling (PR 5.07, P<.0001) and for females associated with steroid and inhalant use as well as suicide thoughts and attempts (PRs 5.40-5.48, all P values <.0001). DISCUSSION: The findings from this detailed exploration of sex differences and eating disorder risk among psychiatric conditions, compulsive behaviors and substance use suggest that problem gambling, the use of inhalants and steroids and suicidal ideation in relationship to eating disorder risk warrant further investigation.
OBJECTIVE: This study examined sex differences and eating disorder risk among psychiatric conditions, compulsive behaviors (i.e., gambling, suicide thoughts and attempts) and substance use in a nationally representative sample. METHOD: Data from participants of the Canadian Community Health Survey Cycle 1.2 who completed the Eating Attitudes Test (n=5116) were analyzed. Sex differences were compared among psychiatric comorbidities according to eating disorder risk, binging, vomiting and dieting behavior. Poisson regression analysis provided prevalence ratios (PRs) of disordered eating adjusting for age, marital status, income, body mass index and recent distress. RESULTS: Pronounced sex differences were associated with eating disorder risk (PRs 4.89-11.04; all P values <.0001). Findings of particular interest included significantly higher PRs for eating disorder risk in males associated with gambling (PR 5.07, P<.0001) and for females associated with steroid and inhalant use as well as suicide thoughts and attempts (PRs 5.40-5.48, all P values <.0001). DISCUSSION: The findings from this detailed exploration of sex differences and eating disorder risk among psychiatric conditions, compulsive behaviors and substance use suggest that problem gambling, the use of inhalants and steroids and suicidal ideation in relationship to eating disorder risk warrant further investigation.
Authors: Katherine Schaumberg; Elisabeth Welch; Lauren Breithaupt; Christopher Hübel; Jessica H Baker; Melissa A Munn-Chernoff; Zeynep Yilmaz; Stefan Ehrlich; Linda Mustelin; Ata Ghaderi; Andrew J Hardaway; Emily C Bulik-Sullivan; Anna M Hedman; Andreas Jangmo; Ida A K Nilsson; Camilla Wiklund; Shuyang Yao; Maria Seidel; Cynthia M Bulik Journal: Eur Eat Disord Rev Date: 2017-10-02
Authors: Karen M Davison; Carla D'Andreamatteo; Sabina Markham; Clifford Holloway; Gillian Marshall; Victoria L Smye Journal: Int J Environ Res Public Health Date: 2019-03-04 Impact factor: 3.390