Prevalence of eating disorder risk and its associated factors among high school adolescents in Terengganu, Malaysia
Eating disorder is most commonly occur among adolescents due to weight concern and body dissatisfaction. Screening for eating disorders based on early identification of an eating disorder risk factor can lead to early treatment, thereby reducing serious complication and psychological complication...
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| Main Authors: | , |
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| Format: | Conference or Workshop Item |
| Language: | en |
| Published: |
2019
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| Subjects: | |
| Online Access: | http://eprints.unisza.edu.my/2019/1/FH03-FP-19-34582.pdf http://eprints.unisza.edu.my/2019/ |
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| Summary: | Eating disorder is most commonly occur among adolescents due to weight concern and
body dissatisfaction. Screening for eating disorders based on early identification of an eating
disorder risk factor can lead to early treatment, thereby reducing serious complication
and psychological complications. This study aimed to determine the prevalence of eating
disorder risk and its associated factors among high school adolescents. A cross-sectional
survey was conducted among 620 school-adolescents aged between 14 and 18 years from
11 secondary schools in Terengganu. Cluster sampling was applied and a self-administered
questionnaire was used to assess 4 main components of the study: Eating Disorder Risk,
Sociodemographic Factors, Substance Misuse Index and Psychological Factor. Eating
Attitude Test (EAT-26) is used to assess risk of eating disorder as it has 3 subscales to
assess an individual’s behaviours, thoughts on dieting, bulimia and food preoccupation
and oral control. Substance Misuse Index drug is divided into 2 main categories licit and
illicit drugs. Psychological factors was measured using validated Malay version of strength
and difficulties questionnaires (SDQ). Prevalence of eating disorder risk among schoolgoing adolescents were 32.3%. The prevalence of eating disordered risk was higher among
girls (18.4%) as compared to boys (13.9%). It was independently associated with emotional
problem (p=0.028, Adjusted OR 1.15, CI 1.02, 1.30) and peer problem (p=0.004, Adjusted
OR 1.23, CI 1.07, 1.42) identified using SDQ after adjusting other variables. Increasing
age also increased the risk for eating disorder (p=0.014, Adjusted OR 1.20, CI 1.04, 1.38).
It was not significantly associated with body mass index (BMI), or any history of any form
of previous abuse. Adolescents with emotional and peer problems are at risk for eating
disordered. It is crucial to screen adolescents identified with these problems for eating
disorders in order to evade or reduce the potential harmful complications associated
with it. |
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