Citation

Davison KM, Marshall-Fabien GL, Gondara L. Gen. Hosp. Psychiatry 2014; 36(4): 411-414.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1016/j.genhosppsych.2014.04.001

PMID

unavailable

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. © 2014 Elsevier Inc.

Language: en

Keywords

Humans; adolescent; Adult; Female; Male; Middle Aged; adult; Canada; human; Adolescent; suicide; Suicide; female; male; Young Adult; Sex Factors; Substance-Related Disorders; Comorbidity; Substance use; Sex differences; suicidal ideation; sex difference; diet; substance use; suicide attempt; binge eating disorder; risk assessment; comorbidity; drug abuse; gambling; Eating disorder; risk factor; alcohol consumption; article; comparative study; major clinical study; eating disorder; vomiting; disease association; pathological gambling; psychologic test; middle aged; steroid; health survey; Mental Disorders; Gambling; feeding behavior; compulsion; Eating Disorders; statistics and numerical data; Impulse Control Disorders; young adult; Psychiatric conditions; Eating Attitude Test