Prevalence and early risk factors for bulimia nervosa symptoms in inner-city youth: gender and ethnicity perspectives

Ruchkin, Vladislav V.,1969-Uppsala universitet,Ramklint: Barn- och ungdomspsykiatri,Child Study Center, Yale University Medical School, New Haven, CT, 06520, USA;Säter Forensic Psychiatric Clinic, 783 27, Säter, Sweden (författare)

Prevalence and early risk factors for bulimia nervosa symptoms in inner-city youth : gender and ethnicity perspectives

BACKGROUND: Research on risk factors associated with bulimia nervosa symptoms (BN) in ethnic minorities has been limited. This study adds to the existing literature by providing the ethnicity- and gender-specific prevalence of BN in US inner-city youth and by exploring the longitudinal associations between a clinical level of BN and early risk factors assessed one year previously.METHODS: The study was conducted on a representative sample of predominantly ethnic minority youth (N = 2794; 54.1% female; age 11-16 years old (M(SD) = 12.77(1.29)); 60.0% African-American, 26.1% Hispanic American, 13.9% White). Self-reported information was obtained on BN and early risk factors (e.g., depressive and anxiety symptoms, posttraumatic stress, somatic complaints). Multivariate analysis of covariance was used to examine the longitudinal associations.RESULTS: The 3-month BN prevalence was higher in girls (5.1%) than in boys (2.3%) (ratio 2.22:1). Significant differences in BN rates were found between White and African American students (higher in Whites), whereas Hispanic-Americans did not differ significantly from either group. Individuals with BN had significantly higher levels of early risk factors one year prior.CONCLUSIONS: Timely recognition of BN and associated early risk factors is important for early prevention and intervention strategies.

Isaksson, JohanKarolinska Institutet,Uppsala universitet,Ramklint: Barn- och ungdomspsykiatri,Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden(Swepub:uu)johis856 (författare)
Schwab-Stone, MaryChild Study Center, Yale University Medical School, New Haven, CT, 06520, USA (författare)
Stickley, AndrewSödertörns högskola,SCOHOST (Stockholm Centre for Health and Social Change),Department of Preventive Intervention for Psychiatric Disorders, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan;Stockholm Center for Health and Social Change (SCOHOST), Södertörn University, Huddinge, Sweden(Swepub:sh)SH99AWSY (författare)
Uppsala universitetRamklint: Barn- och ungdomspsykiatri (creator_code:org_t)

Av författaren/redakt...: Ruchkin, Vladisl ...; Isaksson, Johan; Schwab-Stone, Ma ...; Stickley, Andrew

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Psykiatri

Av lärosätet: Södertörns högskola; Uppsala universitet; Karolinska Institutet

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