Risk of eating disorders in a non-western setting: an exploratory study in Khartoum state, Sudan.

Journal: Eating and weight disorders : EWD

Volume: 22

Issue: 4

Year of Publication: 2018

Affiliated Institutions:  Faculty of Health, Medicine and Life Sciences, University of Maastricht, Universiteitssingel , ER, Maastricht, The Netherlands. Department of Genetics and Cell Biology, Faculty of Health, Medicine and Life Sciences, Institute of Public Health Genomics, Research Institute GROW, University of Maastricht, Universiteitssingel , ER, Maastricht, The Netherlands. e.ambrosino@maastrichtuniversity.nl.

Abstract summary 

Recent research suggests an emergence of eating disorders [ED] in non-western settings for unknown reasons. This research investigates the presence of ED in Khartoum State [Sudan], and explores relevant factors amongst women at risk of ED and stakeholders involved with mental health care and policy-making.Women from four summer schools were approached and screened for risk of ED using a validated and adapted form of the Eating Attitudes Test-26. Focus groups were performed within the schools, selected participants at high risk were interviewed, and interviews with stakeholders were performed.Around a third (32.6%) of participants scored as having high risk of ED. Interviews showed recurring themes determining eating attitudes including: intention, knowledge, environment and habit. Stakeholders' opinions depended on whether they work directly with those affected by ED or in policy-making. The former advocated increased attention on ED, the latter did not. Overall, services for ED were lacking.A high presence of negative eating attitudes was found amongst screened participants with high risk of ED. Individual intention overrides all other determinants for abnormal eating. Moreover, evidence suggests that westernization may attribute to ED, supporting the view that ED are culturally bound. The differing stakeholders' views, together with other data found in this study, allow a number of recommendations for increasing awareness and identification of ED in Sudan.

Authors & Co-authors:  Lau Charlotte C L CCL Ambrosino Elena E

Study Outcome 

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Statistics
Citations :  Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, et al. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet. 2013;382(9904):1575–1586. doi: 10.1371/journal.pone.0091936.
Authors :  2
Identifiers
Doi : 10.1007/s40519-016-0311-7
SSN : 1590-1262
Study Population
Women
Mesh Terms
Adolescent
Other Terms
Culture;Determinants;Eating disorder behaviors;Non-western setting;Sudan;Women
Study Design
Exploratory Study
Study Approach
Country of Study
Sudan
Publication Country
Germany