Changes in the prevalence and sociodemographic correlates of eating disorder symptoms from 2013 to 2020 among a large national sample of U.S. young adults: A repeated cross‐sectional study

Romano, Kelly A.; Lipson, Sarah Ketchen; Beccia, Ariel L.; Quatromoni, Paula A.; Gordon, Allegra R.; Murgueitio, José

doi:10.1002/eat.23709

Cited by 26 publications

(29 citation statements)

References 37 publications

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“…This study found that between 2013 and 2020 there were non-linear increases in ED symptoms and mental health care among young adults in the United States. Moreover, consistent with the data from this meta-analysis, young adults in the United States with higher BMIs had more ED burden with time, as did bisexuals, homosexual, lesbian, or queer people [ 166 ].…”

Section: Discussionsupporting

confidence: 80%

“…This aspect of our findings is supported by a very recent study that sought to determine whether established disparities in ED prevalence and receiving mental healthcare for marginalized groups within this population have widened or narrowed over time for different cognitive and behavioral ED symptoms, current probable EDs, lifetime ED diagnoses, and mental healthcare use among college students across the United States [ 166 ]. This study found that between 2013 and 2020 there were non-linear increases in ED symptoms and mental health care among young adults in the United States.…”

Section: Discussionsupporting

confidence: 71%

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The prevalence and risk factors of screen-based disordered eating among university students: a global systematic review, meta-analysis, and meta-regression

et al. 2022

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Purpose The purpose of this review was to estimate the prevalence of screen-based disordered eating (SBDE) and several potential risk factors in university undergraduate students around the world. Methods An electronic search of nine data bases was conducted from the inception of the databases until 1st October 2021. Disordered eating was defined as the percentage of students scoring at or above established cut-offs on validated screening measures. Global data were also analyzed by country, research measure, and culture. Other confounders in this review were age, BMI, and sex. Results Using random-effects meta-analysis, the mean estimate of the distribution of effects for the prevalence of SBDE among university students ( K = 105, N = 145,629) was [95% CI] = 19.7% [17.9%; 21.6%], I 2 = 98.2%, Cochran's Q p value = 0.001. Bayesian meta-analysis produced an estimate of 0.24, 95% credible intervals [0.20, 0.30], τ = 92%. Whether the country in which the students were studying was Western or non-Western did not moderate these effects, but as either the mean BMI of the sample or the percentage of the sample that was female increased, the prevalence of SBDE increased. Conclusions These findings support previous studies indicating that many undergraduate students are struggling with disordered eating or a diagnosable eating disorder, but are neither receiver effective prevention nor accessing accurate diagnosis and available treatment. It is particularly important to develop ever more valid ways of identifying students with high levels of disordered eating and offering them original or culturally appropriate and effective prevention or early treatment. Level of evidence I, systematic review and meta-analysis.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 71%

The prevalence and risk factors of screen-based disordered eating among university students: a global systematic review, meta-analysis, and meta-regression

et al. 2022

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“…Studies were conducted in a range of mostly high-income countries. The majority were from the United States, where 34 of the 44 studies were based [ 9 , 23 , 41 – 72 ]. The remainder from Australia [ 73 , 74 ], Brazil [ 75 , 76 ], China [ 77 ], Canada [ 78 ], Ethiopia [ 79 ], Bangladesh [ 28 ], and Italy [ 80 ].…”

Section: Resultsmentioning

confidence: 99%

“…A total of nineteen studies were samples of students from separate individual universities [ 43 , 46 , 48 – 55 , 67 , 68 , 70 , 73 , 75 – 77 , 79 , 80 ]. Whereas the remaining twenty-four were samples across multiple universities [ 9 , 20 , 23 , 28 , 41 , 44 , 45 , 47 , 56 – 59 , 61 – 66 , 69 , 71 , 72 , 74 , 78 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most studies included general samples of student attending a university with fifteen studies studying specific subgroups of students [ 41 , 44 , 51 , 52 , 58 , 59 , 61 , 63 , 65 , 69 – 71 , 73 – 76 ]. Thirteen studies included samples of students ‘at risk’ [ 23 , 48 – 50 , 56 , 57 , 62 , 64 , 66 , 68 , 72 , 79 , 80 ]. Two studies sampled university faculty members, in addition to university students, although these participants were not asked about mental health service use [ 41 , 47 ].…”

Section: Resultsmentioning

confidence: 99%

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University students’ use of mental health services: a systematic review and meta-analysis

Osborn¹,

Li²,

Fonagy³

2022

Int J Ment Health Syst

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Background International estimates suggest around a third of students arrives at university with symptoms indicative of a common mental disorder, many in late adolescence at a developmentally high-risk period for the emergence of mental disorder. Universities, as settings, represent an opportunity to contribute to the improvement of population mental health. We sought to understand what is known about the management of student mental health, and asked: (1) What proportion of students use mental health services when experiencing psychological distress? (2) Does use by students differ across health service types? Methods A systematic review was conducted following PRISMA guidelines using a Context, Condition, Population framework (CoCoPop) with a protocol preregistered on Prospero (CRD42021238273). Electronic database searches in Medline, Embase, PsycINFO, ERIC and CINAHL Plus, key authors were contacted, citation searches were conducted, and the reference list of the WHO World Mental Health International College Student Initiative (WMH-ICS) was searched. Data extraction was performed using a pre-defined framework, and quality appraisal using the Joanna Briggs Institute tool. Data were synthesised narratively and meta-analyses at both the study and estimate level. Results 7789 records were identified through the search strategies, with a total of 44 studies meeting inclusion criteria. The majority of included studies from the USA (n = 36), with remaining studies from Bangladesh, Brazil, Canada, China, Ethiopia and Italy. Overall, studies contained 123 estimates of mental health service use associated with a heterogeneous range of services, taking highly variable numbers of students across a variety of settings. Discussion This is the first systematic quantitative survey of student mental health service use. The empirical literature to date is very limited in terms of a small number of international studies outside of the USA; studies of how services link together, and of student access. The significant variation we found in the proportions of students using services within and between studies across different settings and populations suggests the current services described in the literature are not meeting the needs of all students.

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Eating disorder risk in rural US adolescents: What do we know and where do we go?

Hahn

Burnette

Borton

et al. 2022

Intl J Eating Disorders

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Adolescence is a vulnerable period for the development of eating disorders, but there are disparities in eating disorder risk among adolescents. One population that may be at increased risk but is vastly understudied, is adolescents residing in rural regions within the United States. Rural communities face many mental and physical health disparities; however, the literature on rural adolescent eating disorder risk is nearly nonexistent. In this paper we summarize the scant literature on disordered eating and eating disorder risk and prevalence among rural US adolescents. We also detail eating disorder risk factors that may have unique influence in this population, including socioeconomic status, food insecurity, healthcare access, body image, and weight stigma. Given the presence of numerous eating disorder risk factors, we speculate that rural adolescents may be a particularly vulnerable population for eating disorders and we propose critical next steps in research for understanding eating disorder risk among the understudied population of rural adolescents. Public Significance Rural adolescents may be at increased risk for eating disorders due to disproportionate burden of known risk factors, though this relationship remains understudied. We present a summary of the literature on prevalence and unique risk factors, proposing that this may be a high‐risk population. We detail next steps for research to understand eating disorder risk in this population to inform future prevention, identification, and treatment efforts needed in this community.

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Changes in the prevalence and sociodemographic correlates of eating disorder symptoms from 2013 to 2020 among a large national sample of U.S. young adults: A repeated cross‐sectional study

Cited by 26 publications

References 37 publications

The prevalence and risk factors of screen-based disordered eating among university students: a global systematic review, meta-analysis, and meta-regression

The prevalence and risk factors of screen-based disordered eating among university students: a global systematic review, meta-analysis, and meta-regression

University students’ use of mental health services: a systematic review and meta-analysis

Eating disorder risk in rural US adolescents: What do we know and where do we go?

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