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PREVALENCE AND CORRELATES OF EATING DISORDERS AMONG ADOLESCENTS IN SECONDARY SCHOOLS IN IKPOBA-OKHA LOCAL GOVERNMENT AREA OF BENIN CITY

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Supervisor: University of Benin Teaching Hospital, Benin City
Faculty: PSYCHIATRY
Month: 12
Year: 2014

Abstract

BACKGROUND INFORMATION: Eating Disorders have long been considered a problem of the more affluent and developed parts of the world and not of the poor underdeveloped regions. Evidence however suggests that this may not be totally correct. The prevalence is increasing in developing countries although still much lower than in the developed countries. Concern about eating disorders among adolescents in developing countries is growing and has become a public health issue because of its psychological and physical health implications. AIM AND OBJECTIVES: The aims of this study were to determine the prevalence of Eating Disorders, socio-demographic characteristics and the psychological correlates (dieting, body image perception, Depression and Anxiety disorders) associated with Eating Disorders among adolescents in secondary schools in Benin City. METHODOLOGY: The study was quantitative cross-sectional in design; the subjects were drawn from amongst students in secondary schools in Benin City, the capital of Edo State. The instruments used consisted of the 26- item version of the Eating Attitude Test, the Anorexia, Bulimia, Major Depressive Episode and Generalised Anxiety Disorder modules of the Mini International Neuropsychiatric Interview (MINI) and a socio-demographic data collection sheet. RESULTS: A total of 600 questionnaires were administered but 587 were properly filled and analysed, giving a proper response rate of 97.8%. The risk of eating disorders was 13.5%; the prevalence of eating disorders (including pica) was 8.7%. BMI, school type, family type and self-reported academic performance were the socio-demographic variables that associated significantly with eating disorders while dieting, depression and generalised anxiety disorder were the psychological correlates that associated significantly with eating disorders. The findings revealed that Pica and atypical forms of eating disorders are more prevalent in this environment with the atypical forms of Anorexia Nervosa being notably higher than other forms. This indicates a shift from the older perspective of the African ‘sense of beauty and prosperity’ related to the feminine shape of being ‘fat’. CONCLUSION: Eating Disorders, especially Anorexia Nervosa, are less prevalent in this environment in comparison to the situation in Western culture; but the profile of psychological correlates are largely similar in both cultures. Underreporting and missed recognition could be responsible for the seemingly low prevalence of Eating Disorders in Nigeria. Incorporating knowledge about Eating Disorders in the secondary school education programs, mass enlightenment campaigns to raise awareness and support for further research are recommended.

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