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Sex differences and eating disorder risk among psychiatric conditions, compulsive behaviors and substance use in a screened Canadian national sample

机译:筛查的加拿大国家样本中的精神疾病,强迫行为和物质使用之间的性别差异和进食障碍风险

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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.
机译:目的:本研究在全国代表性的样本中研究了精神疾病,强迫行为(即赌博,自杀念头和尝试)之间的性别差异和饮食失调的风险。方法:分析来自完成饮食态度测试(n = 5116)的加拿大社区健康调查周期1.2参与者的数据。根据进食障碍风险,暴食,呕吐和节食行为,比较了精神病合并症中的性别差异。泊松回归分析提供了按年龄,婚姻状况,收入,体重指数和近期困扰调整的饮食失调的患病率(PRs)。结果:明显的性别差异与进食障碍风险相关(PRs 4.89-11.04;所有P值<.0001)。特别令人感兴趣的发现包括与赌博有关的男性与饮食有关的饮食失调风险显着较高的PR(PR 5.07,P <.0001)和与类固醇和吸入剂使用有关的女性以及自杀的念头和尝试(PR 5.40-5.48,所有P值<.0001)。讨论:从对精神疾病,强迫行为和物质使用之间的性别差异和进食障碍风险的详细探讨中得出的结果表明,与进食障碍风险相关的问题赌博,吸入性激素和类固醇的使用以及自杀意念值得进一步调查。

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