Analysis of sub-clinical eating disorders and associated factors in college students
Objective To investigate the sub-clinical eating disorders among college students and to analyze associated factors,so as to provide a basis for the prevention and treatment of eating disorders among adolescents.Methods From November to De-cember 2023,a total of 5 201 college students were selected by stratified random cluster sampling from one undergraduate college and one specialized college in Yangzhou City,Jiangsu Province.Data on general information,sub-clinical eating disorders,body image perception,depressive symptoms,anxiety symptoms,and mental health literacy were collected using questionnaires.The Chi-square test was used to compare the detection rates of sub-clinical eating disorders between groups,and binary Logistic regres-sion was employed to analyze associated factors.Results The detection rate of sub-clinical eating disorders among college students was 16.0%.Binary Logistic regression analysis showed that the prevalence of sub-clinical eating disorders among college students was higher in the following categories:being in a relationship(OR=1.22,95%CI=1.04-1.44),being overweight and obese(OR=2.75,3.82,95%CI=2.24-3.38,2.89-5.06),overestimation of body shape(OR=2.04,95%CI=1.68-2.49),being in a depres-sive state(OR=2.53,95%CI=1.99-3.21),experiencing anxiety(OR=2.63,95%CI=2.16-3.20),and having substandard men-tal health literacy(OR=1.37,95%CI=1.11-1.70).Conversely,low body weight(OR=0.15,95%CI=0.10-0.22)and underesti-mation of body shape(OR=0.37,95%CI=0.27-0.51)were associated with a lower risk(P<0.05).Conclusions The detection rate of sub-clinical eating disorders among college students is high,and it is associated with relationship status,body mass index classification,body shape perception,depressive and anxiety symptoms,and mental health literacy.Comprehensive interventions should be implemented to improve the sub-clinical eating disorders and promote the physical and mental health of college students.