摂食障害の発達における学校の影響:記録関連研究
Helen Bould1, Bianca DeStavola2, Cecilia Magnusson3
1Department of Psychiatry, University of Oxford, Oxford, UK.
Lancet (London, England)
|August 28, 2015
まとめ
学校の環境は 少女の摂食障害の発生率に 大きく影響します 高度な教育を受けた親を持つ少女と学生の割合が高くなるのは,発症率の上昇と関連しており,学校環境の役割を強調しています.
科学分野:
- 公衆衛生
- 流行病学について
- 青少年 の 健康
背景:
- 摂食障害 (ED) の発生率は学校によって異なりますが,事前の研究は不足しています.
- この研究では,ストックホルムの様々な高等学校で 16歳から20歳の少女のED率を調査しています.
研究 の 目的:
- 摂食障害の割合が 学校によって異なります
- 学校の特徴が 摂食障害の発生率と関連しているかを検証し,個々の生徒の要因を 制御する.
主な方法:
- ストックホルム (2001年−2010年) の55,824人の女の子の記録リンクデータを用いて,多層の縦断的な研究が行われました.
- 食生活障害はICD/DSMコードや専門医の診察で特定された.
- 食事障害の発生に対する個々の影響と学校レベルの影響は,多層モデルによって区別された.
主要な成果:
- 学校間では4.4%の食生活障害発生率の変動が観察され,個々の要因を考慮すると2.9%に減少しました.
- 女の子の割合が高い学校では 摂食障害の確率が高かった (10%増 OR1.07).
- 高等教育を受けた親の割合は食生活障害の確率増加と関連していた (または10%増加1.14).
結論:
- 学校環境の特徴は 摂食障害の発生率の増加と関連しています
- 女性生徒や高等教育を受けた家族の生徒が多くいる学校では,より高い罹患率が見られます.
- これは学校レベルの 摂食障害の割合の変動を 調べた最初の研究ですが 治療を求める偏見は限界です
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