国际移民中的饮食障碍:系统审查和元分析
Sara Siddiqi1,2, Asia Akther1, Dawn-Li Blair1
1School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.
Social psychiatry and psychiatric epidemiology
|March 28, 2024
概括
移民的饮食障碍患病率较低,支持健康的移民效应. 然而,结果因用于诊断和风险的评估工具而异.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 社会学 社会学 社会学
背景情况:
- 移民面临着影响身体和精神健康的独特压力因素.
- "健康移民效应"表明,移民可能比本地人口健康状况更好.
- 这种效应对饮食障碍的影响仍未得到充分研究.
研究的目的:
- 综合有关移民人口中饮食障碍患病率的文献.
- 估计移民与当地人口中饮食障碍的概率比率 (POR).
主要方法:
- 在主要数据库 (MEDLINE,Embase,PsycINFO,Web of Science) 进行系统的文献搜索.
- 包括经过验证的饮食障碍量表和对照组的研究.
- 使用随机效应模型进行元分析,以比较患病率,并评估偏差风险.
- 两个独立的审查员进行选和数据提取.
主要成果:
- 包括10项研究 (6项元分析,4项叙事综合).
- 移民中任何饮食障碍的综合患病率 (POR) 为0.45 (95% CI:0.35-0.59),表明患病率较低.
- 亚组分析显示,与诊断仪器相比,使用风险评估工具时发现的结果不一致.
结论:
- 移民的饮食障碍患病率较低,符合健康移民假设.
- 移民中饮食障碍所观察到的效果大小受使用的评估工具类型的影响.
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