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Socioeconomic differences in obese patients with and without eating disorders

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Abstract

Objective: The present study aims to evaluate whether there are any socioeconomic differences in obese patients with and without eating disorders. Method: 567 obese participants referred to obesity treatment were divided into one eating-disordered group and one group without eating disorders. Those groups were compared regarding four socioeconomic variables: education, occupational status, daily occupation and housing area. Results: The prevalence of eating disorders in the sample was 9.8%. Female participants with an eating disorder (ED) had a higher BMI than female participants without an ED. Women with an ED were more often actively occupied, implying that they at the present time were working or studying, and they were also more frequently living in a lower income housing area. No statistically significant differences were found for education or occupational status. Conclusion: Our study shows that prevalence of eating disorders does not differ as a function of education or occupational status in patients referred to obesity treatment, but that differences in daily occupation and housing area can prevail for the women in particular.

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References

  1. WHO. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Geneva, World Health Organization, 2000.

    Google Scholar 

  2. Irving L.M., Neumark-Sztainer D.: Integrating the prevention of eating disorders and obesity. Feasible or futile? Prev. Med., 34, 299–309, 2002.

    Article  PubMed  Google Scholar 

  3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th ed., Washington, DC, APA, 1994.

    Google Scholar 

  4. Kinzl J.F., Trawegger C., Trefalt E., Mangweth B., Biebl W.: Binge eating disorder in females: a population- based investigation. Int. J. Eat. Disord., 25, 287–292, 1999.

    Article  PubMed  CAS  Google Scholar 

  5. Ghaderi A., Scott B.: Prevalence, incidence and prospective risk factors for eating disorders. Acta Psychiatr. Scand., 104, 122–130, 2001.

    Article  PubMed  CAS  Google Scholar 

  6. Grilo C.M.: Binge Eating Disorder. In: Fairburn C.G., Brownell K.D. (Eds.), Eating disorders and obesity: A comprehensive handbook, 2nd ed., New York, 2002, p. 178–182.

    Google Scholar 

  7. Spitzer R.L., Devlin M., Walsh B.T., Hasin D., Wing R., Marcus M. et al: Binge eating disorder: A multisided field trail of the diagnostic criteria. Int. J. Eat. Disord., 11, 191–204, 1992.

    Article  Google Scholar 

  8. Spitzer R.L., Yanovski S., Wadden T., Wing R., Marcus M.D., Stunkard A. et al: Binge eating disorder: Its further validation in a multi-site study. Int. J. Eat. Disord., 13, 137–154, 1993.

    Article  PubMed  CAS  Google Scholar 

  9. Ricca V., Manucci E., Moretti S., Di Bernardo M., Zucchi T., Cabras P.L., Rotella C.M.: Screening for Binge Eating Disorder in obese outpatients. Compr. Psychiatry, 41, 111–115, 2000.

    Article  PubMed  CAS  Google Scholar 

  10. Wardle J., Waller J., Jarvis M.J.: Sex differences in the association of socioeconomic status with obesity. Am. J. Public Health, 92, 1299–1304, 2002.

    Article  PubMed  Google Scholar 

  11. Molarius A.: The contribution of lifestyle factors to socioeconomic differences in obesity in men and women — a population-based study in Sweden. Eur. J. Epidemiol., 18, 227–234, 2003.

    Article  PubMed  Google Scholar 

  12. Langenberg R.H., Kuh D., Brunner E., Wadsworth M.: Central and total obesity in middle aged men and women in relation to lifetime socioeconomic status: evidence from a national birth cohort. J. Epidemiol. Community Health, 57, 816–822, 2003.

    Article  PubMed  CAS  Google Scholar 

  13. Ball K., Mishra G., Crawford D.: Which aspects of socioeconomic status are related to obesity among men and women? Int. J. Obes., 26, 559–565, 2002.

    Article  CAS  Google Scholar 

  14. Lahmann P.H., Lissner L., Gullberg B., Berglund G.: Sociodemographic factors associated with longterm weight gain, current body fatness and central adiposity in Swedish women. Int. J. Obes., 24, 685–694, 2002.

    Article  Google Scholar 

  15. McClelland L., Crisp A.: Anorexia nervosa and social class. Int. J. Eat. Disord., 29, 150–156, 2001.

    Article  PubMed  CAS  Google Scholar 

  16. Warheit G.J., Langer L.M., Zimmerman R.S., Biafora F.A.: Prevalence of bulimic behaviours and bulimia among a sample of the general population. Am. J. Epidemiol., 137, 567–576, 1993.

    Google Scholar 

  17. Reagan P., Hersch J.: Influence of race, gender, and socioeconomic status on binge eating frequency in a population-based sample. Int. J. Eat. Disord., 38, 252–256, 2005.

    Article  PubMed  Google Scholar 

  18. Favaro A., Ferrara S., Santonastaso P.: The spectrum of eating disorders in young women: A prevalence study in a general population sample. Psychosom. Med., 65, 701–708, 2003.

    Article  PubMed  Google Scholar 

  19. Rodriguez Martin A., Novalbos Ruiz J.P., Martinez Nieto J.M., Escobar Jiménez L., Castro de Haro A.L.: Epidemiological study of the influence of family and socioeconomic status in disorders of eating behaviour. Eur. J. Clin. Nutr., 58, 846–852, 2004.

    Article  PubMed  CAS  Google Scholar 

  20. Rogers L., Resnick M.D., Mitchell J.E., Blum R.W.: The relationship between socioeconomic status and eatingdisordered behaviours in a community sample of adolescent girls. Int. J. Eat. Disord., 22, 15–23, 1997.

    Article  PubMed  CAS  Google Scholar 

  21. Nangle D.W., Johnson W.G., Carr-Nangle R.E., Engler L.B.: Binge eating disorder and the proposed DSM-IV criteria: psychometric analysis of the Questionnaire of Eating and Weight Patterns. Int. J. Eat. Disord., 16, 147–157, 1994.

    Article  PubMed  CAS  Google Scholar 

  22. de Zwaan M., Mitchell J.E., Specker S.M., Pyle R.L., Mussell M.P., Seim H.C.: Diagnosing binge eating disorder: level of agreement between self-report and expert-rating. Int. J. Eat. Disord., 14, 289–295, 1993.

    Article  PubMed  Google Scholar 

  23. Ribet C., Melchior M., Lang T., Zins M., Goldberg M., Leclerc A.: Characterization and measurement of social position in epidemiologic studies. Rev. Epidemiol. Sante Publique 25, 2007.

  24. Swedish socioeconomic classification (reports on statistical Co-ordination). (1982:4) Örebro, Statistics Sweden, 1995.

  25. Statistics Sweden. Household finances. www.scb.se 2005-03-22.

  26. City of Stockholm. Stockholm by statistics. www.stockholm. se 2005-03-22.

  27. Hoek H.W., van Hoeken D.: Review of the prevalence and incidence of eating disorders. Int. J. Eat. Disord., 34, 383–396, 2003.

    Article  PubMed  Google Scholar 

  28. Striegel-Moore R.H., Wilson G.T., Wifley D.E., Elder K.A., Brownell K.D.: Binge eating in an obese community sample. Int. J. Eat. Disord., 23, 27–37, 1998.

    Article  PubMed  CAS  Google Scholar 

  29. Giusti V., Héraief E., Gaillard R.C., Burckhardi P.: Predictive factors of binge eating disorder in women searching to lose weight. Eat. Weight Disord., 9, 44–49, 2004.

    Article  PubMed  CAS  Google Scholar 

  30. Cassin S.E., von Ranson K.M.: Personality and eating disorders: a decade in review. Clin. Psychol. Rev., 7, 895–916, 2005.

    Article  Google Scholar 

  31. Kuba S.A., Harris D.J.: Eating disturbances in women of color: An exploratory study of contextual factors in the development of disordered eating in Mexican American women. Health Care Women Int., 22, 281–298, 2001.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to H. Bergström.

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Bergström, H., Elfhag, K. Socioeconomic differences in obese patients with and without eating disorders. Eat Weight Disord 12, e98–e103 (2007). https://doi.org/10.1007/BF03327603

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  • DOI: https://doi.org/10.1007/BF03327603

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