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Eating disorders, body image and media exposure among adolescent girls in rural Burkina Faso

Terhoeven, V; Nikendei, C; Bärnighausen, T; Bountogo, M; Friederich, H-C; Ouermi, L; Sié, A; (2020) Eating disorders, body image and media exposure among adolescent girls in rural Burkina Faso. Tropical Medicine & International Health , 25 (1) pp. 132-141. 10.1111/tmi.13340. Green open access

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Abstract

OBJECTIVE: Body dissatisfaction and eating disorders (ED) among young females may increase in limited-resource settings as exposure to media and higher-resource cultures increases. We examined ED prevalence and its predictors among adolescent females in rural north-western Burkina Faso. METHODS: Fieldworkers interviewed 696 female adolescents aged 12-20 in the Nouna Health and Demographic Surveillance System (HDSS). ED were evaluated using the Structured Clinical Interview for DSM-5 (SCID-5), self-perceived appearance and body ideal were measured using the Thompson and Gray's Contour Drawing Rating Scale (CDRS) and eating disorder predictors by the Eating Disorder Examination Questionnaire (EDE-Q). We assessed media exposure to magazines, radio, television and the internet. RESULTS: 16% of respondents had a BMI below WHO age-standardized 5th percentile while 4% were above the 85th percentile; most respondents wanted to be larger. DSM-5 criteria for anorexia nervosa (AN) were fulfilled by four of 696 respondents (0.6%), those for bulimia nervosa by none, and those for binge eating disorder by two (0.3%). In multivariable regression, more AN symptoms were associated with greater EDE-Q body dissatisfaction, desiring a thinner body and a history of sexual harassment or assault, but not with media exposure. Conversely, a thinner desired body was associated with greater media exposure, higher BMI z-score and greater EDE-Q disordered eating. CONCLUSION: ED was very rare in rural Burkinabé female adolescents, but factors predictive of ED in higher-resource settings were also predictive here. Our findings suggest that increasing media exposure in resource-limited settings may lead to increased body dissatisfaction, and potentially to increased future ED prevalence.

Type: Article
Title: Eating disorders, body image and media exposure among adolescent girls in rural Burkina Faso
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/tmi.13340
Publisher version: https://doi.org/10.1111/tmi.13340
Language: English
Additional information: This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: West Africa, anorexia nervosa, binge eating disorder, body dissatisfaction, bulimia nervosa
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10086630
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