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Eating Disorders among College Students in France: Characteristics, Help-and Care-Seeking

Author

Listed:
  • Marie-Pierre Tavolacci

    (CIC 1404, Rouen University Hospital, U 1073, Normandie Univ., UNIROUEN, F 76000 Rouen, France)

  • Pierre Déchelotte

    (Department of Nutrition, Rouen University Hospital, U 1073, Normandie Univ., UNIROUEN, F 76000 Rouen, France)

  • Joel Ladner

    (Department of Epidemiology and Health Promotion, Rouen University Hospital, U 1073, Normandie Univ., UNIROUEN, F 76000 Rouen, France)

Abstract

The aim of this paper was to identify the characteristics of broader categories of eating disorders (ED) and help- and care-seeking among college students. An online cross-sectional study was conducted among students of the University of Rouen-Normandy, France. The Expali-validated algorithmic tool, combining SCOFF test (Sick, Control, One stone, Fat, Food) and body mass index, was used to screen eating disorders into three diagnostic categories: restrictive eating disorders, bulimic eating disorders, and hyperphagic eating disorders. A total of 1493 college students were included; mean age was 20.1 years (SD = 1.9). The prevalence of likely cases of eating disorder was 24.8% (95% CI, 22.6–27.0). Percentage distributions of bulimic eating disorders, hyperphagic eating disorders, and restrictive eating disorders were 13.3%, 8.6%, and 2.9%, respectively. The two main resources for help-seeking in emotional stress situations were friends and family, whatever the ED. Students with eating disorders consulted their general practitioner more often for stress or anxiety than students without eating disorders: hyperphagic eating disorders (44.9%), restrictive eating disorders (35.1%), bulimic eating disorders (30.2%), and no eating disorder (20.4%) ( p < 0.0001). The prevalence of healthcare renunciation was 21.9%, with a higher risk among students with bulimic eating disorders (AOR CI 95% 1.91 (1.34–2.72). The findings show one quarter of students screened positive for an eating disorder. Stress management was not necessarily different between students with eating disorders and students without eating disorders, but the former had a greater risk of renouncing treatment, especially related to a fear of seeing a general practitioner.

Suggested Citation

  • Marie-Pierre Tavolacci & Pierre Déchelotte & Joel Ladner, 2020. "Eating Disorders among College Students in France: Characteristics, Help-and Care-Seeking," IJERPH, MDPI, vol. 17(16), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:16:p:5914-:d:399235
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    References listed on IDEAS

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    1. Rubén Trigueros & José M. Aguilar-Parra & Adolfo J. Cangas & Rosario Bermejo & Carmen Ferrandiz & Remedios López-Liria, 2019. "Influence of Emotional Intelligence, Motivation and Resilience on Academic Performance and the Adoption of Healthy Lifestyle Habits among Adolescents," IJERPH, MDPI, vol. 16(16), pages 1-12, August.
    2. Rubén Trigueros & Ana M. Padilla & José M. Aguilar-Parra & Patricia Rocamora & María J. Morales-Gázquez & Remedios López-Liria, 2020. "The Influence of Emotional Intelligence on Resilience, Test Anxiety, Academic Stress and the Mediterranean Diet. A Study with University Students," IJERPH, MDPI, vol. 17(6), pages 1-12, March.
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    1. Eliška Štefanová & Peter Bakalár & Tibor Baška, 2020. "Eating-Disordered Behavior in Adolescents: Associations with Body Image, Body Composition and Physical Activity," IJERPH, MDPI, vol. 17(18), pages 1-9, September.
    2. Angelo Leogrande & Emanuela Resta & Alberto Costantiello, 2024. "The Renunciation of Healthcare Services in the Italian Regions in the ESG Context," Working Papers hal-04487615, HAL.
    3. Katja Haider & Elke Humer & Magdalena Weber & Christoph Pieh & Tiam Ghorab & Rachel Dale & Carina Dinhof & Afsaneh Gächter & Thomas Probst & Andrea Jesser, 2023. "An Assessment of Austrian School Students’ Mental Health and Their Wish for Support: A Mixed Methods Approach," IJERPH, MDPI, vol. 20(6), pages 1-18, March.
    4. András Fehér & Miklós Véha & Henrietta Mónika Boros & Bence Kovács & Enikő Kontor & Zoltán Szakály, 2021. "The Relationship between Online and Offline Information-Seeking Behaviors for Healthy Nutrition," IJERPH, MDPI, vol. 18(19), pages 1-18, September.
    5. Anna Vila-Martí & Iñaki Elío & Sandra Sumalla-Cano, 2021. "Eating Behavior during First-Year College Students, including Eating Disorders—RUVIC-RUNEAT-TCA Project. Protocol of an Observational Multicentric Study," IJERPH, MDPI, vol. 18(18), pages 1-11, September.

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