Prevalence of Eating Disorders and Their Association with Mental and Behavioral Health among University Students in Bangladesh
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Abstract
Background: University students' concerns about eating disorders have been growing, especially in poorer countries. However, we could address the relationship between eating disorders and different behavioral issues. This study investigates the relationship between eating disorders (EDs) and behavioral and mental health issues among Bangladeshi undergraduate students.
Methods: Cross-sectional research was performed including 420 undergraduate students from four institutions, utilizing validated instruments: the Eating Disorder Examination Questionnaire (EDE-Q 28) and the Generalized Anxiety Disorder scale (GAD-7). Behavioral challenges were also evaluated. Multiple linear regression was conducted to identify characteristics strongly correlated with ED symptoms.
Results: The incidence of eating disorders was 2.6%, whereas 5.8% of students indicated experiencing severe anxiety. ED symptoms were significantly predicted by generalized anxiety disorder (p < 0.001), low appetite (p = 0.0159), fear for relatives' health (p < 0.001), gender (p = 0.0154), university type (p = 0.0008), and monthly family income (p = 0.0029). A slight correlation was seen between positive thoughts (p = 0.0515). Behavioral difficulties like fatigue, insomnia, and worry were not statistically significant but were commonly reported
Conclusion: The results demonstrate how EDs are complex and impacted by both sociodemographic and psychological aspects. In Bangladeshi university settings, early screening programs and integrated mental health interventions are crucial for addressing eating disorders.