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Assessment of disordered eating attitudes and associated factors among female undergraduates at Arba Minch University, Southern Ethiopia

Damtie Aserese, Addisalem ; Merid, Melkamu LU orcid ; Getie, Asmare and Belayhun, Yosef (2025) In BMC Public Health 25(1).
Abstract

Background: Eating disorders significantly impact physical health and have negative psychosocial consequences. The global burden of anorexia nervosa and bulimia nervosa among young females is estimated to account for 1.9 million disability-adjusted life years. Early identification of disordered eating attitudes is critical for preventing the progression to more severe forms of eating disorders; however, there is limited evidence on this issue among university students in Ethiopia. Therefore, this study aimed to assess disordered eating attitudes and their associated factors among female students at Arba Minch University, Arba Minch, Southern Ethiopia, in 2023. Methods: An institution-based cross-sectional study was conducted at Arba... (More)

Background: Eating disorders significantly impact physical health and have negative psychosocial consequences. The global burden of anorexia nervosa and bulimia nervosa among young females is estimated to account for 1.9 million disability-adjusted life years. Early identification of disordered eating attitudes is critical for preventing the progression to more severe forms of eating disorders; however, there is limited evidence on this issue among university students in Ethiopia. Therefore, this study aimed to assess disordered eating attitudes and their associated factors among female students at Arba Minch University, Arba Minch, Southern Ethiopia, in 2023. Methods: An institution-based cross-sectional study was conducted at Arba Minch University from January 1, 2023, to April 1, 2023. A total of 600 female students participated in the study, selected through simple random sampling. Data were collected using a self-administered questionnaire, entered into Epi-Info version 7, and exported to SPSS version 20 for analysis. Multivariable binary logistic regression was used to identify factors associated with disordered eating attitudes, with variables having p-values <0.05 considered statistically significant. The strength and presence of associations between the outcome variable and independent variables were measured using adjusted odds ratios with 95% confidence intervals. Model fitness was assessed using the Hosmer and Lemeshow goodness-of-fit test. Results: The study found that the prevalence of disordered eating attitudes among female students at Arba Minch University was 11.5% (95% CI: 9.0-14.3). Factors significantly associated with disordered eating attitudes included academic department (AOR=2.27, 95% CI: 1.06-4.86) and body mass index (AOR=5.83, 95% CI: 2.34-14.52). Conclusion: The study indicated a notable prevalence of disordered eating attitudes among female students at Arba Minch University. Body mass index and academic department were found to be significantly associated with these attitudes. The link between disordered eating and body image concerns underscores the need for policies promoting self-confidence and positive body image. More specifically, university health services should implement routine screening using EAT-26, combined with psychological counseling services to support at-risk students.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Arba Minch University, Disordered eating attitude, Factors, Female students
in
BMC Public Health
volume
25
issue
1
article number
1730
publisher
BioMed Central (BMC)
external identifiers
  • pmid:40348968
  • scopus:105004679470
ISSN
1471-2458
DOI
10.1186/s12889-025-22957-0
language
English
LU publication?
yes
id
1ea8085b-5281-442c-a9cf-781ffa9a37cf
date added to LUP
2025-07-11 12:23:34
date last changed
2025-07-12 03:31:34
@article{1ea8085b-5281-442c-a9cf-781ffa9a37cf,
  abstract     = {{<p>Background: Eating disorders significantly impact physical health and have negative psychosocial consequences. The global burden of anorexia nervosa and bulimia nervosa among young females is estimated to account for 1.9 million disability-adjusted life years. Early identification of disordered eating attitudes is critical for preventing the progression to more severe forms of eating disorders; however, there is limited evidence on this issue among university students in Ethiopia. Therefore, this study aimed to assess disordered eating attitudes and their associated factors among female students at Arba Minch University, Arba Minch, Southern Ethiopia, in 2023. Methods: An institution-based cross-sectional study was conducted at Arba Minch University from January 1, 2023, to April 1, 2023. A total of 600 female students participated in the study, selected through simple random sampling. Data were collected using a self-administered questionnaire, entered into Epi-Info version 7, and exported to SPSS version 20 for analysis. Multivariable binary logistic regression was used to identify factors associated with disordered eating attitudes, with variables having p-values &lt;0.05 considered statistically significant. The strength and presence of associations between the outcome variable and independent variables were measured using adjusted odds ratios with 95% confidence intervals. Model fitness was assessed using the Hosmer and Lemeshow goodness-of-fit test. Results: The study found that the prevalence of disordered eating attitudes among female students at Arba Minch University was 11.5% (95% CI: 9.0-14.3). Factors significantly associated with disordered eating attitudes included academic department (AOR=2.27, 95% CI: 1.06-4.86) and body mass index (AOR=5.83, 95% CI: 2.34-14.52). Conclusion: The study indicated a notable prevalence of disordered eating attitudes among female students at Arba Minch University. Body mass index and academic department were found to be significantly associated with these attitudes. The link between disordered eating and body image concerns underscores the need for policies promoting self-confidence and positive body image. More specifically, university health services should implement routine screening using EAT-26, combined with psychological counseling services to support at-risk students.</p>}},
  author       = {{Damtie Aserese, Addisalem and Merid, Melkamu and Getie, Asmare and Belayhun, Yosef}},
  issn         = {{1471-2458}},
  keywords     = {{Arba Minch University; Disordered eating attitude; Factors; Female students}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Public Health}},
  title        = {{Assessment of disordered eating attitudes and associated factors among female undergraduates at Arba Minch University, Southern Ethiopia}},
  url          = {{http://dx.doi.org/10.1186/s12889-025-22957-0}},
  doi          = {{10.1186/s12889-025-22957-0}},
  volume       = {{25}},
  year         = {{2025}},
}