Eating disorders risk and its relation to self-esteem and body image in Iranian university students of medical sciences.

Abstract

Eating disorders are rapidly increasing in young adults. But, a few studies have examined the risk of eating disorders and body image in university students of non-Western societies. The current study aimed to assess eating disorders risk in relation to body image and self-esteem among Iranian university students.The participants were 430 students from Tabriz, between April and May 2015. The 26-item Eating Attitude Test (EAT-26), Multidimensional Body-Self Relations Questionnaire (MBSRQ) and Rosenberg's Self-Esteem Questionnaires were used. EAT-26 score of 20 or more was considered as eating disorders risk cutoff.Majority of the students (68آ %) were females. The overall eating disorders risk was 9.5آ % (7.5 and 10.5آ % in men and women, respectively). Further, the prevalence of poor body image and low self-esteem was 34.2 and 16آ %, respectively. Neither of the gender differences was statistically significant (pآ >آ 0.05). In simple logistic regression, there were significant associations between self-esteem, body image, parental education and eating disorders risk (pآ <آ 0.025). But, after adjustments for gender, age, Body Mass Index (BMI) and marital status, only self-esteem (ORآ =آ 0.37, 95آ %آ =آ 0.16-0.87) and mother's education level (ORآ =آ 2.78, 95آ %آ =آ 1.30-5.93) were predictors of eating disorders risk.The findings revealed that low self-esteem and mother's higher education may increase eating disorders risk and the predictive role of body image possibly is by other mediators such as self-esteem. This warrants awareness improvement and developing appropriate interventions targeting self-esteem and self-respect of students.