title: Eating pathology in East African women: the role of media exposure and globalization.
abstract: Eating disorder (ED) pathology and its relation to media exposure and globalization were assessed in a sample of young Tanzanian females (N = 214; 19.4 years +/- 3.8 years). Participants completed Kiswahili versions of a DSM-IV ED symptom clinical interview, the Eating Disorder Inventory (EDI), and a media exposure/globalization questionnaire. One third endorsed cognitive ED symptoms; bingeing (10%) and purging (5%) were less common. Four women (1.9%) met modified criteria for anorexia nervosa, one for bulimia nervosa, and 10 (4.7%) reported clinically significant ED pathology consistent with an ED not otherwise specified diagnosis. Media exposure and Western exposure (e.g., travel abroad) were positively associated with ED symptoms. The intended factor structure of the EDI was not supported. Eating pathology is present in this developing nation and is most common in subpopulations with increased exposure to Western culture. Future research should replicate these findings to clarify the role of Western media in the development of ED pathology.
authors.affiliation: Center for Anxiety and Related Disorders, Department of Psychology, Boston University, Boston, Massachusetts 02215, USA. kamryn@bu.edu
authors.forename: Kamryn T
authors.initials: KT
authors.lastname: Eddy
authors.forename: Moira
authors.initials: M
authors.lastname: Hennessey
authors.forename: Heather
authors.initials: H
authors.lastname: Thompson-Brenner
mesh_terms: D000293:Adolescent; D000328:Adult; D000351:Africa, Eastern / Q000453:epidemiology; D044383:Black People / Q000706:statistics & numerical data*; D003625:Data Collection; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005190:Family; D005247:Feeding Behavior / Q000523:psychology*; D001068:Feeding and Eating Disorders / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D038622:Internationality; D008402:Mass Media; D008875:Middle Aged; D010555:Personality Inventory; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D011795:Surveys and Questionnaires; D013636:Tanzania / Q000453:epidemiology; D016387:Women's Health / Q000208:ethnology*