Prevalence and correlates of disordered eating in a general population sample: the South East London Community Health (SELCoH) study.
OBJECTIVE
Disordered eating has been shown to be more prevalent than full eating disorders diagnoses. However, research on its prevalence, socio-demographic, psychological correlates, and patterns of service use in multi-ethnic samples is still limited. This paper explores these associations in a South London-based (UK) sample.


METHODS
The South East London Community Health (SELCoH) study is a general population survey (N = 1,698) of individuals aged 16+. Disordered eating was defined as ≥2 positive answers at the SCOFF questionnaire. Crude and adjusted logistic and multinomial logistic regression models were fit to investigate associations between socio-demographic characteristics, disordered eating, psychiatric comorbidity, and service use.


RESULTS
A total of 164 (10 %) participants reported disordered eating and the majority were from ethnic minorities. In adjusted models, Asian ethnicity was associated with purging, loss of control eating and preoccupation with food. Individuals with disordered eating had higher odds of screening positive for post-traumatic stress disorder and personality disorders and of having anxiety/mood disorders, suicidal ideation/attempts, hazardous levels of drinking, and used drugs in the previous year. Only 36 % of individuals with disordered eating had sought professional help in the previous 12 months mostly through their general practitioner (27.4 %), followed by psychotherapists (12.8 %) and mental health specialists (5.5 %).


CONCLUSIONS
This study found a high prevalence of disordered eating, especially amongst ethnic minorities, and associations with a number of psychiatric conditions. Overall few participants accessed specialist services. These findings suggest that both disordered eating manifestations amongst ethnic minorities and access to care need better investigation.
Behavioural and Brain Sciences Unit, Institute of Child Health, University College London, 30 Guilford Street, WC1N 1EH, London, UK, francesca.solmi.10@ucl.ac.uk.
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Solmi
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Hatch
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Hotopf
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Treasure
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Micali
D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000453:epidemiology; D015897:Comorbidity; D005006:Ethnicity / Q000523:psychology / Q000706:statistics & numerical data*; D005191:Family Characteristics; D001068:Feeding and Eating Disorders / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D008131:London / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D019964:Mood Disorders / Q000453:epidemiology; D011159:Population Surveillance; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012959:Socioeconomic Factors; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires; D055815:Young Adult