title: Length of residence and risk of eating disorders in immigrant adolescents living in madrid. The AFINOS study.
abstract: OBJECTIVE
  This study was designed to compare the risk of having an eating disorder (ED) among immigrant and native adolescents living in Madrid and to determine the possible influence of length of residence (LOR) on the risk of the immigrants.
  
  
  METHODS
  A cross-sectional survey was conducted from november 2007 to february 2008 in a representative sample of adolescents aged 13 to 17 years (n = 2,077, 1,052 girls) living in the Madrid region. Data were collected using the Spanish version of the SCOFF Eating Disorders Questionnaire. Further factors considered were country of birth, LOR and several biological, sociodemographic, lifestyle and health-related variables.
  
  
  RESULTS
  According to the three logistic regression models constructed, female immigrant adolescents on the whole showed a greater ED risk (OR = 1.95; 95% CI 1.29- 2.95; p = 0.001) than native adolescents. Moreover, the likelihood of ED was higher among female immigrants living in Spain for <6 years than for Spanish native females (OR = 2.44; 95% CI 1.42-4.18; p = 0.001), while no significant differences were found when female natives were compared with female immigrants living in this country for ≥ 6 years. Similarly, no differences were observed in the ED risk recorded for male native and immigrant adolescents, both as a whole and by length of residence in Spain.
  
  
  CONCLUSIONS
  The immigrant status and the length of Spanish residence are relevant factors in regard to the ED risk in adolescents living in Madrid.
authors.affiliation: Department of Preventive Medicine and Public Health. School of Medicine. Universidad Complutense de Madrid.. lauraesteban77@yahoo.es.
authors.forename: Laura
authors.initials: L
authors.lastname: Esteban-Gonzalo
authors.affiliation: Department of Physical Education, Sport and Human Movement. Faculty of Teacher Training and Education. Universidad Autónoma de Madrid. Madrid. Spain.. oscar.veiga@uam.es.
authors.forename: Oscar L
authors.initials: OL
authors.lastname: Veiga
authors.affiliation: Immunonutrition Research Group. Department of Metabolism and Nutrition. Institute of Food Science and Technology and Nutrition (ICTAN). Spanish National Research Council (CSIC). Madrid. Spain.. sgomez@ictan.csic.es.
authors.forename: Sonia
authors.initials: S
authors.lastname: Gómez-Martínez
authors.affiliation: Immunonutrition Research Group. Department of Metabolism and Nutrition. Institute of Food Science and Technology and Nutrition (ICTAN). Spanish National Research Council (CSIC). Madrid. Spain.. aveses@hotmail.com.
authors.forename: Ana M
authors.initials: AM
authors.lastname: Veses
authors.affiliation: Department of Preventive Medicine and Public Health. School of Medicine. Universidad Complutense de Madrid.. enriqueregidor@hotmail.com.
authors.forename: Enrique
authors.initials: E
authors.lastname: Regidor
authors.affiliation: Department of Preventive Medicine and Public Health. School of Medicine. Universidad Complutense de Madrid.. davidmartinez@med.ucm.es.
authors.forename: David
authors.initials: D
authors.lastname: Martínez
authors.affiliation: Immunonutrition Research Group. Department of Metabolism and Nutrition. Institute of Food Science and Technology and Nutrition (ICTAN). Spanish National Research Council (CSIC). Madrid. Spain.. amarcos@ictan.csic.es.
authors.forename: Ascensión
authors.initials: A
authors.lastname: Marcos
authors.affiliation: Department of Preventive Medicine and Public Health. School of Medicine. Universidad Complutense de Madrid.. mcalle@med.ucm.es.
authors.forename: María E
authors.initials: ME
authors.lastname: Calle
mesh_terms: D000293:Adolescent; D003430:Cross-Sectional Studies; D004034:Diet Surveys; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005006:Ethnicity; D001068:Feeding and Eating Disorders / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D012727:Sex Characteristics; D013030:Spain / Q000453:epidemiology