Eating disorders among international migrants: a systematic review and meta-analysis.

Autor: Siddiqi S; School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.; Ottawa Hospital Research Institute, Ottawa, ON, Canada., Akther A; School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada., Blair DL; School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada., Eccles H; School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada., Frangione B; School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.; Department of Neuroscience, Carleton University, Ottawa, ON, Canada., Keeshan A; School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.; Ottawa Hospital Research Institute, Ottawa, ON, Canada., Nagi S; School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada., Colman I; School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada. icolman@uottawa.ca.
Jazyk: angličtina
Zdroj: Social psychiatry and psychiatric epidemiology [Soc Psychiatry Psychiatr Epidemiol] 2024 Sep; Vol. 59 (9), pp. 1483-1495. Date of Electronic Publication: 2024 Mar 28.
DOI: 10.1007/s00127-024-02666-6
Abstrakt: Purpose: Migrants may have elevated exposure to stressors, which can affect their physical and mental well-being. However, migrants often experience a healthy immigrant effect, the applicability of this phenomena to eating disorders is unknown. We aimed to synthesize the available literature and estimate a summary measure of prevalence odds ratio for eating disorders in migrant populations compared to local populations.
Methods: A literature search was conducted using MEDLINE, Embase, PsycINFO, and Web of Science with keywords on migration and eating disorders. Inclusion criteria involved using a validated eating disorder scale and having a comparator group. Two independent reviewers performed study screening and data extraction. The NIH Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies was used to assess risk of bias. Random-effects models of meta-analysis were applied to compare eating disorder prevalence between migrants and local populations.
Results: There were 10 studies included in our review (meta-analysis = 6, narrative synthesis = 4). Studies provided prevalence estimates for: any eating disorder, binge eating disorder, anorexia nervosa, and bulimia nervosa. Among studies with a diagnostic instrument, the pooled prevalence odds ratio (POR) between migrants and local populations for any eating disorder was 0.45 (95%CI: 0.35-0.59). However, a subgroup analysis of eating disorder instruments among studies using risk assessment tools demonstrated inconsistent findings, with both increases and decreases in prevalence.
Conclusion: Migrants were found to have a lower prevalence of eating disorders compared to local populations, supporting the healthy immigrant hypothesis. However, this effect differs between diagnostic and risk assessment tools.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.)
Databáze: MEDLINE
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