Rural-metropolitan health differential for young persons with eating disorders referred for specialist treatment
Objective: The aim was to explore associations between residing in a rural area and clinical characteristics of children and adolescents with eating disorders presenting to a specialist eating disorders program. Method: The data source was the Helping to Outline Paediatric Eating Disorders (HOPE) Pr...
| Main Authors: | , , , , , , , , |
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| Format: | Journal Article |
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BioMed Central
2014
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| Online Access: | http://hdl.handle.net/20.500.11937/22417 |
| _version_ | 1848750864831873024 |
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| author | Alman, J. Hoiles, K. Watson, H. Egan, Sarah Hamilton, M. McCormack, J. Potts, J. Forbes, D. Shu, C. |
| author_facet | Alman, J. Hoiles, K. Watson, H. Egan, Sarah Hamilton, M. McCormack, J. Potts, J. Forbes, D. Shu, C. |
| author_sort | Alman, J. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective: The aim was to explore associations between residing in a rural area and clinical characteristics of children and adolescents with eating disorders presenting to a specialist eating disorders program. Method: The data source was the Helping to Outline Paediatric Eating Disorders (HOPE) Project registry (N ~ 1000), a prospective ongoing registry study comprising consecutive paediatric tertiary eating disorder referrals. The sample (N = 399) comprised children and adolescents presenting with a DSM-5 eating disorder, with ages ranging from 8 to 16 years (M = 14.49, 92% female). Results Consistent with the hypotheses, living in a rural area was associated with a lower body mass index z-score, and a higher likelihood of medical complications at intake assessment. Contrary to our hypothesis, eating pathology and living in a rural area were negatively associated. No relationship was observed between living in a rural area and duration of illness or greater percentage of bodyweight lost. Conclusions: The results suggest that living in a rural area and being a greater distance from specialist services is associated with more severe malnutrition and medical complications by the time the young person and their family obtain specialist care. These findings have implications for service planning and provision for rural communities. The modifications to service delivery in the study setting will be described. |
| first_indexed | 2025-11-14T07:43:37Z |
| format | Journal Article |
| id | curtin-20.500.11937-22417 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:43:37Z |
| publishDate | 2014 |
| publisher | BioMed Central |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-224172017-09-13T13:54:26Z Rural-metropolitan health differential for young persons with eating disorders referred for specialist treatment Alman, J. Hoiles, K. Watson, H. Egan, Sarah Hamilton, M. McCormack, J. Potts, J. Forbes, D. Shu, C. Objective: The aim was to explore associations between residing in a rural area and clinical characteristics of children and adolescents with eating disorders presenting to a specialist eating disorders program. Method: The data source was the Helping to Outline Paediatric Eating Disorders (HOPE) Project registry (N ~ 1000), a prospective ongoing registry study comprising consecutive paediatric tertiary eating disorder referrals. The sample (N = 399) comprised children and adolescents presenting with a DSM-5 eating disorder, with ages ranging from 8 to 16 years (M = 14.49, 92% female). Results Consistent with the hypotheses, living in a rural area was associated with a lower body mass index z-score, and a higher likelihood of medical complications at intake assessment. Contrary to our hypothesis, eating pathology and living in a rural area were negatively associated. No relationship was observed between living in a rural area and duration of illness or greater percentage of bodyweight lost. Conclusions: The results suggest that living in a rural area and being a greater distance from specialist services is associated with more severe malnutrition and medical complications by the time the young person and their family obtain specialist care. These findings have implications for service planning and provision for rural communities. The modifications to service delivery in the study setting will be described. 2014 Journal Article http://hdl.handle.net/20.500.11937/22417 10.1186/2050-2974-2-S1-O55 BioMed Central fulltext |
| spellingShingle | Alman, J. Hoiles, K. Watson, H. Egan, Sarah Hamilton, M. McCormack, J. Potts, J. Forbes, D. Shu, C. Rural-metropolitan health differential for young persons with eating disorders referred for specialist treatment |
| title | Rural-metropolitan health differential for young persons with eating disorders referred for specialist treatment |
| title_full | Rural-metropolitan health differential for young persons with eating disorders referred for specialist treatment |
| title_fullStr | Rural-metropolitan health differential for young persons with eating disorders referred for specialist treatment |
| title_full_unstemmed | Rural-metropolitan health differential for young persons with eating disorders referred for specialist treatment |
| title_short | Rural-metropolitan health differential for young persons with eating disorders referred for specialist treatment |
| title_sort | rural-metropolitan health differential for young persons with eating disorders referred for specialist treatment |
| url | http://hdl.handle.net/20.500.11937/22417 |