EATING DISORDERS AMONG ACTIVE DUTY FEMALE NAVY NURSES: WHO, WHEN AND WHY?.
Contributors: University Of Hawaii.
Published: 1994
Number of pages: 337
Subjects: Health Sciences, Public Health.; Health Sciences, Nutrition.; Health Sciences, Nursing.; Psychology, Clinical.
Description: The main purposes for this research were to determine the prevalence of eating disorders among active duty female Navy nurses and to further identify factors which might predispose female Navy nurses to exhibit eating disorders.

The sampling technique was a multi-leveled cluster sample. The total number sampled was 1323 with a response rate of 53% (N = 706). Two instruments were utilized. The EDI-2 measured 11 subscales of personalities which are typical of eating disordered clients and the military questionnaire obtained current and past information regarding episodes of eating disorders during the responder's active duty period.

This was a descriptive and correlational study. ANOVA, chi square, multiple logistic regression and factor analysis were utilized in the analysis of the data. Military variables were analyzed with regard to the dependent variables which were: Normal Dieter, Anorexia Nervosa, Bulimia Nervosa and the NOS eating disorder.

The findings were high for eating disorders among female Navy nurses. Anorexia nervosa had a prevalence of 1.1%, bulimia nervosa was six times the prevalence reported in lay literature (12.5%) and the NOS category was 36% compared to a reported prevalence of between 3-35%. Normal dieters were 50.4%. Eating disorders were widespread across all ages and ranks in the Navy Nurse Corps. An eating episode lasted for a mean average of 6.3 years. ICU nurses comprised 10% of all bulimics, 12.5% of all anorexics and only 14% of normal dieters. Sixty percent of psychiatric nurses who have a current eating disorder have the anorexic or bulimic (AN/BN) variety.

There was significance seen between having an episode and the work area. Twenty-five percent of all nurses who had at least one episode were working in ICU at the time. The characteristics which remained constant over all reported episodes as precipitants were: shift rotations, being fat, morale, personal affairs, and maintaining the Navy's fitness standards. Significant variables which predicted repeated episodes were: job satisfaction, professional and personal motivation, being dissatisfied with the job, working in OB/GYN and the % body fat prior to an episode.

The current use of aberrant behaviors was reported at 49% with a total of 339 reporting that they currently use one or more means of abnormal behaviors for weight control.

Multiple logistic regression indicated that there were significant factors that could predict being normal or being disordered. They were: weight, height, body perception, prior excessive exercising, binging, diuretic use, skipping meals and working in an inpatient/outpatient setting.

Bulimia Nervosa exists at a high level in the Navy Nurse Corps. Only 3.3% reported entering active duty with a preexisting eating disorder. Navy nursing obviously provides opportunities for eating disorders to thrive and to survive.
Notes: Source: Dissertation Abstracts International, Volume: 55-10, Section: B, page: 4337.

Thesis (DR.P.H.)--UNIVERSITY OF HAWAII, 1994.

School code: 0085.