Eating disorders among adolescents and young adults in Kingston, Jamaica.

Introduction: Eating disorders are complex disorders characterized by a persistent disturbance of eating that impairs health and psychosocial functioning, with accompanying long-lasting effects on the individual's overall health and well-being. Presumed stereotypes may affect reporting and access to care, especially in the Caribbean, where ethnic groups are mostly non-White. This study reviewed the clinical presentation, management, and outcomes of eating disorders in adolescents and young adults in Kingston, Jamaica. It explored the factors that influence outcomes - hospital admission and recovery. Methods: This retrospective case review study included male and female adolescents and young adult participants (10-29 years old) being treated for an eating disorder in Kingston, Jamaica. Data were extracted from the medical records of patients meeting the inclusion criteria for the period January 2010 to December 2020. Sociodemographic data, medical and psychological symptoms and signs, management and outcomes were extracted. Descriptive analyses were performed - proportions and frequencies for categorical variables; means and medians for continuous variables. Inferential analyses including the independent student's t-test and analysis of variance were used to compare means and the Pearson chi-squared test used to determine the association between categorical variables. Logistic regression analyses examined predictors of outcome. Analyses were performed using SPSS version 23. Statistical significance was determined at the 5% level. Results: The study included 68 participants with a female preponderance ( Discussion: Eating disorders are an emerging health concern worldwide, as well as in Jamaica. OSFED with a preponderance of atypical anorexia nervosa is the most prevalent, with overall female preponderance. These findings necessitate the implementation of measures in Jamaica in the realms of identification, prevention, and treatment.