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We examined ED prevalence and its predictors among adolescent girls in rural north\u2010western Burkina Faso.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fieldworkers interviewed 696 female adolescents aged 12\u201020 years in the Nouna Health and Demographic Surveillance System (HDSS). ED were evaluated using the Structured Clinical Interview for DSM\u20105 (SCID\u20105), self\u2010perceived appearance and body ideal were measured using Thompson and Gray\u2019s Contour Drawing Rating Scale (CDRS) and eating disorder predictors by the Eating Disorder Examination Questionnaire (EDE\u2010Q). We assessed media exposure to magazines, radio, television, and the internet.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>16% of respondents had a BMI below WHO age\u2010standardised 5th percentile, while 4% were above the 85th percentile; most respondents wanted to be larger. DSM\u20105 criteria for anorexia nervosa (AN) were fulfilled by four of 696 respondents (0.6%), those for bulimia nervosa by none, and those for binge eating disorder by two (0.3%). In multivariable regression, more AN symptoms were associated with greater EDE\u2010Q body dissatisfaction, desiring a thinner body and a history of sexual harassment or assault, but not with media exposure. A thinner desired body was associated with greater media exposure, higher BMI z\u2010score and greater EDE\u2010Q disordered eating.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>ED were very rare in rural Burkinab\u00e9 female adolescents, but factors predictive of ED in higher\u2010resource settings were also predictive of ED precursor symptoms here. Our findings suggest that increasing media exposure in resource\u2010limited settings may lead to increased body dissatisfaction, and potentially to increased future ED prevalence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13340","type":"journal-article","created":{"date-parts":[[2019,11,11]],"date-time":"2019-11-11T17:53:40Z","timestamp":1573494820000},"page":"132-141","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Eating disorders, body image and media exposure among adolescent girls in rural Burkina Faso"],"prefix":"10.1111","volume":"25","author":[{"given":"Valentin","family":"Terhoeven","sequence":"first","affiliation":[{"name":"Centre for Psychosocial Medicine University Hospital Heidelberg Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Nikendei","sequence":"additional","affiliation":[{"name":"Centre for Psychosocial Medicine University Hospital Heidelberg Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Till","family":"B\u00e4rnighausen","sequence":"additional","affiliation":[{"name":"Institute for Global Health University College London London UK"},{"name":"Heidelberg Institute of Global Health (HIGH) University of Heidelberg Heidelberg Germany"},{"name":"Department of Global Health and Population Harvard T.H. 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