Individuals with bulimia may be slightly underweight, normal weight or overweight. Bulimia typically has an onset late in adolescence or early adulthood and is more common in females. Younger children, adults and males can also develop bulimia. At any one given time, 1.0% of young women and 0.1% of young men struggle with bulimia. Bulimia occurs with similar frequencies in most industrialized countries including the United States, Canada, many European countries, Australia, Japan, New Zealand and South Africa.