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. Author manuscript; available in PMC: 2022 Mar 1.
Published in final edited form as: Int J Eat Disord. 2020 Nov 12;54(3):459–467. doi: 10.1002/eat.23402

Table 1.

Key findings from featured articles

Article Study Population Key Findings
Prevalence and presentation of disordered eating in Black and Indigenous people
Tuffa, T. A., Gebreyesus, S. H., Endris, B. S., Getnet, Y., & Abebe, D. S. (2020). Unhealthy weight control behaviors among Ethiopian female adolescents. International Journal of Eating Disorders, 53(4), 525–532. doi:10.1002/eat.23227 High school girls in Addis Ababa, Ethiopia (N = 690). Overall, 30.7% of girls reported practicing unhealthy weight control behaviors (e.g., skipping meals, fasting, vomiting). Participants were more likely to practice unhealthy weight control practices if they had a higher socioeconomic status, greater adiposity, or severe depressive symptoms. Appearance satisfaction was associated with unhealthy weight control behaviors at a bivariate level, but this association did not remain significant after adjusting for covariates.
Nagata, J. M., Murray, S. B., Bibbins-Domingo, K., Garber, A. K., Mitchison, D., & Griffiths, S. (2019). Predictors of muscularity-oriented disordered eating behaviors in US young adults: A prospective cohort study. International Journal of Eating Disorders, 52(12), 1380–1388. doi:10.1002/eat.23094 A nationally representative sample of girls (N = 7,873; 15.4% Black/African American, 0.5% Native American, 11.5% Latina, 3.1% Asian/Pacific Islander, 68.8% white, 0.6% other ethnicity) and boys (N = 7,018; 14.4% Black/African American, 0.6% Native American, 12.3% Latino, 3.7% Asian/Pacific Islander, 68.2% white, 0.9% other ethnicity) in the US. Black girls and boys were more likely than their white counterparts to engage in attempts to gain weight or report muscularity-oriented eating behavior.
Striegel-Moore, R. H., Rosselli, F., Holtzman, N., Dierker, L., Becker, A. E., & Swaney, G. (2011). Behavioral symptoms of eating disorders in Native Americans: Results from the add health survey wave III. International Journal of Eating Disorders, 44(6), 561–566. doi:10.1002/eat.20894 Young adult women and men in a nationally representative sample in the US (N = 10,334; 4.7% Native American/Alaska Native, 95.3% white). Among Native American/Alaska Native participants, women were more likely to report disordered eating than men. Native American/Alaska Native women were more likely than white women to experience binge eating; prevalence of other disordered eating symptoms was similar across ethnicity. Disordered eating symptoms were similar across ethnicity in men.
Marques, L., Alegria, M., Becker, A. E., Chen, C. N., Fang, A., Chosak, A., & Diniz, J. B. (2011). Comparative prevalence, correlates of impairment, and service utilization for eating disorders across US ethnic groups: Implications for reducing ethnic disparities in health care access for eating disorders. International Journal of Eating Disorders, 44(5), 412–420. doi:10.1002/eat.20787 Pooled data from nationally representative Black/African American, Latinx, Asian/Asian American, and white samples of adults in the US. There were no significant racial/ethnic differences in lifetime rates of AN, BED, or BN in women. Lifetime prevalence of any binge eating was greater in Black/African American, Latinx, and Asian/Asian American participants relative to white participants. White participants with a lifetime eating disorder were more likely to have used mental health services than participants of color.
Taylor, J. Y., Caldwell, C. H., Baser, R. E., Faison, N., & Jackson, J. S. (2007). Prevalence of eating disorders among Blacks in the National Survey of American Life. International Journal of Eating Disorders, 40(S3), S10-S14. doi:10.1002/eat.20451 A nationally representative sample of African American and Caribbean Black adolescents (N = 1,170) and adults (N = 5,191) in the US. Rates of lifetime eating disorders were 0.17% for AN, 1.49% for BN, and 5.08% for any binge eating in adults. Adult women reported greater lifetime prevalence of binge eating than adult men; however, there were no sex differences in rates of eating disorders among adolescents.
Access to treatment and treatment experiences of Black and Indigenous people
Goode, R. W., Cowell, M. M., Mazzeo, S. E., Cooper-Lewter, C., Forte, A., Olayia, O. I., & Bulik, C. M. (2020). Binge eating and binge-eating disorder in Black women: A systematic review. International Journal of Eating Disorders, 53(4), 491–507. doi:10.1002/eat.23217 A systematic review of research on binge eating and BED in Black women. While the prevalence of binge eating and BED is similar (or higher) among Black women relative to white women, research suggests Black women are less likely to receive treatment for an eating disorder and more likely to drop out of treatment. Additional research is needed on best practices for treating binge eating in Black women.
Becker, A. E., Hadley Arrindell, A., Perloe, A., Fay, K., & Striegel-Moore, R. H. (2010). A qualitative study of perceived social barriers to care for eating disorders: Perspectives from ethnically diverse health care consumers. International Journal of Eating Disorders, 43(7), 633–647. doi:10.1002/eat.20755 Past and prospective clients in eating disorder treatment (N = 32; 12.5% Black/African American, 9.4% Latinx, 6.3% Asian/Asian American, 62.5% white, 9.4% multiethnic). Participants of color reported embarrassment/shame, stigma, lack of recognition within their communities, and lack of recognition by health care providers as barriers to seeking care for an eating disorder.
Grilo, C. M., Lozano, C., & Masheb, R. M. (2005). Ethnicity and sampling bias in binge eating disorder: Black women who seek treatment have different characteristics than those who do not. International Journal of Eating Disorders, 38(3), 257–262. doi:10.1002/eat.20183 Clinical (N = 337; 10.4% Black/African American, 89.6% white) and community (N = 150; 34.7% Black/African American, 65.3% white) samples of women with BED in the US. Differences in eating pathology between clinical and community samples were larger for Black women than for white women. Within the clinical sample, Black and white women were similar on measures of eating pathology, but Black women had higher BMIs.
Becker, A. E., Franko, D. L., Speck, A., & Herzog, D. B. (2003). Ethnicity and differential access to care for eating disorder symptoms. International Journal of Eating Disorders, 33(2), 205–212. doi:10.1002/eat.10129 Women and men on college campuses involved in the 1996 National Eating Disorders Screening Program in the US (Study 1 N = 9,069; 6.6% Black/African American, 0.9% Native American/Alaska Native, 81.6% white, 3.4% Latinx, 3.0% Asian or Pacific Islander, 2.5% other ethnicity; Study 2 N = 289; 4.3% Black/African American, 1.8% Asian/Asian American, 1.1% Latinx, 92.1% white). In study 1, after controlling for severity of eating disorder symptoms, Native American and Latinx participants were less likely to be referred for further evaluation for an eating disorder than white participants. In study 2, participants of color reported that doctors and (at a trend level) mental health professionals were less likely to ask about their eating behaviors. Participants of color who acknowledged concerns about their eating were less likely to receive a recommendation to see a health professional during the screening than white participants, despite having a similar level of eating pathology.
Cachelin, F. M., Rebeck, R., Veisel, C., & Striegel-Moore, R. H. (2001). Barriers to treatment for eating disorders among ethnically diverse women. International Journal of Eating Disorders, 30(3), 269–278. doi:10.1002/eat.1084 Women from the community in the US who fulfilled criteria for a DSM-IV eating disorder (N = 61; 20% Black/African American, 13% Asian/Asian American, 36% Latina, 31% white). The majority of women (85.2%) reported wanting treatment for an eating problem, but only 57% sought treatment. Among women who sought treatment, only 14% had received treatment (8% of the total sample). There were no significant differences between treatment seekers and non-seekers on race/ethnicity. The most common reasons for not seeking treatment were financial difficulties, lack of insurance, a belief that others could not help, fear of being labeled, and not knowing about resources.
Discrimination, oppression, and other environmental stressors that are associated with disordered eating in Black and Indigenous people
Kelly, N. R., Smith, T. M., Hall, G. C., Guidinger, C., Williamson, G., Budd, E. L., & Giuliani, N. R. (2018). Perceptions of general and postpresidential election discrimination are associated with loss of control eating among racially/ethnically diverse young men. International Journal of Eating Disorders, 51(1), 28–38. doi:10.1002/eat.22803 Men ages 18–30 in the US (n = 789; 32.7% Black/African American, 33.3% Asian/Asian American, 34% Latino). Perceived discrimination was associated with loss of control eating frequency among Black men and Latino men.
Munn-Chernoff, M. A., Grant, J. D., Agrawal, A., Koren, R., Glowinski, A. L., Bucholz, K. K.,…Duncan, A. E. (2015). Are there common familial influences for major depressive disorder and an overeating–binge eating dimension in both European American and African American Female twins? International Journal of Eating Disorders, 48(4), 375–382. doi:10.1002/eat.22280 Young adult female twins in the US (N = 3,776; 14.6% Black/African American, 85.4% white). In the best fitting model, there were similar and significant genetic and non-shared environmental influences on binge eating and depression across Black and white women.
Gerbasi, M. E., Richards, L. K., Thomas, J. J., Agnew-Blais, J. C., Thompson-Brenner, H., Gilman, S. E., & Becker, A. E. (2014). Globalization and eating disorder risk: Peer influence, perceived social norms, and adolescent disordered eating in Fiji. International Journal of Eating Disorders, 47(7), 727–737. doi:10.1002/eat.22349 Ethnic Fijian girls and women ages 15–20 (N = 523). Disordered eating symptoms were correlated with age, BMI, Western/global cultural orientation, perceived peer influences on eating behavior/concerns, and (inversely) ethnic Fijian cultural orientation.
Perez, M., Voelz, Z. R., Pettit, J. W., & Joiner Jr, T. E. (2002). The role of acculturative stress and body dissatisfaction in predicting bulimic symptomatology across ethnic groups. International Journal of Eating Disorders, 31(4), 442–454. doi:10.1002/eat.10006 Undergraduate women in the US (N = 118; 30% Black/African American, 19% Latina, 51% white). For Black and Latina women, the association between body dissatisfaction and bulimic symptoms was stronger at higher levels of acculturative stress.

Note: AN = anorexia nervosa; BN = bulimia nervosa; BED = binge-eating disorder; BMI = body mass index; US = United States. Studies are listed in reverse chronological order under each subject heading.