Franko Debra L, Becker Anne E, Thomas Jennifer J, Herzog David B
Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
Int J Eat Disord. 2007 Mar;40(2):156-64. doi: 10.1002/eat.20341.
This study investigated ethnic differences in the frequency of eating disorder symptoms and related distress in a U.S. college-based eating disorders screening program.
Responses to self-report questions and counselors' assessment were analyzed in an ethnically diverse sample (n = 5,435).
The frequency of binge-eating, restrictive eating, vomiting, and amenorrhea did not differ significantly across ethnic groups. However, significant between-group differences were found with respect to modes of purging. Binge correlates (e.g., eating until uncomfortably full) were significantly more frequent among Caucasian than African American participants (p < .001). Binge eating was the best predictor of distress among Caucasians, African Americans, and Latinos, whereas vomiting was the best predictor of distress among Asians. Asian participants who used laxatives were significantly less likely to receive a recommendation for further evaluation than non-Asian participants.
Ethnic diversity in symp tom prevalence and related distress was identified. Clinician recognition of this potential diversity may enhance culturally competent care for eating disorders.
本研究在美国一项基于大学的饮食失调筛查项目中，调查饮食失调症状出现频率及相关困扰方面的种族差异。
对一个种族多样的样本（n = 5435）的自我报告问题回答和咨询师评估进行分析。
暴饮暴食、限制性饮食、呕吐和闭经的频率在不同种族群体间无显著差异。然而，在清除方式方面发现了显著的组间差异。白人参与者中暴饮暴食相关因素（如吃到不舒服的饱腹感）的出现频率显著高于非裔美国参与者（p <.001）。暴饮暴食是白人、非裔美国人和拉丁裔人群中困扰的最佳预测因素，而呕吐是亚洲人群中困扰的最佳预测因素。与非亚洲参与者相比，使用泻药的亚洲参与者获得进一步评估建议的可能性显著更低。
确定了症状患病率及相关困扰方面的种族差异。临床医生认识到这种潜在差异可能会加强对饮食失调的文化胜任护理。
