Department of Psychiatry, Yale School of Medicine, United States of America; Department of Population Health, New York University School of Medicine, New York, NY, United States of America.
Department of Psychiatry, Yale School of Medicine, United States of America.
Eat Behav. 2022 Jan;44:101594. doi: 10.1016/j.eatbeh.2021.101594. Epub 2022 Jan 11.
This study examined ethnic/racial differences in reported utilization of weight-loss methods/treatments and weight loss among adults with binge-eating disorder (BED) with co-existing obesity.
Participants were 400 adults (non-Hispanic Black: n = 99, Hispanic: n = 38, non-Hispanic White: n = 263) seeking treatment for BED in Connecticut from 2007 to 2012. Participants were asked about prior weight-loss methods/treatments and resulting weight losses.
Overall, self-help diets were utilized most; mental-health services were utilized least. While non-significant differences for most methods/treatments were observed by ethnicity/race, significant differences emerged for self-help diets and supervised programs with non-Hispanic Whites, in general, utilizing these diets more frequently and losing more weight on these types of diets.
Among treatment-seeking patients with BED and obesity, non-Hispanic White patients reported histories of greater weight-loss treatment utilization and weight loss than non-White patients for supervised and self-help diets. Findings highlight the need for greater understanding of treatment utilization and outcomes among minority patients with obesity and BED.
本研究考察了患有暴食障碍（BED）合并肥胖的成年人在报告的减肥方法/治疗的使用情况和减肥方面的种族/民族差异。
参与者为 2007 年至 2012 年期间在康涅狄格州寻求 BED 治疗的 400 名成年人（非西班牙裔黑人：n=99，西班牙裔：n=38，非西班牙裔白人：n=263）。参与者被问及之前的减肥方法/治疗方法和减肥效果。
总体而言，自助饮食法的使用率最高；心理健康服务的使用率最低。尽管在种族/民族方面，大多数方法/治疗方法没有显著差异，但在自助饮食法和监督计划方面，非西班牙裔白人存在显著差异，一般来说，他们更频繁地使用这些饮食法，并且在这些类型的饮食法中减肥效果更好。
在寻求治疗的患有 BED 和肥胖症的患者中，与非白人患者相比，非西班牙裔白人患者报告的监督和自助饮食法减肥治疗的使用情况和减肥效果更为显著。研究结果强调了需要更好地了解肥胖和 BED 少数民族患者的治疗使用情况和结果。
