Ethnicity and differential access to care for eating disorder symptoms
Ethnicity and differential access to care for eating disorder symptoms
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DOI：
10.1002/eat.10129
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发表时间：
2003-03-01
影响因子：
5.5
通讯作者：
Herzog, DB
中科院分区：
文献类型：
--
作者：
Becker, AE;Franko, DL;Herzog, DB
目的：通过两项研究考察了种族对1996年国家饮食障碍筛查计划(NEDSP)参与者饮食障碍症状获得医疗保健的影响。方法：在研究一中，对9069名参加进食障碍教育和两阶段筛查计划的参与者的自我报告和临床医生评估数据进行分析。在研究二中，随机抽取289名来自同一项目的受试者进行横断面和前瞻性数据分析，以探讨少数民族状况对进食障碍症状的求助模式和临床转诊模式的影响。结果：即使在控制了自我报告的进食障碍症状的严重程度后，NEDSP中的拉丁裔和美洲原住民参与者收到进一步评估或护理的建议或转介的可能性也明显低于白人。自我承认饮食和体重问题的少数民族受试者也比非少数民族受试者被医生问及进食障碍症状的可能性要小得多。少数族裔和非少数族裔受访者在求助行为方面只有一个轻微的显著差异，即少数族裔受试者在NEDSP后11年半至两年内寻求饮食障碍治疗的可能性(在趋势水平上)较低。讨论：这些数据表明，在少数民族人群中，临床医生的偏见可能是获得饮食障碍症状护理的重要障碍。(C)2003年，由威利期刊公司出版。
Objective: The impact of ethnicity on access to health care for eating disorder symptoms among participants in the 1996 National Eating Disorders Screening Program (NEDSP) was examined in two studies. Method:,Self-report and clinician-assessed data were analyzed from 9,069 participants in an educational and two-stage screening program for eating disorders in Study I. In Study II, both cross-sectional and prospective data from a randomly selected sample of 289 participants from the same program were analyzed to investigate the impact of ethnic minority status on both help-seeking patterns and clinician referral patterns for eating disorder symptoms. Results: Even after controlling for severity of self-reported eating disorder symptoms, both Latino and Native American participants in the NEDSP were significantly less likely than Whites to receive a recommendation or referral for further evaluation or care. Ethnic minority subjects with self-acknowledged eating and weight concerns were also significantly less likely than non-minority participants to have been asked by a doctor about eating disorder symptoms. Only one marginally significant difference was found between ethnic minority and non-minority respondents with respect to their help-seeking behaviors, namely, ethnic minority subjects were less likely (at the level of a trend) to seek eating disorders treatment within 11/2-2 years following the NEDSP. Discussion: These data suggest that clinician bias may be an important barrier to access to care for eating disorder symptoms in ethnic minority populations. (C) 2003 by Wiley Periodicals, Inc.