title: Culture and eating disorders: a historical and cross-cultural review.
abstract: Cultural beliefs and attitudes have been identified as significant contributing factors in the development of eating disorders. Rates of these disorders appear to vary among different racial/ethnic and national groups, and they also change across time as cultures evolve. Eating disorders are, in fact, more prevalent within various cultural groups than previously recognized, both within American ethnic minorities and those in other countries. This review examines evidence for the role of culture as an etiological factor for the development of eating disorders. Historical and cross-cultural experiences suggest that cultural change itself may be associated with increased vulnerability to eating disorders, especially when values about physical aesthetics are involved. Such change may occur across time within a given society, or on an individual level, as when an immigrant moves into a new culture. Further research into the cultural factors that promote the development of eating disorders is much needed. Understanding how cultural forces contribute to the development of disorders is needed so that preventive interventions can be created.
authors.affiliation: Department of Psychiatry at the James H. Quillen College of Medicine, East Tennessee State University, Johnson City 37614, USA. millerm@etsu.edu
authors.forename: M N
authors.initials: MN
authors.lastname: Miller
authors.forename: A J
authors.initials: AJ
authors.lastname: Pumariega
mesh_terms: D001828:Body Image; D003431:Cross-Cultural Comparison; D003469:Culture; D001068:Feeding and Eating Disorders / Q000453:epidemiology* / Q000266:history; D049670:History, 17th Century; D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D049690:History, Ancient; D049691:History, Medieval; D015995:Prevalence; D012737:Sex Factors