title: 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.
abstract: OBJECTIVE
  The study compared the prevalence, correlates of functional impairment, and service utilization for eating disorders across Latinos, Asians, and African Americans living in the United States to non-Latino Whites.
  
  
  METHODS
  Pooled data from the NIMH Collaborative Psychiatric Epidemiological Studies (CPES;NIMH, 2007) were used.
  
  
  RESULTS
  The prevalence of anorexia nervosa (AN) and binge-eating disorder (BED) were similar across all groups examined, but bulimia nervosa (BN) was more prevalent among Latinos and African Americans than non-Latino Whites. Despite similar prevalence of BED among ethnic groups examined, lifetime prevalence of any binge eating (ABE) was greater among each of the ethnic minority groups in comparison to non-Latino Whites. Lifetime prevalence of mental health service utilization was lower among ethnic minority groups studied than for non-Latino Whites for respondents with a lifetime history of any eating disorder.
  
  
  CONCLUSIONS
  These findings suggest the need for clinician training and health policy interventions to achieve optimal and equitable care for eating disorders across all ethnic groups in the United States.
authors.affiliation: Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA. lmarques@partners.org
authors.forename: Luana
authors.initials: L
authors.lastname: Marques
authors.forename: Margarita
authors.initials: M
authors.lastname: Alegria
authors.forename: Anne E
authors.initials: AE
authors.lastname: Becker
authors.forename: Chih-Nan
authors.initials: CN
authors.lastname: Chen
authors.forename: Angela
authors.initials: A
authors.lastname: Fang
authors.forename: Anne
authors.initials: A
authors.lastname: Chosak
authors.forename: Juliana Belo
authors.initials: JB
authors.lastname: Diniz
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D001068:Feeding and Eating Disorders / Q000453:epidemiology*; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility; D054625:Healthcare Disparities; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D015995:Prevalence; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D044465:White People / Q000523:psychology