title: Behavioral symptoms of eating disorders in Native Americans: results from the ADD Health Survey Wave III.
abstract: OBJECTIVE
  To examine prevalence and correlates (gender, Body Mass Index) of disordered eating in American Indian/Native American (AI/NA) and white young adults.
  
  
  METHODS
  We examined data from the 10,334 participants (mean age 21.93 years, SD = 1.8) of the National Longitudinal Study of Adolescent Health (ADD Health) Wave III for gender differences among AI/NA participants (236 women, 253 men) and ethnic group differences on measures of eating pathology.
  
  
  RESULTS
  Among AI/NA groups, women were significantly more likely than men to report loss of control and embarrassment due to overeating. In gender-stratified analyses, a significantly higher prevalence of AI/NA women reported disordered eating behaviors compared with white women; there were no between group differences in prevalence for breakfast skipping or having been diagnosed with an eating disorder. Among men, disordered eating behaviors were uncommon and no comparison was statistically significant.
  
  
  CONCLUSIONS
  Our study offers a first glimpse into the problem of eating pathology among AI/NA individuals. Gender differences among AI/NA participants are similar to results reported in white samples. That AI/NA women were as likely as white women to have been diagnosed with an eating disorder is striking in light of well documented under-utilization of mental health care among AI/NA individuals.
authors.affiliation: Department of Psychology, Montana State University, Bozeman, Montana, USA. rstriegel@wesleyan.edu
authors.forename: Ruth H
authors.initials: RH
authors.lastname: Striegel-Moore
authors.forename: Francine
authors.initials: F
authors.lastname: Rosselli
authors.forename: Niki
authors.initials: N
authors.lastname: Holtzman
authors.forename: Lisa
authors.initials: L
authors.lastname: Dierker
authors.forename: Anne E
authors.initials: AE
authors.lastname: Becker
authors.forename: Gyda
authors.initials: G
authors.lastname: Swaney
mesh_terms: D015992:Body Mass Index; D001068:Feeding and Eating Disorders / Q000208:ethnology* / Q000523:psychology; D005260:Female; D006306:Health Surveys; D006801:Humans; D006963:Hyperphagia / Q000208:ethnology* / Q000523:psychology; D007198:Indians, North American / Q000523:psychology*; D008137:Longitudinal Studies; D008297:Male; D015995:Prevalence; D012737:Sex Factors; D055815:Young Adult