title: Classification and correlates of eating disorders among Blacks: findings from the National Survey of American Life.
abstract: OBJECTIVE
  To assess classification adjustments and examine correlates of eating disorders among Blacks.
  
  
  METHODS
  The National Survey of American Life (NSAL) was conducted from 2001-2003 and consisted of adults (n=5,191) and adolescents (n=1,170). The World Mental Health Composite International Diagnostic Interview (WMH-CIDI-World Health Organization 2004-modified) and DSM-IV-TR eating disorder criteria were used.
  
  
  RESULTS
  Sixty-six percent of African American and 59% Caribbean Black adults were overweight or obese, while 30% and 29% of adolescents were overweight or obese. Although lifetime rates of anorexia nervosa and bulimia nervosa were low, binge eating disorder was high for both ethnic groups among adults and adolescents. Eliminating certain classification criteria resulted in higher rates of eating disorders for all groups.
  
  
  CONCLUSIONS
  Culturally sensitive criteria should be incorporated into future versions of Diagnostic Statistical Manual (DSM) classifications for eating disorders that consider within-group ethnic variations.
authors: Yale University School of Nursing, New Haven, CT 06513, USA. Jacquelyn.taylor@yale.edu
authors: Jacquelyn Y
authors: JY
authors: Taylor
authors: Cleopatra Howard
authors: CH
authors: Caldwell
authors: Raymond E
authors: RE
authors: Baser
authors: Niki
authors: N
authors: Matusko
authors: Nakesha
authors: N
authors: Faison
authors: James S
authors: JS
authors: Jackson
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000145:classification / Q000453:epidemiology / Q000209:etiology; D044383:Black People / Q000523:psychology / Q000706:statistics & numerical data*; D002032:Bulimia / Q000145:classification / Q000453:epidemiology / Q000209:etiology; D052018:Bulimia Nervosa / Q000145:classification / Q000453:epidemiology / Q000209:etiology; D017691:Caribbean Region / Q000208:ethnology; D001068:Feeding and Eating Disorders / Q000145:classification / Q000453:epidemiology / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology / Q000209:etiology; D015995:Prevalence; D012307:Risk Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult; D001741:Black or African American
references: JAMA. 2010 Jan 20;303(3):235-41
references: 20071471
references: Int J Eat Disord. 2010 Apr;43(3):282-5
references: 19343798
references: Arch Fam Med. 2000 Jan;9(1):83-7
references: 10664648
references: Obesity (Silver Spring). 2009 Mar;17(3):481-6
references: 19219063
references: Int J Methods Psychiatr Res. 2004;13(4):221-40
references: 15719530
references: Adolescence. 2005 Winter;40(160):801-16
references: 16468673
references: Int J Methods Psychiatr Res. 2004;13(4):196-207
references: 15719528
references: Int J Methods Psychiatr Res. 2004;13(2):93-121
references: 15297906
references: Am Psychol. 2007 Apr;62(3):181-98
references: 17469897
references: Cultur Divers Ethnic Minor Psychol. 2010 Apr;16(2):135-43
references: 20438151
references: Int J Eat Disord. 2007 Nov;40 Suppl:S31-4
references: 17879288
references: Am J Psychiatry. 2003 Jul;160(7):1326-31
references: 12832249
references: Int J Eat Disord. 2007 Nov;40 Suppl:S15-21
references: 17584870
references: Circulation. 2011 Feb 1;123(4):e18-e209
references: 21160056
references: Body Image. 2010 Mar;7(2):131-6
references: 20096656
references: Int J Eat Disord. 2007 Nov;40 Suppl:S83-8
references: 17683083
references: Int J Eat Disord. 2007 Sep;40(6):481-7
references: 17573685
references: Int J Eat Disord. 2007 Nov;40 Suppl:S10-4
references: 17879287
references: Biol Psychiatry. 2007 Feb 1;61(3):348-58
references: 16815322
references: Int J Eat Disord. 2011 Jul;44(5):412-20
references: 20665700
references: Am J Public Health. 2010 May;100(5):933-9
references: 19846689
references: Int J Eat Disord. 2003;34 Suppl:S117-20
references: 12900992
references: Int J Eat Disord. 2007 Nov;40 Suppl:S111-6
references: 17647276