Update on the epidemiology and treatment of eating disorders among Hispanic/Latinx Americans in the United States

Abstract

Purpose of reviewThis review provides a 6-year update on the prevalence and treatment of eating disorders among Hispanic/Latinx Americans in the United States.Recent findingsPrevalence of eating disorders tends to be lower in Hispanic/Latinx American adolescents and adults relative to non-Hispanic White peers. Numerous risk factors for disordered eating symptoms have been identified, including negative body image, depression, sexual assault and culturally specific risk factors, including ethnic discrimination and acculturative stress. Hispanic/Latinx individuals seek treatment less often with the most influential barriers being cost of treatment, eating disorder stigma, eating disorder shame and mental health shame in general. Limited research on the treatment for eating disorders continue to persist. Culturally adapted cognitive behavioural therapy yielded similar outcomes to traditional cognitive behaviour therapy and had better treatment adherence and retention rates.SummaryThe medical and sociopolitical climate of the United States has changed significantly since our previous review. The need for research on the effectiveness of eating disorder treatments for Hispanic/Latinx Americans remains important for one of the fastest growing populations in the U.S.

An exploration of the association between premorbid weight status on patient and caregiver factors at pre and post-treatment among youth with anorexia nervosa/atypical anorexia nervosa

“…Further, a greater portion of Hispanic youth had PHW. While available measurements cannot speak directly to the processes contributing to observed differences, data supports increased risk for EDs among Latinx youth, particularly those with higher weights ( Hernández et al, 2022 ; Rodgers, Peterson, et al, 2017 ; Rodgers, Watts, et al, 2017 ), and suggests that intersecting identities associated with stigma and minority stress processes may contribute to increased clinical ED presentations in this group ( Burke et al, 2020 ). However, despite this increased risk, research also indicates under-detection of ED among minority youth ( Schaumberg et al, 2017 ) and lack of appropriateness of BMI metrics in racial and ethnic minority samples ( Adab et al, 2018 ).…”

Practical Considerations for Using the Eating Disorder Examination Interview with Adolescents

“…Acculturation (ie, the process of psychosocial change that occurs when a group or individual acquires the cultural values, language, norms, and behaviors of dominant society) to Western culture has been identified as a risk factor for greater ED pathology, 165 including among Asian adolescents, Muslim women, 166 , 167 South Asian American women, 168 Black women 160 , 164 and men 169 and Hispanic adolescents and adults. 170 , 171 The EDE does not assess for the potential role of acculturation or differential body image ideals by culture, and thus may have some limitations with regard to capturing certain ED attitudes and behaviors among culturally diverse adolescents. Moreover, racially marginalized individuals are less likely to be diagnosed with and referred to treatment for ED.…”

Trastornos de la ingesta y de la conducta alimentaria en poblaciones latinas en el Caribe: Una revisión narrativa sistemática

“…Como se demuestra en la literatura, la escasa información sobre los TICA en la comunidad latina no se debe a bajas tasas de prevalencia, al contrario, los datos de prevalencia de los TICA en la comunidad nos indican que son comparables con la población blanca europea (Hernández et al, 2022;Marques et al, 2011;Perez et al, 2016;Udo & Grilo, 2018). En una revisión sistemática de estudios de TICA en Latinoamérica (p.ej.…”