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Int J Eat Disord. 2010 Nov 1;43(7):633-47. doi: 10.1002/eat.20755.

A qualitative study of perceived social barriers to care for eating disorders: perspectives from ethnically diverse health care consumers.

Author information

1
Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA. anne_becker@hms.harvard.edu

Abstract

OBJECTIVE:

The study aim was to identify and describe health consumer perspectives on social barriers to care for eating disorders in an ethnically diverse sample.

METHOD:

We conducted an exploratory secondary analysis of qualitative data comprising transcripts from semi-structured interviews with past and prospective consumers of eating disorder treatment (n = 32). Transcripts were inputted into NVivo 8 for coding, sorting, and quantifying thematic content of interest within strata defined by ethnic minority and non-minority participants. We then examined the influence of key social barriers-including stigma and social stereotypes-on perceived impact on care.

RESULTS:

The majority of respondents (78%) endorsed at least one social barrier to care for an eating or weight concern. Perceived stigma (or shame) and social stereotyping-identified both within social networks and among clinicians-had adversely impacted care for 59% and 19% of respondents, respectively.

DISCUSSION:

Social barriers to care for eating and weight related concerns may be prevalent in the U.S. and impact both ethnic minority and non-minority health care consumers.

PMID:
19806607
PMCID:
PMC3020364
DOI:
10.1002/eat.20755
[Indexed for MEDLINE]
Free PMC Article

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