Rates of Help-Seeking in US Adults With Lifetime DSM-5 Eating Disorders: Prevalence Across Diagnoses and Differences by Sex and Ethnicity/Race

To investigate, in a nationally representative sample of US adults, the prevalence of help-seeking in individuals with Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) eating disorders (EDs) and to examine sex and ethnic/racial differences. The 2012-2013 National Epidemio...

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Bibliographic Details
Published in:	Mayo Clinic proceedings 2019-08, Vol.94 (8), p.1415-1426
Main Authors:	Coffino, Jaime A., Udo, Tomoko, Grilo, Carlos M.
Format:	Article
Language:	eng
Subjects:	Adult Adults Age of Onset Alcohol use Anorexia Anorexia nervosa Anxiety Binge eating disorder Bulimia nervosa Chronic Disease Compulsive eating Continental Population Groups - statistics & numerical data Diagnostic and Statistical Manual of Mental Disorders Eating disorders Epidemiology Ethnic Groups - statistics & numerical data Feeding and Eating Disorders - diagnosis Feeding and Eating Disorders - epidemiology Feeding and Eating Disorders - psychology Feeding and Eating Disorders - therapy Female Handbooks Health services utilization Help-Seeking Behavior Humans Interviews as Topic Male Medical diagnosis Mental depression Mental disorders Minority & ethnic groups Needs Assessment Prevalence Quality of life Retrospective Studies Risk Assessment Severity of Illness Index Sex Distribution Studies Surveys Surveys and Questionnaires United States Young Adult
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Summary:	To investigate, in a nationally representative sample of US adults, the prevalence of help-seeking in individuals with Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) eating disorders (EDs) and to examine sex and ethnic/racial differences. The 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions-III (N=36,309) included respondents who met the criteria for specific lifetime DSM-5 EDs and answered questions regarding help-seeking for their ED symptoms (anorexia nervosa [AN]: n=275; bulimia nervosa [BN]: n=91; and binge-eating disorder [BED]: n=256). The prevalence (standard error) estimates of ever seeking any help for AN, BN, and BED were 34.5% (2.80%), 62.6% (5.36%), and 49.0% (3.74%), respectively. Adjusting for sociodemographic characteristics, men and ethnic/racial minorities (non-Hispanic blacks and Hispanics) were statistically significantly less likely to ever seek help for BED than were women or non-Hispanic whites, respectively. Hispanics also were significantly less likely to seek help for AN relative to non-Hispanic whites. This was the first study in a nationally representative sample of US adults to examine rates of help-seeking, including by sex and ethnic/racial differences, across DSM-5–defined EDs. These findings emphasize the need to develop strategies to encourage help-seeking among individuals with EDs, particularly among men and ethnic/racial minorities.
ISSN:	0025-6196 1942-5546