A qualitative study of perceived social barriers to care for eating disorders: Perspectives from ethnically diverse health care consumers
Article first published online: 5 OCT 2009
Copyright © 2009 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 43, Issue 7, pages 633–647, 1 November 2010
How to Cite
Becker, A. E., Hadley Arrindell, A., Perloe, A., Fay, K. and Striegel-Moore, R. H. (2010), A qualitative study of perceived social barriers to care for eating disorders: Perspectives from ethnically diverse health care consumers. Int. J. Eat. Disord., 43: 633–647. doi: 10.1002/eat.20755
- Issue published online: 5 OCT 2009
- Article first published online: 5 OCT 2009
- Manuscript Accepted: 29 JUL 2009
- the Irene Pollin Fellowship in memory of Cherry Adler from Harvard Medical School and K23 MH068575. Grant Number: the NIMH.
- eating disorders;
- access to care
The study aim was to identify and describe health consumer perspectives on social barriers to care for eating disorders in an ethnically diverse sample.
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.
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.
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. © 2009 by Wiley Periodicals, Inc. (Int J Eat Disord 2010;)