摘要：Asian Americans are more likely than non-Latino Whites to report binge eating, but are equally likely to meet binge eating disorder (BED) criteria. Using nationally representative data, we assessed whether differences in symptom reporting contributed to this disparity. Asian Americans were less likely than Whites to endorse BED symptoms related to distress or loss of control despite a higher prevalence of binge eating; they were also less likely to receive services for eating problems. Findings suggest cultural differences might lead to under-recognition of binge eating in Asian Americans. Although Asian Americans have equivalent lifetime and past-year prevalence of binge eating disorder (BED) as non-Latino Whites, they were found to have a higher prevalence of recurrent binge eating not meeting criteria for BED (any binge eating [ABE]). 1 Distress related to binge eating is a component of the Diagnostic and Statistical Manual of Mental Disorders ( DSM ) , Fifth Edition BED diagnosis, 2 and preliminary evidence suggests that binge eating may be more distressing for non-Latino Whites than for Asian Americans. 3 We used data from the National Institutes of Mental Health (NIMH) Collaborative Psychiatric Epidemiology Surveys (CPES) 4 to compare Chinese, Filipino, and Vietnamese Americans with each other and with non-Latino Whites with respect to (1) lifetime prevalence of BED and ABE, (2) symptom presentation of BED, including binge eating-related distress and loss of control, and (3) lifetime service utilization for eating or weight problems. We also evaluated gender differences in these domains.
