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Racial and Ethnic Disparities in Eating Disorder Diagnosis and Follow-Up Care among Patients at an Academic Medical Center

机译:学术医疗中心患者饮食失调诊断和后续护理中的种族和种族差异

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摘要

Background: There is limited information about racial/ethnic disparities in eating disorders. The aims of this study were: (1) Characterize the population of patients at Wake Forest Baptist Medical Center (WFBMC) diagnosed with an eating disorder over the past 11 years (2006 -- 2016), and compare this to nationally reported patterns; (2) Examine racial/ethnic disparities in one-year follow-up visits after initial diagnosis of an eating disorder among racial/ethnic groups.;Methods: The WFBMC Translational Data Warehouse (TDW) and Clarity databases were utilized. Patient characteristics included race/ethnicity, age, sex, BMI, diagnosing department, follow-up visit, and health insurance status.;Results: Data from 618 patients were analyzed. Majority of patients were non-Hispanic White (82%) and female (91%). Binge-eating disorder was the most commonly diagnosed condition (20%), while bulimia nervosa was the least commonly diagnosed (14.2%). Black and Hispanic patients were less likely to have a follow- up visit compared to non-Hispanic Whites.;Conclusion: Non-Hispanic White women were more likely to be diagnosed with an eating disorder. It is important to conduct more evaluations to confirm other race/ethnic groups are not being under-diagnosed. Fewer Racial/ethnic minority patients had a follow-up visit, but are more likely to lack health insurance. Further research is needed to elucidate this issue.
机译:背景:关于进食障碍的种族/种族差异的信息有限。这项研究的目的是:(1)表征过去11年(2006年至2016年)维克森林浸信会医学中心(WFBMC)被诊断为饮食失调的患者人群,并将其与国家报告的模式进行比较; (2)在初步诊断出种族/族裔饮食失调后的一年随访中,检查种族/族裔差异。方法:利用WFBMC翻译数据仓库(TDW)和Clarity数据库。患者特征包括种族/民族,年龄,性别,BMI,诊断部门,随访访视和健康保险状况。;结果:分析了618例患者的数据。多数患者为非西班牙裔白人(82%)和女性(91%)。暴饮暴食是最常被诊断的疾病(20%),而神经性贪食症最不被诊断(14.2%)。与非西班牙裔白人相比,黑人和西班牙裔患者接受随访的可能性较小。结论:非西班牙裔白人妇女更有可能被诊断为饮食失调。重要的是要进行更多的评估,以确保其他种族/族裔群体未被误诊。接受随访的种族/少数族裔患者较少,但更可能缺乏健康保险。需要进一步的研究来阐明这个问题。

著录项

  • 作者

    Edens, Kelsey.;

  • 作者单位

    Wake Forest University.;

  • 授予单位 Wake Forest University.;
  • 学科 Health care management.;Ethnic studies.
  • 学位 M.S.
  • 年度 2017
  • 页码 39 p.
  • 总页数 39
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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