An update on the epidemiology of eating disorders in Latin America: current findings and future challenges

Kolar, David R.; Mebarak, Moisés

doi:10.1097/yco.0000000000000813

Cited by 6 publications

(2 citation statements)

References 24 publications

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“…There is a need to address EDs in Latin America, as there are few published studies regarding epidemiology, cultural factors [15], role of ethnicity or culture-related differences as risk factors for EDs [10]. This knowledge gap is even greater when referring to barriers to access to treatment.…”

Section: Introductionmentioning

confidence: 99%

Exploration of Barriers to Treatment for Patients with Eating Disorders in Chile

Castañeda,

Cerda,

Jara

et al. 2024

Preprint

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Background Eating disorders (EDs) are associated with high morbidity and mortality, affecting predominantly young people and women. A delay in starting treatment is associated with chronic and more severe clinical courses; however, evidence on barriers and facilitators of access to care in Latin America is scarce. We aimed to identify barriers and facilitators of ED treatment in Chile from the perspective of patients, relatives, and health professionals. Methods Qualitative approach through semi-structured interviews with patients, their relatives, and health professionals. Participants were recruited from two ED centers in Santiago, Chile (one public and one private). Analysis was mainly based on Grounded Theory, using MAXQDA software. Results 40 interviews were conducted (n = 22 patients, 10 relatives, and 8 health professionals). The mean age of patients was 21.8 years, while the mean duration of untreated ED was 91.4 months (median 70 months). Five categories emerged with intersections between them: patient (P), family and social environment (FSE), health professionals (HP), healthcare system (HCS), and social and cultural context (SCC). Relevant barriers appeared within these categories and their intersections, highlighting a lack of professional knowledge or expertise, cultural ignorance or misinformation regarding EDs, and patient's ego-syntonic behaviors. The main facilitators were patients’ and relatives’ psychoeducation, recognition of symptoms by family members, and parents taking the initiative to seek treatment. Conclusions This study provides information regarding access to treatment for patients living with EDs in Chile. A practical public health approach should consider the multi-causality of delay in treatment and promoting early interventions.

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Section: Introductionmentioning

confidence: 99%

Exploration of Barriers to Treatment for Patients with Eating Disorders in Chile

Castañeda,

Cerda,

Jara

et al. 2024

Preprint

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“…Colombia was ranked as 13th (International Association for Aesthetic/Cosmetic surgery survey 2020). Recent meta-analyses show high prevalence of eating disorders in Latin America, especially binge-eating disorder (Kolar & Mebarak, 2022;Kolar et al, 2016). However, research in Latin America is dominated by studies from Mexico and Brazil and less is known about body image in other Latin American countries (Laus et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Validation of a Latin American Spanish version of the Body Esteem Scale for Adolescents and Adults (BESAA-LA) in Colombian and Nicaraguan adults

Andres

Thornborrow

Bowie

et al. 2023

Preprint

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Background Body dissatisfaction (BD) is a growing concern in Latin America; reliable and culturally appropriate scales are vital to promote body image research in Spanish speaking Latin American countries. We validated a Latin American Spanish version of the Body Esteem Scale for Adolescents and Adults (BESAA; Mendelson et al., 2001). Methods The scale was translated, culturally adapted, and validated with adults in Colombia (N = 525, 65% women, Mage 24.4, SD = 9.28). We assessed factor structure (using confirmatory and exploratory factor analysis CFA and EFA), internal reliability (using Cronbach’s alpha and omega), validity (using the Body Appreciation Scale BAS and Sociocultural Attitudes Towards Appearance Questionnaire SATAQ), test-retest stability (using Intraclass correlations ICC) and measurement invariance. To evaluate the generalizability of the scale, we assessed reliability, validity, and factor structure in a second sample from rural Nicaragua (N = 102, 73% women, Mage 22.2, SD = 4.72). Results The scale showed excellent internal reliability and validity across both samples. Test-retest stability and invariance across gender was established for the Colombian sample. EFA showed a three-factor structure with the subscales appearance-positive, appearance-negative and weight that was confirmed using CFA in both the Colombian and Nicaraguan sample and showed invariance across countries. Conclusion The Latin American Spanish version BESAA-LA is a psychometrically sound measure with excellent reliability, validity and invariance across gender and countries. Therefore, we recommend its use in diverse Latin American adult populations to measure body satisfaction/dissatisfaction.

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Prevention of eating disorders: 2022 in review

Levine

2023

Eating Disorders

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An update on the epidemiology of eating disorders in Latin America: current findings and future challenges

Abstract: Most screened articles only investigated risk for eating disorders or disordered eating behaviors. Four studies reported prevalence for eating disorders. One study reported agestandardized prevalence ranging from 0.04% (95%

Cited by 6 publications

References 24 publications

Exploration of Barriers to Treatment for Patients with Eating Disorders in Chile

Exploration of Barriers to Treatment for Patients with Eating Disorders in Chile

Validation of a Latin American Spanish version of the Body Esteem Scale for Adolescents and Adults (BESAA-LA) in Colombian and Nicaraguan adults

Prevention of eating disorders: 2022 in review

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