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Assessing Activity-based Anorexia in Mice
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Intersectionality in help-seeking for eating disorders: a systematic scoping review.

Jessica Wilkins1, Muhammad Ahmed2, Karina Allen3,2

  • 1Centre for Research in Eating and Weight Disorders, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. jessica.wilkins@kcl.ac.uk.

Journal of Eating Disorders
|February 13, 2025
PubMed
Summary

Individuals with multiple marginalized identities face unique barriers to eating disorder (ED) treatment access. Research shows low help-seeking rates, influenced by mental health literacy and cultural beliefs.

Keywords:
Eating disordersHelp-seekingIntersectionalityMarginalised social characteristicStigmaTreatment seeking

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Area of Science:

  • Public Health
  • Psychiatry
  • Sociology

Background:

  • Eating disorder (ED) symptoms are reported by individuals with marginalized social characteristics, yet treatment access is disproportionately low.
  • Unique factors affecting help-seeking among individuals with multiple marginalized identities are not fully understood.
  • This review examines evidence on help-seeking and service utilization for EDs among individuals with intersecting marginalized identities.

Purpose of the Study:

  • To systematically review and synthesize existing research on help-seeking behaviors and service utilization for eating disorders (EDs) in individuals with multiple marginalized social characteristics.
  • To identify gaps in the current understanding of how intersecting identities influence ED treatment access.
  • To explore factors affecting help-seeking for EDs in diverse populations.

Main Methods:

  • A systematic scoping review was conducted following Joanna Briggs Institute guidelines.
  • Searches were performed across PsycINFO, PubMed, Embase, and Medline databases.
  • Qualitative synthesis was employed using an adapted help-seeking model.

Main Results:

  • Binge eating disorder (BED) was the most studied ED, with overweight/obesity and race/ethnicity being the most reported marginalized characteristics.
  • Intersectional characteristics included socioeconomic status (SES), gender, and sexual orientation.
  • Help-seeking for BED was more likely among individuals with marginalized racial/ethnic or gender identities when also experiencing higher BMI, though overall help-seeking rates for EDs remain low.

Conclusions:

  • Mental health literacy and cultural beliefs significantly impact help-seeking for individuals with intersectional identities.
  • Future research should analyze the interaction of social characteristics and identities in ED outcomes.
  • Further research is needed to extend these findings and address disparities in ED treatment access.