Abstract：
There is a dearth of research assessing the prevalence of eating disorders in publicly insured populations. While evidence shows that eating disorders affect people of all racial, ethnic, and socioeconomic backgrounds, research has neglected to focus on the rate at which they occur among those who have public health insurance. The present study indexes the prevalence of clinically significant disordered eating in a case series of 165 adults in a publicly insured sample at an outpatient general psychiatry clinic in Los Angeles, California. Results illustrate that 46 (27.8%) participants screened positive for clinically significant disordered eating with no significant differences relating to age or gender in those who screened positive versus those who did not (p > .05). This markedly elevated frequency of disordered eating presentations underscores the need for improved clinician training and education around disordered eating and eating disorder assessment as a whole. In addition, there is a critical need to study publicly insured populations so as to mitigate stereotypes about who has eating disorders and improve the likelihood of diagnosis and care.
摘要：
缺乏评估公共保险人群饮食失调患病率的研究。虽然有证据表明饮食失调会影响所有种族的人，民族,和社会经济背景，研究忽视了关注公共健康保险人群的发病率。本研究在洛杉矶门诊普通精神病学诊所的公共保险样本中，在165名成年人的病例系列中，有临床意义的饮食失调的患病率为指标，加州结果表明，46（27.8％）的参与者在临床上显着的饮食紊乱方面呈阳性，而在筛查阳性的人与未筛查的人中，年龄或性别没有显着差异（p>0.05）。饮食失调的频率显着升高，这突显了需要改善饮食失调和饮食失调评估的临床医生培训和教育。此外,迫切需要研究公共保险人群，以减轻对饮食失调的刻板印象，并提高诊断和护理的可能性。
