ArticleJournal of eating disorders2023
Disparities in access to eating disorders treatment for publicly-insured youth and youth of color: a retrospective cohort study.
Article in Journal of eating disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
41 citing papers in PubMed, 68 citations in OpenAlex.
- Eating disorder severity and treatment outcome across race/ethnicity, sexual orientation, and socioeconomic status: Intersectional inequities in a clinical sample.Social science & medicine (1982) · 2026Article
- Prevalence and Correlates of Caregiver-Reported Disordered Eating Behaviors and Concerns Among US Children and Adolescents Aged 6 to 17 Years, 2022.Preventing chronic disease · 2026Article
- Spatial and telehealth accessibility to eating disorder treatment in the United States: evidence from registry and LLM-augmented data.International journal of health geographics · 2026Article
- Prevalence of Co-occurring Mental, Neurodevelopmental and Neurological Conditions in Medicaid Beneficiaries With Autism.Journal of autism and developmental disorders · 2026Article
- Clinician Practices in Determining Expected Body Weights Across Eating Disorders: A Mixed Methods Study.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Understanding Engagement Experiences in an Adapted Digital Cognitive Behavioral Intervention for Lower-Income Adults With Eating Disorders With Binge Eating and/or Purging: A Qualitative Analysis of Barriers and Facilitators.The International journal of eating disorders · 2026Article
- A scoping review of eating disorder symptoms and mental health during the postpartum period: predictors, course, and consequences for mothers and infants.Journal of eating disorders · 2026Review
- Barriers Individuals From Racial-Ethnic Minority Groups Face in Accessing Eating Disorder Treatment and Proposed Solutions.Psychiatric services (Washington, D.C.) · 2026Review
- Evaluating the effectiveness of an educational curriculum on physician comfort in screening and managing eating disorders in the outpatient pediatric setting.Frontiers in pediatrics · 2026Article
- Eating disorders among adolescents and young adults in Kingston, Jamaica.Frontiers in psychology · 2026Article
- Too Big to Lose Weight: How Pharmaceuticalization Corrupts the Right to Health.Health and human rights · 2025Article
- Adapting family-based treatment for primary care (FBT-PC) for treating child and adolescent restrictive eating disorders in rural settings: a case series.Journal of eating disorders · 2025Article
- A Historical Cohort Comparison After Inpatient Admission for Adolescents With Anorexia Nervosa: Feasibility of Virtual Group Therapy.The International journal of eating disorders · 2025Article
- Socioeconomic disparities in in-hospital mortality and 30-day hospital readmission rates among people with eating disorders: a retrospective cohort study.Journal of eating disorders · 2025Article
- Early intervention for eating disorders: a call to action for inclusion of minoritized groups.Eating disorders · 2025Article
- Mother-Father Distress, Accommodation, and Child Eating Disorder Behaviors: A Dyadic Perspective.Family process · 2025Article
- When inequity impacts clinical care: an analysis of length of stay and reimbursement rates for medical stabilization for anorexia nervosa based on insurance coverage.Journal of eating disorders · 2025Article
- Ecological momentary interventions for eating disorders: a systematic review of the nascent science and recommendations for future research.Journal of eating disorders · 2025Article
- A transdiagnostic examination of sex- and race and ethnicity-based mental health treatment disparities among publicly insured youth.Psychological medicine · 2025Article
- A family navigator improves post-discharge treatment adherence among adolescents with anorexia nervosa: a pilot study.Journal of eating disorders · 2025Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundEating disorders are associated with substantial morbidity and mortality that can be minimized by timely access to evidence-based treatment. However, disparate access to eating disorders treatment may contribute to significant health disparities amongst marginalized groups. This study examined the association between insurance type (public vs. private) and receipt of recommended mental health treatment in a sample of racially/ethnically diverse youth who presented to an adolescent medicine clinic with malnutrition secondary to disordered eating.
methodsA retrospective chart review was conducted for youth ages 11-25 years (N = 1060) who presented to an urban adolescent medicine specialty program between June 1, 2012 and December 31, 2019 for malnutrition secondary to disordered eating. Bivariate and logistic regression analyses examined the association between insurance type (public vs. private) and other demographic/clinical factors on receipt of recommended treatment within six months of the initial evaluation.
resultsPatients with public insurance were one third as likely to receive recommended treatment as patients with private insurance (AOR = 3.23; 95% CI = 1.99, 4.52), after adjusting for demographic and clinical factors. Latinx (AOR = 0.49; 95% CI = 0.31, 0.77) and Asian (AOR = 0.55; 95% CI = 0.32, 0.94) patients were half as likely to receive recommended treatment as White patients.
conclusionsAccess to evidence-based mental health treatment is a necessary first step towards health equity for individuals with eating disorders. Additional work is needed to dismantle systemic inequities that contribute to disparities in care for youth of color and those with public insurance.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.