Eating Disorders in BiPOC Communities
Despite having no basis in reality, the stereotype that eating disorders only affect white, thin, affluent girls is alive and well. This belief is pervasive in both the general population and among healthcare professionals, and it continues to cause harm to the many BIPOC people struggling with eating disorders.
The term BiPOC stands for Black, Indigenous, and people of color, and it encompasses a wide range of different cultures, races, and ethnicities. BIPOC individuals are just as likely as their white counterparts to develop an eating disorder—but are half as likely to be diagnosed or get treatment.
There are a few reasons for this imbalance. First, stereotypes can be incredibly powerful, even if they’re subconscious. Friends, family members, and medical professionals may never even consider that someone has an eating disorder because they don’t look like the “type” of person affected by one. There’s also the fact that the bulk of eating disorder research uses predominately white samples, often shutting BIPOC communities out of the conversation. That leaves the vast majority of clinicians without a clear sense of how to recognize and treat eating disorders in these populations.
BIPOC people also face unique risk factors for developing an eating disorder: racism, xenophobia, microaggressions, Eurocentric beauty standards, and a sense of not belonging all act as catalysts for an eating disorder to take hold.
But with culturally competent care and an understanding that eating disorders affect people of all races and ethnicities, we can move toward closing the treatment gap and getting effective treatment to every BIPOC person with an eating disorder.
Facts and statistics about eating disorders in BIPOC communities
- Research shows that 20-26% of those affected by eating disorders are BIPOC people, indicating that BIPOC people are as likely as their white counterparts to develop eating disorders. ¹
- BIPOC individuals with eating disorders are half as likely to be diagnosed or to receive treatment.²
- BIPOC individuals are significantly less likely than white people to have been asked by a doctor about eating disorder symptoms.
- Latinx and Native American patients with eating disorders are significantly less likely than white patients to receive a recommendation or referral for further evaluation or care.³
- Black teenagers are 50% more likely than white teenagers to exhibit behaviors of bulimia, and Hispanic people are significantly more likely to suffer from bulimia than their non-Hispanic peers.⁴
- One study found that Hispanic girls reported significantly greater body dissatisfaction than white girls and may be at a greater risk for adopting eating disorder behaviors than previously thought.⁵
- Young black girls are just as likely as young white girls to report binge eating or vomiting, and even more likely to report fasting and abuse of laxatives or diuretics.⁶
- Research has found that Asian American women demonstrate higher rates of disordered eating than other women of color, as well as higher rates of food restriction and purging as compared to their white peers.⁷

Common questions about eating disorders in BIPOC communities
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How Equip supports BIPOC populations
Eating disorders don’t discriminate, but, at least historically, eating disorder treatment has. At Equip, we’re striving to reverse that. Currently, 30% of Equipsters are BIPOC. We also have specific resources tailored to BIPOC patients and their families, including BIPOC and Spanish-speaking support groups as well as the ability to provide services in any language. We know that having a diverse provider team is one of the first steps toward better serving BIPOC communities, and we work to ensure that our staff represents the patients they serve.If you or a loved one are struggling with an eating disorder, it’s important to get prompt, culturally competent treatment.
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Proven results for
eating disorder patients
After completing treatment
improve to subclinical levels of eating disorder symptoms
improve to subclinical levels of anxiety
Our patients are getting better
After the first 8 weeks of treatment, Equip patients are well on their way to recovery
1lb
Average weekly weight gain for those who need it
8 in 10
Patients report a decrease in eating disorder behaviors
74%
Of patients report improvements with depression or anxiety


Dive DeeperLearn about the nuances of eating disorders, treatment, life in recovery, and more on our blog.
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References
1. Sim, Leslie. Our Eating Disorders Blind Spot: Sex and Ethnic/Racial Disparities in Help-Seeking for Eating Disorders. Mayo Clinic Proceedings. VOLUME 94, ISSUE 8, P1398-1400, AUGUST 2019
2. Social and economic cost of eating disorders in the United States of America.” Report for the Strategic Training Initiative for the Prevention of Eating Disorders and the Academy for Eating Disorders, June 2020
3. Becker, Anne E et al. “Ethnicity and differential access to care for eating disorder symptoms.” The International journal of eating disorders vol. 33,2 (2003): 205-12. doi:10.1002/eat.10129
4. Goeree, Michelle Sovinsky, Ham, John C., & Iorio, Daniela. (2011). Race, Social Class, and Bulimia Nervosa. IZA Discussion Paper No. 5823.
5. Robinson, Thomas N. et al. Ethnicity and body dissatisfaction: Are Hispanic and Asian girls at increased risk for eating disorders?, Journal of Adolescent Health, Volume 19, Issue 6, 1996, Pages 384-393, ISSN 1054-139X, https://doi.org/10.1016/S1054-139X(96)00087-0.
6. Striegel-Moore, R H et al. “Recurrent binge eating in black American women.” Archives of family medicine vol. 9,1 (2000): 83-7. doi:10.1001/archfami.9.1.83
7. Akoury, Liya M. et al. “Disordered Eating in Asian American Women: Sociocultural and Culture-Specific Predictors.” Front. Psychol., 04 September 2019 Sec. Eating Behavior Volume 10 - 2019 | https://doi.org/10.3389/fpsyg.2019.01950
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