학술논문

Accountability in promoting representation of historically marginalized racial and ethnic populations in the eating disorders field: A call to action.
Document Type
Academic Journal
Author
Goel NJ; Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.; Jennings Mathis K; College of Nursing, University of Rhode Island, Providence, Rhode Island, USA.; Egbert AH; Department of Psychiatry and Human Behavior, The Miriam Hospital/Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.; Petterway F; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.; Breithaupt L; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.; Eddy KT; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.; Franko DL; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Applied Psychology, Northeastern University, Boston, Massachusetts, USA.; Graham AK; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Source
Publisher: Wiley Country of Publication: United States NLM ID: 8111226 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-108X (Electronic) Linking ISSN: 02763478 NLM ISO Abbreviation: Int J Eat Disord Subsets: MEDLINE
Subject
Language
English
Abstract
Promoting representation of historically marginalized racial and ethnic populations in the eating disorders (EDs) field among professionals and the populations studied and served has long been discussed, with limited progress. This may be due to a reinforcing feedback loop in which individuals from dominant cultures conduct research and deliver treatment, participate in research, and receive diagnoses and treatment. This insularity maintains underrepresentation: EDs in historically marginalized populations are understudied, undetected, and undertreated. An Early Career Investigators Workshop generated recommendations for change that were not inherently novel but made apparent that accountability is missing. This paper serves as a call to action to spearhead a paradigm shift from equality to equity in the ED field. We provide a theoretical framework, suggest ways to disrupt the feedback loop, and summarize actionable steps to increase accountability in ED leadership and research toward enhancing racial/ethnic justice, equity, diversity, and inclusion (JEDI). These actionable steps are outlined in the service of challenging our field to reflect the diversity of our global community. We must develop and implement measurable metrics to assess our progress toward increasing diversity of underrepresented racial/ethnic groups and to address JEDI issues in our providers, patients, and research participants.
(© 2022 The Authors. International Journal of Eating Disorders published by Wiley Periodicals LLC.)