How Society Shapes Eating Disorders in Different Cultures
For many people in different countries, family dinners may involve cultural expectations that shape every bite they take. In some cultures, parents might encourage their children to finish all their food, using traditions and guilt to make their point. As a result, cultural influences may lead to various eating behaviors and potential disorders.
Rates of eating disorders can vary among different cultures and evolve over time. Treatment options may include therapy that helps individuals identify how their culture may affect their thoughts about food and body image. This approach may help people develop a positive relationship with food and improve their mental health.
The role of culture in the development of eating disorders
According to one cross-cultural review, cultural influences may affect the development of eating disorders, possibly by influencing how individuals perceive body weight and health. These conditions may vary across various cultural groups and ethnicities, influenced by societal norms, media, and traditional beliefs.
How culture shapes perceptions of body weight and health
In many Western societies, a thin body is often idealized as a sign of success and beauty. This ideal may create pressure, causing body dissatisfaction and disordered eating attitudes. For instance, individuals in these cultures might aspire to attain the "perfect" body portrayed in the media.
In contrast, various cultural and ethnic groups may have different body ideals. For example, in some African cultures, a fuller body is considered healthy and attractive. This view may reduce the pressure toward thinness, and, as a result, there may be fewer cases of certain eating disorders like anorexia nervosa and bulimia nervosa.
Some modern affluent Muslim societies may also have their own perspectives. Cultural and religious norms may focus on modesty and a balanced approach to eating, potentially affecting the prevalence of eating disorders.
Cross-cultural experiences suggest that moving between cultures can affect eating habits and attitudes. Immigrants might develop new eating behaviors to fit into their new societal norms, sometimes developing eating disorders in the process.
Abnormal eating patterns in cultural contexts
What makes eating patterns abnormal is how they negatively affect a person's health and well-being. For example, someone might starve themselves to lose weight, which can lead to serious health problems. On the other hand, binge eating, followed by purging, can create a cycle of physical and emotional challenges.
Research on the relationship between culture and abnormal eating patterns
Cultural context can influence how people perceive their own eating habits and those of others. What might seem like a disordered eating pattern in one culture could reflect social norms and expectations in another.
Different cultural groups may experience disordered eating differently. For example, traditional societies may have protective factors against eating disorders due to communal eating practices and less emphasis on thinness. However, if these societies become more influenced by Western culture, the prevalence of eating disorders may increase.
Eating disorders have become widespread even in non-Western areas, such as Saudi Arabia, that adopt Western beauty standards. Traditionally, many Arab cultures, including Saudi Arabia, valued a full figure because it was seen as a sign of fertility, wealth, and health. However, in recent years, Saudi Arabia and other countries in the Middle East have undergone significant changes in their economies and social values.
As a result, young people in Saudi Arabia are starting to move away from these traditional beliefs and are instead adopting Western ideas about body image and weight. This change can create confusion and pressure, possibly making it more likely for young people to develop eating disorders and unhealthy eating habits.
Stigmas and stereotypes related to body weight
Stigmas about body weight can be common across many cultures. People with higher body weight often face negative stereotypes. They may be seen as lazy or lacking self-control. This prejudice can affect their lives in many ways, from public perception to job opportunities.
Research shows that weight stigma can lead to negative eating habits, causing harmful dietary behaviors or even eating disorders. These stigmas may be fueled by inaccurate ideas about the causes of obesity. For example, many people might ignore the role of genetic and environmental factors.
Weight stigma isn't just about societal views; it can also affect how individuals see themselves. This negative perception can lead to low self-esteem and other mental health challenges. To tackle this problem, we may need to take into account societal attitudes and personal experiences. Promoting education and body positivity may help create a more accepting environment for everyone.
Globalization and its influence on eating behaviors
Globalization has changed eating behaviors in many places around the world. As cultures mix, more people adjust to new diets and eating habits. Individuals and families might shift from traditional foods to fast food and processed items. In addition, this trend can lead to physical health problems as individuals may consume less nutritious foods and increase their intake of sugars and unhealthy fats.
The shift from traditional foods to Western foods can change not only what people eat but also how they eat. Communal meals and home-cooked dishes are often replaced by solo dining on pre-packaged foods. This change can harm personal health and weaken the cultural identity and community connections that come from sharing meals together.
The spread of Western foods and lifestyles may greatly affect how people eat and perceive their bodies. However, an awareness of these changes may help individuals manage the associated health risks.
The importance of treating eating disorders
Treating eating disorders is important for mental and physical health. Without proper care, these disorders may lead to severe health complications and even be fatal. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association, provides a framework for diagnosing these disorders. After diagnosis, mental healthcare professionals can treat individuals with the most appropriate methods for their disorder.
Due to the cultural experiences of many individuals, mental healthcare professionals may use treatment methods that respect different cultures when helping people with eating disorders. By recognizing cultural differences, mental health professionals can create treatment plans that are more relatable and meaningful for each person.
How we can prevent the development of eating disorders in different cultures
Preventing eating disorders may require a team effort from families, schools, and communities. Below are some steps that may help prevent eating disorders:
Education
It's important to teach young people about healthy body image and self-esteem. Schools may help by including lessons on what it means to lead a balanced lifestyle, focusing on feeling good about oneself rather than changing one’s appearance.
Positive role models
Parents and caregivers can help by showing positive attitudes toward food and body image. When adults demonstrate productive habits and self-acceptance, children may be more likely to feel good about themselves.
Early intervention
Regular check-ups with healthcare providers may help identify any signs of eating disorders early on. Getting help quickly may prevent certain behaviors from turning into a disorder.
Supportive environment
Creating a place where people may be more comfortable talking about their emotions can also be key. Having open discussions about mental health and offering resources like counseling or support groups may be helpful.
By working together, we can help lower the rates of eating disorders and promote a more positive mindset among young people.
Support options for eating disorders
Support for eating disorders comes in many forms. Therapy, often led by a trained mental health professional, may help identify underlying challenges. Cognitive behavioral therapy (CBT) may be particularly effective for changing thought patterns and behaviors. Group therapy also offers communal support and may help people feel less isolated.
Hospitals and clinics offer both inpatient and outpatient programs for severe cases. Inpatient care provides 24/7 support in a controlled environment, while outpatient programs allow people to receive eating disorder treatment options while living at home. These programs typically include a mix of medical care, therapy sessions, and nutritional counseling.
Peer support groups are another potential resource. These groups often allow individuals to discuss their experiences and receive encouragement from others. Organizations like the National Eating Disorders Association (NEDA) often provide directories for finding local support groups. Online forums and social media groups may also offer valuable support.
Families can participate in family-based therapy to better understand eating disorders and learn how to provide support. In addition, educational resources may help teach family members how to assist their loved ones.
Finding help online
Online therapy has become a popular way to manage mental health challenges and may be helpful for treating eating disorders. Virtual platforms often offer the flexibility that traditional therapy lacks. Individuals can schedule sessions that fit into their busy lives, reducing the stress of finding time for in-person appointments.
One study looked at how effective online therapy is for people with eating disorders. After one year, participants had a significant decrease in symptoms and feelings of body dissatisfaction. They also reported improvements in their overall health, self-esteem, and quality of life.
Therapists on online therapy platforms are usually well-trained to help treat eating disorders. By using evidence-based methods, therapists can often help individuals develop more positive relationships with food and their bodies.
Takeaway
If you’re experiencing symptoms of an eating disorder, know that you don’t have to face it alone. With BetterHelp, you can be matched with a licensed counselor who has knowledge about eating disorders in different cultures. Take the first step toward getting help with eating disorders and reach out to a BetterHelp today.
What are the cultural factors for eating disorders?
Research suggests that eating disorders (EDs) are likely caused by a combination of genetic and environmental factors. The environmental factors are often cultural, whether relating to an individual family’s culture, their racial or ethnic background, or the broader culture they live in. Some examples include family eating habits and values, religious practices around food, media portrayals of body ideals, and stigma related to eating disorders and other mental health conditions.
For example, consider an article from NPR about the role of culture and eating disorders. It relates the story of a Taiwanese-American individual who shares her personal experience with receiving mixed messages growing up about cultural values of eating a lot of food yet maintaining a low body weight. She reports this as common in some East Asian and South Asian countries and cultures, which can be fueled and exacerbated by widespread Western values of thinness. The article also shares that caucasian women tend to be diagnosed with eating disorders at higher rates despite EDs occurring at similar rates across races and ethnicities, indicating a further complicating factor of discrimination and misinformation in the healthcare system.
Do other countries have eating disorders?
Eating disorders occur in individuals around the world, from the United States to Mexico to South Africa to the People’s Republic of China. However, research indicates that they may be more common in the US, Europe, and other Western countries as well as in many rapidly urbanizing parts of the world due to the globalization of narrow Western beauty ideals.
Which country has the highest eating disorder rate in the world?
One study reports that abnormal eating attitudes and diagnosable eating disorders are most common in the Americas, then Asia, and then Europe. Reliable country-by-country statistics for comparison are not widely available.
Which eating disorder is the most culture-bound?
It’s been previously recognized in one influential, cross-cultural study from 2003 that bulimia nervosa is thought to be the eating disorder most influenced by culture. This may be because culture in Western nations and other places often encourage lots of snacking and eating to the point of excess, and yet require maintaining a thin body shape and conforming to narrow ideals about physical aesthetics. This contradiction could lead a person to binge and then purge food—which are key behaviors in those with bulimia. That said, binge eating disorder, anorexia nervosa, and other disorders may also have strong links to culture.
Which cultural ideas are often associated with the development of eating disorders?
Ideals associated with the development of eating disorders vary depending on the culture and how cultures evolve over time. That said, a few examples from Western cultures include fat phobia and demonizing any weight gain, falsely promoting self-starvation as an acceptable way to control body shape, requiring young women and other young people to conform to impossible body ideals, judging the foods and eating habits of certain ethnic groups and non-Western societies, and stigmatizing mental illness in general.
How does culture affect eating habits?
Research suggests that eating habits can vary depending on cultural influences. For example, a widely cited cross-cultural review from 2004 examined body image concerns, anorexic behavior, and socio-cultural factors influencing eating behaviours in female subjects in African countries. Specifically, they looked at rates of eating disorders in female high school students in South Africa. The study involved administering an eating attitudes test to the young females participating. Its findings suggest that disordered eating behavior seemed to occur at similar rates between white and Black students, though Black students were diagnosed at lower rates. This may indicate that globalized body ideals from Western countries and Western media may influence eating habits among youth even in non-Western countries.
What is the prevalence of eating disorders in different cultures and why?
More than a few studies have done an eating disorder examination by community or by culture. According to the National Eating Disorders Association (NEDA), BIPOC (Black, Indigenous, and People of Color) individuals may be even more likely than white individuals to show disordered eating behaviour or symptoms of an eating disorder, but they are diagnosed at lower rates given society-related issues with discrimination, stigma, and healthcare availability. NEDA also notes that members of the LGBTQ+ community are at higher risk of eating disorders.
What kind of people are prone to “abnormal eating” and eating disorders?
Anyone of any age, gender, sexual orientation, socioeconomic status, or body size can develop an eating disorder. A study by East Tennessee State University in 2019 suggests that college-age women are particularly at risk of eating disorders. The National Association of Anorexia Nervosa and Associated Disorders (ANAD) shares that people in larger bodies are at higher risk of developing eating disorders, such as binge eating disorder, reporting that “the higher the body mass index (BMI), the higher the risk.”
NEDA also notes that BIPOC (Black, Indigenous, and People of Color) individuals, such as African Americans and other POC, are just as likely or even more likely than their white counterparts to develop an eating disorder but half as likely to be diagnosed. Significant cultural change, widespread support for such change, increased awareness of eating disorder facts, and wider availability of healthcare as part of a new culture around mental health may be required to ensure people of all backgrounds can get the mental health support they need for disordered eating.
What is the biggest cause of an eating disorder related to body weight?
Anorexia is one example of an eating disorder related to body weight. According to an article published by Medscape General Medicine, anorexia nervosa is an eating disorder that involves a “devastating fear of weight gain, relentless dietary habits that prevent weight gain, and a disturbance in the way in which body weight and shape are perceived.” Researchers suspect that disorders like anorexia are likely caused by a complex combination of genetic and environmental factors.
What group has the highest rate of eating disorders?
As pointed out in a landmark study in the 1990s published in the Transcultural Psychiatric Research Review, eating disorders may affect individuals of all races, ethnicities, and backgrounds similarly, but white individuals—particularly white women—are diagnosed at the highest rates. This clinical research and further research since then reflects disparities in public perceptions of eating disorders as well as what kind of care is available to various groups of people.
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