Race, Social Class, and Bulimia Nervosa
AbstractIn this paper we explore a serious eating disorder, bulimia nervosa (BN), which afflicts a surprising number of girls in the US. We challenge the long-held belief that BN primarily affects high income White teenagers, using a unique data set on adolescent females evaluated regarding their tendencies towards bulimic behaviors independent of any diagnoses or treatment they have received. Our results reveal that African Americans are more likely to exhibit bulimic behavior than Whites; as are girls from low income families compared to middle and high income families. We use another data set to show that who is diagnosed with an eating disorder is in accord with popular beliefs, suggesting that African American and low-income girls are being under-diagnosed for BN. Our findings have important implications for public policy since they provide direction to policy makers regarding which adolescent females are most at risk for BN. Our results are robust to different model specifications and identifying assumptions.
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Bibliographic InfoPaper provided by Institute for the Study of Labor (IZA) in its series IZA Discussion Papers with number 5823.
Length: 36 pages
Date of creation: Jun 2011
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Find related papers by JEL classification:
- I1 - Health, Education, and Welfare - - Health
This paper has been announced in the following NEP Reports:
- NEP-ALL-2011-07-13 (All new papers)
- NEP-DEM-2011-07-13 (Demographic Economics)
- NEP-SOC-2011-07-13 (Social Norms & Social Capital)
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- Goeree, Michelle S. & Ham, John C. & Iorio, Daniela, 2011.
"Caught in the Bulimic Trap? Persistence and State Dependence of Bulimia Among Young Women,"
IZA Discussion Papers
5824, Institute for the Study of Labor (IZA).
- John Ham & Daniela Iorio & Michelle Sovinsky, 2012. "Caught in the Bulimic Trap? Persistence and State Dependence of Bulimia Among Young Women," Working Papers 2012-018, Human Capital and Economic Opportunity Working Group.
- Michelle S. Goeree & John C. Ham & Daniela Iorio, 2009. "Caught in the bulimic trap? Persistence and state dependence of bulimia among young women," IEW - Working Papers 447, Institute for Empirical Research in Economics - University of Zurich, revised Jul 2012.
- Tomas Philipson & Richard Posner, 2008. "Is the Obesity Epidemic a Public Health Problem? A Decade of Research on the Economics of Obesity," NBER Working Papers 14010, National Bureau of Economic Research, Inc.
- James P. Smith, 2007. "The Impact of Socioeconomic Status on Health over the Life-Course," Journal of Human Resources, University of Wisconsin Press, vol. 42(4).
- Jeffrey M. Wooldridge, 2005.
"Simple solutions to the initial conditions problem in dynamic, nonlinear panel data models with unobserved heterogeneity,"
Journal of Applied Econometrics,
John Wiley & Sons, Ltd., vol. 20(1), pages 39-54.
- Jeffrey M Wooldridge, 2002. "Simple solutions to the initial conditions problem in dynamic, nonlinear panel data models with unobserved heterogeneity," CeMMAP working papers CWP18/02, Centre for Microdata Methods and Practice, Institute for Fiscal Studies.
- Anirban Basu & James J. Heckman & Salvador Navarro-Lozano & Sergio Urzua, 2007. "Use of instrumental variables in the presence of heterogeneity and self-selection: an application to treatments of breast cancer patients," Health Economics, John Wiley & Sons, Ltd., vol. 16(11), pages 1133-1157.
- David Cutler & Edward Glaeser & Jesse Shapiro, 2003.
"Why Have Americans Become More Obese?,"
NBER Working Papers
9446, National Bureau of Economic Research, Inc.
- David M. Cutler & Edward L. Glaeser & Jesse M. Shapiro, 2003. "Why Have Americans Become More Obese?," Harvard Institute of Economic Research Working Papers 1994, Harvard - Institute of Economic Research.
- Thompson, Owen, 2011.
"Racial disparities in the cognition-health relationship,"
Journal of Health Economics,
Elsevier, vol. 30(2), pages 328-339, March.
- Owen Thompson, 2011. "Racial Disparities in the Cognition-Health Relationship," UMASS Amherst Economics Working Papers 2011-02, University of Massachusetts Amherst, Department of Economics.
- Kemptner, Daniel & Jürges, Hendrik & Reinhold, Steffen, 2010.
"Changes in Compulsory Schooling and the Causal Effect of Education on Health: Evidence from Germany,"
MEA discussion paper series
10200, Munich Center for the Economics of Aging (MEA) at the Max Planck Institute for Social Law and Social Policy.
- Kemptner, Daniel & Jürges, Hendrik & Reinhold, Steffen, 2011. "Changes in compulsory schooling and the causal effect of education on health: Evidence from Germany," Journal of Health Economics, Elsevier, vol. 30(2), pages 340-354, March.
- Khanam, Rasheda & Nghiem, Hong Son & Connelly, Luke B., 2008.
"Child Health and the Income Gradient: Evidence from Australia,"
13959, University Library of Munich, Germany.
- Khanam, Rasheda & Nghiem, Hong Son & Connelly, Luke B., 2009. "Child health and the income gradient: Evidence from Australia," Journal of Health Economics, Elsevier, vol. 28(4), pages 805-817, July.
- Tomas J. Philipson & Richard A. Posner, 2008. "Is the Obesity Epidemic a Public Health Problem? A Review of Zoltan J. Acs and Alan Lyles's Obesity, Business and Public Policy," Journal of Economic Literature, American Economic Association, vol. 46(4), pages 974-82, December.
- Michelle Goeree & John Ham & Daniela Iorio, 2011. "Caught in the Bulimic Trap? Persistence and State Dependence of Bulimia Among Young Women," Working Papers 2011-033, Human Capital and Economic Opportunity Working Group.
- Tenn, Steven & Herman, Douglas A. & Wendling, Brett, 2010. "The role of education in the production of health: An empirical analysis of smoking behavior," Journal of Health Economics, Elsevier, vol. 29(3), pages 404-417, May.
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