675 research outputs found
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A qualitative study of perceived social barriers to care for eating disorders: Perspectives from ethnically diverse health care consumers
Objective: The study aim was to identify and describe health consumer perspectives on social barriers to care for eating disorders in an ethnically diverse sample. Method: We conducted an exploratory secondary analysis of qualitative data comprising transcripts from semi-structured interviews with past and prospective consumers of eating disorder treatment (n = 32). Transcripts were inputted into NVivo 8 for coding, sorting, and quantifying thematic content of interest within strata defined by ethnic minority and non-minority participants. We then examined the influence of key social barriersâincluding stigma and social stereotypesâon perceived impact on care. Results: The majority of respondents (78%) endorsed at least one social barrier to care for an eating or weight concern. Perceived stigma (or shame) and social stereotypingâidentified both within social networks and among cliniciansâhad adversely impacted care for 59% and 19% of respondents, respectively. Discussion: Social barriers to care for eating and weight related concerns may be prevalent in the U.S. and impact both ethnic minority and non-minority health care consumers. © 2009 by Wiley Periodicals, Inc
Toward an understanding of risk factors for binge-eating disorder in black and white women: A community-based case-control study
This study sought to identify in white women risk factors specific to binge-eating disorder (BED) and for psychiatric disorders in general, and to compare black and white women on risk factors for BED.
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Validity and Reliability of a Fijian Translation and Adaptation of the Eating Disorder Examination Questionnaire
Objective: Assessment of disordered eating has uncertain validity across culturally diverse populations. This study evaluated Eating Disorder Examination Questionnaire (EDE-Q) performance in an ethnic Fijian study population. Method: The EDE-Q was translated, adapted, and administered to school-going Fijian adolescent females (N = 523). A subsample (n = 81) completed it again within âŒ1 week. We assessed feasibility, internal consistency, and test-retest reliability; evaluated construct validity through factor analysis and correlation with similar constructs; and examined the marginal utility of an additional question on traditional purgative use. Results: Internal consistency reliability was adequate for the global scale and subscales (Cronbach's alpha = 0.66â0.91); retest reliability was adequate for both the languages (range of ICCs, 0.50â0.79, and of kappas, 0.46â0.81, excluding purging items). Construct validity was supported by significant correlations with measures of similar constructs. Factor analysis confirms multiple dimensions of eating disorder symptoms but suggests possible culture-specific variation in this population. The majority of respondents endorsing traditional purgative use (58%) did not endorse conventional EDE-Q items assessing purging.Discussion: The EDE-Q is a valid measure of eating disorder pathology for ethnic Fijian adolescent females and measures a unitary underlying construct. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord, 201
Transform-domain analysis of packet delay in network nodes with QoS-aware scheduling
In order to differentiate the perceived QoS between traffic classes in heterogeneous packet networks, equipment discriminates incoming packets based on their class, particularly in the way queued packets are scheduled for further transmission. We review a common stochastic modelling framework in which scheduling mechanisms can be evaluated, especially with regard to the resulting per-class delay distribution. For this, a discrete-time single-server queue is considered with two classes of packet arrivals, either delay-sensitive (1) or delay-tolerant (2). The steady-state analysis relies on the use of well-chosen supplementary variables and is mainly done in the transform domain. Secondly, we propose and analyse a new type of scheduling mechanism that allows precise control over the amount of delay differentiation between the classes. The idea is to introduce N reserved places in the queue, intended for future arrivals of class 1
The Figure Rating Scale as an Index of Weight Status of Women on Videotape
Objective: To determine whether Stunkard's Figure Rating Scale (FRS) is a valid and reliable index of weight status when an unbiased observer assigns the figure ratings of adult women viewed on videotape. Research Methods and Procedures: Seventyâtwo women drawn from a community sample participated in a videotaped study in which height and weight were measured. The FRS is a rating scale displaying 9 silhouettes ranging from very thin to very obese. Women were assigned a figure rating âinâpersonâ by a research assistant (FRS used as a 17âpoint scale) and by additional research assistants viewing women only on videotape (FRS used as both a 17â and 9âpoint scale). Pearson's correlation coefficients were calculated for inâperson figure ratings, mean videotape figure ratings, and BMI. Results: BMI and inâperson figure ratings were highly correlated ( r = 0.91), as were BMI and both mean 17âpoint videotape figure ratings and mean 9âpoint videotape figure ratings ( r = 0.89 and 0.87, respectively). Interârater agreement for inâperson figure ratings and mean 17âpoint videotape figure ratings was 0.86, and agreement between inâperson figure ratings and mean 9âpoint videotape figure ratings was 0.82. Discussion: The FRS can be used as an index of women's weight status by an unbiased observer, with subjects viewed inâperson or on videotape.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/93750/1/oby.2006.249.pd
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