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Correspondence
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Volume 338:1231-1232 April 23, 1998 Number 17
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Lack of Relation between Culture and Anorexia Nervosa — Results of an Incidence Study on Curaçao

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To the Editor: Anorexia nervosa is considered to be a Western-culture–bound syndrome occurring mainly in young, white women. In Western culture, the preoccupation with thinness and sociocultural pressures to diet have been regarded as etiologic factors in the pathogenesis of anorexia nervosa.1 It is thought to be very rare outside the Western world and in black women in industrialized countries.2 Therefore, we hypothesized that we would find no or very few cases of anorexia nervosa in a population-based study on the Caribbean island of Curaçao, where overweight is socially acceptable.3 The mean body-mass index (the weight in kilograms divided by . . . [Full Text of this Article]

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