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However, significant between\u2010group differences were found with respect to modes of purging. Binge correlates (e.g., eating until uncomfortably full) were significantly more frequent among Caucasian than African American participants (<jats:italic>p<\/jats:italic> &lt; .001). Binge eating was the best predictor of distress among Caucasians, African Americans, and Latinos, whereas vomiting was the best predictor of distress among Asians. Asian participants who used laxatives were significantly less likely to receive a recommendation for further evaluation than non\u2010Asian participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>Ethnic diversity in symp tom prevalence and related distress was identified. Clinician recognition of this potential diversity may enhance culturally competent care for eating disorders. \u00a9 2006 by Wiley Periodicals, Inc. 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