AUSTIN (KXAN) — New research reveals that over half of Latinx Texans struggle with body image and disordered eating, yet don’t seek help. Experts say family dynamics play a key role and support is available.
New research by Equip Health studied Latinx Texans and revealed a troubling disconnect; local health experts say more than half report struggling with body dissatisfaction and disordered eating behaviors, majority are not receiving the mental health care they should be receiving.
A silent struggle in Latinx communities
The study specifically found that 56% of Latinx Texans are ‘unhappy with their bodies,’ and many engage in harmful behaviors such as meal skipping, binge eating, and excessive weighing. Despite these patterns, the study showed that two-thirds of respondents said they do not see a mental health provider.
Ana Luz Gardner, a licensed clinical social worker, said the findings reflect a broader cultural dynamic where family plays a central, and sometimes complicated, role in shaping body image.
“The number one influence on body image above everything is family,” Gardner said. “In our culture, food is love. It’s how we show affection. But that can also come with pressure to eat more, to look a certain way, to accept nicknames based on appearance.”
Gardner explained that in many Latinx households, comments about weight or eating habits are often normalized, even if they are harmful.
When family shapes body image
In many Hispanic households, it may be common to be called gordita or flaco, and even being questioned about potrion sizes at family gatherings can be common. Gardner said these remarks often can reinforce food or body insecurities and contribute to disordered eating.
“It’s normal for our culture, but maybe it’s not normal from a Western lens,” Gardner said. “A lot of patients tell me they’ve changed their bodies in extreme ways, but they’re still dissatisfied. That points to something deeper.”
This new research highlights a systemic gap in care; Latinx individuals may be less likely to be screened for eating disorders by primary care providers, and stigma remains a significant barrier. According to the American Psychological Association, over 60% of Latinx patients cite fear of judgment or misunderstanding as reasons for avoiding mental health struggles.
Latinx residents make up about 40% of the Texas population, and 33% in Austin alone. These findings carry weight. Gardner said addressing mental health and body image within families is essential to improving long-term health outcomes. She encourages starting with curiosity and compassion when working toward breaking the stigma amongst households.
Opening up about mental health at home
“Ask yourself: What’s a kind thing I can do for myself this season?” she said. “We do so much for others. But what would it look like to take one step toward healing, even if it’s just reading an article or setting a boundary with a loved one?”
Gardner emphasized the importance of culturally informed care and breaking generational cycles of silence around mental health. “It’s not shameful to struggle,” Gardner said. “What’s difficult is suffering in silence.”
For those not quite ready to seek therapy, she recommends starting with education and self-reflection. “Look into what eating disorders really are. Understand how culture and family dynamics play a role,” Gardner said. “When you’re ready, know that help is out there, and you deserve it.”
Helpful local resources
- Austin Center for Eating Disorders — offers therapy and nutrition counseling for kids ages 7 and up, and adults.
- Austin Counseling and Nutrition — inclusive therapists and dietitians who focus on eating disorders, trauma, and body image.
- Mindful Wellness Center of Austin — affordable therapy with sessions starting at $30 and up.
- Hearts2Heal — Latinx-owned low-cost, culturally affirming mental health services.
- Adelante Mental Health — bilingual therapy for individuals, couples, and families.
- Integral Care — 24/7 mental health crisis support call 512-472-HELP (4357)
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