TY - JOUR
T1 - Characterizing eating disorder diagnosis and related outcomes by sexual orientation and gender identity in a national sample of college students
AU - Grammer, Anne Claire
AU - Vázquez, Melissa M.
AU - Fitzsimmons-Craft, Ellen E.
AU - Fowler, Lauren A.
AU - Rackoff, Gavin N.
AU - Schvey, Natasha A.
AU - Lipson, Sarah Ketchen
AU - Newman, Michelle G.
AU - Eisenberg, Daniel
AU - Taylor, C. Barr
AU - Wilfley, Denise E.
N1 - Publisher Copyright:
© 2021 Elsevier Ltd
PY - 2021/8
Y1 - 2021/8
N2 - Objective: In a national sample of college students, the current study aimed to: 1) examine differences in probable diagnoses of EDs (i.e., anorexia nervosa (AN), clinical/subthreshold bulimia nervosa (BN), or binge eating disorder (BED)) and weight and shape concerns by sexual orientation and gender identity, and 2) examine differences in ED chronicity and probable comorbid psychiatric diagnoses by sexual orientation and gender identity. Method: Students across nine U.S. universities completed an online screener for DSM-5 clinical or subthreshold ED diagnoses, comorbid depression and anxiety disorders, and self-reported ED chronicity. Self-reported sexual orientation and gender identity were also collected. Tukey-corrected logistic and linear regressions examined differences in outcomes separately by sexual orientation and gender identity, adjusting for age, race, and ethnicity. Results: A total of 8,531 students (24% sexually diverse (SD); 2.7% gender diverse (GD)) were studied. Students who identified as bisexual or other sexual orientation reported significantly greater odds of a probable ED diagnosis and greater elevations in weight and shape concerns compared to heterosexual students. Cisgender female students and GD students reported significantly greater odds of a probable ED diagnosis and greater elevations in weight and shape concerns compared to cisgender male students. Some SD students and GD students who met criteria for probable EDs were also more likely to report chronic ED symptoms and probable comorbid psychiatric diagnoses compared to heterosexual students and cisgender males, respectively. Discussion: Some SGD students may be at heightened risk for EDs, highlighting the need to identify mechanisms that contribute to disparities.
AB - Objective: In a national sample of college students, the current study aimed to: 1) examine differences in probable diagnoses of EDs (i.e., anorexia nervosa (AN), clinical/subthreshold bulimia nervosa (BN), or binge eating disorder (BED)) and weight and shape concerns by sexual orientation and gender identity, and 2) examine differences in ED chronicity and probable comorbid psychiatric diagnoses by sexual orientation and gender identity. Method: Students across nine U.S. universities completed an online screener for DSM-5 clinical or subthreshold ED diagnoses, comorbid depression and anxiety disorders, and self-reported ED chronicity. Self-reported sexual orientation and gender identity were also collected. Tukey-corrected logistic and linear regressions examined differences in outcomes separately by sexual orientation and gender identity, adjusting for age, race, and ethnicity. Results: A total of 8,531 students (24% sexually diverse (SD); 2.7% gender diverse (GD)) were studied. Students who identified as bisexual or other sexual orientation reported significantly greater odds of a probable ED diagnosis and greater elevations in weight and shape concerns compared to heterosexual students. Cisgender female students and GD students reported significantly greater odds of a probable ED diagnosis and greater elevations in weight and shape concerns compared to cisgender male students. Some SD students and GD students who met criteria for probable EDs were also more likely to report chronic ED symptoms and probable comorbid psychiatric diagnoses compared to heterosexual students and cisgender males, respectively. Discussion: Some SGD students may be at heightened risk for EDs, highlighting the need to identify mechanisms that contribute to disparities.
KW - College students
KW - Comorbidities
KW - Eating disorders
KW - Sexual and gender diverse
UR - http://www.scopus.com/inward/record.url?scp=85106453777&partnerID=8YFLogxK
U2 - 10.1016/j.eatbeh.2021.101528
DO - 10.1016/j.eatbeh.2021.101528
M3 - Article
C2 - 34049053
AN - SCOPUS:85106453777
SN - 1471-0153
VL - 42
JO - Eating Behaviors
JF - Eating Behaviors
M1 - 101528
ER -