Anne Claire Grammer1, Melissa M Vázquez2, Ellen E Fitzsimmons-Craft2, Lauren A Fowler2, Gavin N Rackoff3, Natasha A Schvey4, Sarah Ketchen Lipson5, Michelle G Newman3, Daniel Eisenberg6, C Barr Taylor7, Denise E Wilfley2. 1. Department of Psychiatry, Washington University School of Medicine, Mailstop 8134-29-2100, 660 S. Euclid Ave., St. Louis, MO 63110, USA. Electronic address: agrammer@wustl.edu. 2. Department of Psychiatry, Washington University School of Medicine, Mailstop 8134-29-2100, 660 S. Euclid Ave., St. Louis, MO 63110, USA. 3. Department of Psychology, The Pennsylvania State University, 371 Moore Building, University Park, PA 16802, USA. 4. Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, DoD, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. 5. Department of Health Law Policy and Management, Boston University School of Public Health, 715 Albany Street, Talbot Building, T2W, Boston, MA 02118, USA. 6. Department of Health Policy and Management, Fielding School of Public Health, University of California at Los Angeles, 650 Charles E. Young Dr. South 16-035 Center for Health Sciences, Los Angeles, CA 90095, USA. 7. Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94305, USA; Center for m(2)Health, Palo Alto University, 5150 El Camino Real, Los Altos, CA 94022, USA.
Abstract
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.
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.
Authors: Julia M Przedworski; Nicole A VanKim; Marla E Eisenberg; Donna D McAlpine; Katherine A Lust; Melissa N Laska Journal: Am J Prev Med Date: 2015-05-18 Impact factor: 5.043
Authors: Andrea K Graham; Mickey Trockel; Hannah Weisman; Ellen E Fitzsimmons-Craft; Katherine N Balantekin; Denise E Wilfley; C Barr Taylor Journal: J Am Coll Health Date: 2018-10-09
Authors: Anne Claire Grammer; Jillian Shah; Agatha A Laboe; Claire G McGinnis; Katherine N Balantekin; Andrea K Graham; Lauren Smolar; C Barr Taylor; Denise E Wilfley; Ellen E Fitzsimmons-Craft Journal: Int J Eat Disord Date: 2022-06-20 Impact factor: 5.791