Evidence map›Paper›PMID 27418416›Full record

ArticlePediatrics2016

Gender Conformity and Use of Laxatives and Muscle-Building Products in Adolescents and Young Adults.

Jerel P Calzo, Kendrin R Sonneville, Emily A Scherer, Benita Jackson, S Bryn Austin

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Gender Expression, Peer Victimization, and Disordered Weight-Control Behaviors Among U.S. High School Students.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021
    Article
  9. Article
  10. Article
  11. Alcohol Use and Disordered Eating in a US Sample of Heterosexual and Sexual Minority Adolescents.Journal of the American Academy of Child and Adolescent Psychiatry · 2019
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Jerel P CalzoDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts; jerel.calzo@childrens.harvard.edu.
Kendrin R SonnevilleDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts; Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan;
Emily A SchererDepartment of Data Science, Geisel School of Medicine, Dartmouth University, Hanover, New Hampshire;
Benita JacksonDepartment of Psychology, Smith College, Northampton, Massachusetts;
S Bryn AustinDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts; and Channing Division of Network Medicine, The Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Harvard University · USDartmouth College · USSmith College · USUniversity of Michigan–Ann Arbor · US

Funding

Sexual Orientation and Obesity: Test of a Gendered Biopsychosocial ModelR01HD066963 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI AUSTIN, S BRYN · 2011 to 2015
$3.5M
Causes and Impact of Minority Stress on Health and Development in YouthR01HD057368 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI AUSTIN, S BRYN, ROSARIO, MARGARET · 2009 to 2013
$3.3M
Empirical eating disorder classification and validation using prospective studiesR01MH087786 · NIMH · BROWN UNIVERSITY · PI FIELD, ALISON E · 2010 to 2014
$2.5M
Sexual Orientation and Health Disparities in AdolescenceR01HD045763 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI AUSTIN, S BRYN · 2004 to 2007
$812k
SUBSTANCE USE AND DISORDERED WEIGHT BEHAVIORS IN SEXUAL MINORITY YOUTH CONTEXTSK01DA034753 · NIDA · SAN DIEGO STATE UNIVERSITY · PI CALZO, JEREL PASION · 2013 to 2017
$721k
DIET, ACTIVITY, AND ADOLESCENT WEIGHT CHANGESR01DK046834 · NIDDK · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI COLDITZ, GRAHAM A · 1996 to 1999
–
NICHD NIH HHS R01 HD045763NICHD NIH HHS R01 HD057368NICHD NIH HHS R01 HD066963NIDA NIH HHS K01 DA034753NIDDK NIH HHS R01 DK046834NIMH NIH HHS R01 MH087786
6 · The paper itself

Abstract

backgroundUse of laxatives for weight loss and drugs or supplements to build muscle (eg, steroids) differs by gender and sexual orientation; little is known about factors contributing to these disparities. Conformity to gender norms concerning appearance could underlie these differences.

methodsThis study examined associations between childhood gender conformity and laxative and muscle-building product use from ages 13 to 25 years in a sample of 13 683 males and females in the US prospective Growing Up Today Study. Adjusted multivariable logistic regression models of repeated measures estimated odds of past-year laxative and muscle-building product use by quartiles of greater childhood gender conformity in heterosexual and sexual minority (eg, bisexual, gay) participants.

resultsBy age 23 years, ∼20% of sexual minority females reported past-year laxative use. By age 19 years, 12% of all males reported past-year muscle-building product use. Sexual minority females had twice the odds of heterosexual females of using laxatives (P < .0001). The most gender-conforming females had 50% greater odds than the least-conforming females of using laxatives (P < .01). Moderate (odds ratio, 2.09; 95% confidence interval, 1.58-2.75) and highly (odds ratio, 1.79; 95% confidence interval, 1.38-2.33) gender-conforming males had higher odds than gender-nonconforming males of using muscle-building products.

conclusionsSexual minority females are at high risk for laxative abuse. Regardless of sexual orientation, gender conformity increased the odds of laxative abuse among females and muscle-building product use among males. Findings can inform prevention efforts to target youth at risk for laxative or muscle-building product use.

Indexed as

Anabolic AgentsGender IdentityLaxativesSocial ConformitySocial NormsAdolescentAdultBody ImageChildFemaleHumansLogistic ModelsMaleMultivariate AnalysisPsychological TestsRetrospective StudiesAnabolic AgentsLaxatives

Identifiers

PMID27418416
PMCPMC4960724
OpenAlexW2466223760

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.