ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2021
Gender Expression, Peer Victimization, and Disordered Weight-Control Behaviors Among U.S. High School Students.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Global Prevalence of Adolescent Use of Nonprescription Weight-Loss Products: A Systematic Review and Meta-Analysis.JAMA network open · 2024Pooled it
- The Social, Behavioral, and Psychological Predictors of Young Women's Food Choices: A Scoping Review.Nutrients · 2025Article
- Cross-Sectional Relationships Between Gender, Disordered Eating Behaviors, and Suicide Among High Schoolers in Colorado.International journal of environmental research and public health · 2025Article
- Trends in Indicators of Violence Among Adolescents in Europe and North America 1994-2022.International journal of public health · 2025Article
- An expert perspective on diversity-oriented standards for assessing sex and gender in clinical research.Frontiers in psychiatry · 2024Article
- Disordered eating and considerations for the transgender community: a review of the literature and clinical guidance for assessment and treatment.Journal of eating disorders · 2023Review
- Unique considerations for the medical care of restrictive eating disorders in children and young adolescents.Journal of eating disorders · 2023Review
- Attentional vigilance of food information in disordered eating behaviors.Frontiers in psychiatry · 2023Article
- Nonconforming gender expression and insufficient sleep among adolescents during COVID-19 school closure and after school reopening.BMC public health · 2022Article
- Associations between negative gender attitudes and eating behaviors in Chinese children and adolescents.Frontiers in nutrition · 2022Article
- Eating-related pathology at the intersection of gender identity and expression, sexual orientation, and weight status: An intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA) of the Growing Up Today Study cohorts.Social science & medicine (1982) · 2021Article
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Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
purposeThe purpose of this study is to examine the association between gender expression, peer victimization, and disordered weight-control behaviors (DWCBs) in four population-based samples of U.S. high school students.
methodsAnalyses include data from 5,488 U.S. high school students from the 2013 Youth Risk Behavior Surveys in four jurisdictions (Broward County, FL; Chicago, IL; Los Angeles, CA; San Diego, CA). Participants were 56% Hispanic/Latino, 21% black/African American, and 14% white. Two items asked about perceived gender expression; responses were classified into three groups: highly gender conforming (e.g., very masculine boys), moderately gender conforming, gender nonconforming (e.g., feminine boys). Sex-stratified multivariable logistic regression models were used to examine the association between gender expression, peer victimization, and DWCBs in previous month (fasting, using diet pills/liquids/powders, and purging [vomiting or using laxatives]), controlling for potential confounders.
resultsOverall, 12% of respondents reported fasting, 6% reported diet pill use, and 5% reported purging, with significantly higher prevalence among gender nonconforming than among gender conforming male students (p < .001). In adjusted models, gender nonconforming male students had greater odds of fasting (odds ratio [95% confidence interval]: 3.0 [2.0-4.7]), diet pill use (6.1 [3.7-9.9]), and purging (7.2 [3.6-14.8]), relative to moderately conforming males. No significant associations were found among female students. Adding peer victimization to models modestly attenuated the association between gender nonconformity and DWCBs for male students.
conclusionsIn probability samples of U.S. high school students, we observed marked differences by gender expression in DWCBs among male students but not among female students. Gender expression-related stigma should be addressed within clinical and school-based interventions to prevent DWCBs.
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