Evidence map›Paper›PMID 33638569›Full record

ArticleThe International journal of eating disorders2021

Disparities in disordered eating between gender minority and cisgender adolescents.

Savannah R Roberts, Rachel H Salk, Brian C Thoma, Madelaine Romito, Michele D Levine, Sophia Choukas-Bradley

Abstract read
In one paragraph

Article in The International journal of eating disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
8.2field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 68 citations in OpenAlex.

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  6. Transgender and gender-diverse identity in patients with eating disorders: A national cross-sectional study.European eating disorders review : the journal of the Eating Disorders Association · 2025
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  12. Characterizing Medical Complications in Publicly Insured Youth With Eating Disorders.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
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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

6 authors at 1 institution in 1 country.

Savannah R RobertsDepartment of Psychological and Brain Sciences, University of Delaware, Newark, Delaware, USA.ORCID 0000-0001-7980-7824
Rachel H SalkDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Brian C ThomaDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Madelaine RomitoDepartment of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Michele D LevineDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Sophia Choukas-BradleyDepartment of Psychological and Brain Sciences, University of Delaware, Newark, Delaware, USA.ORCID 0000-0002-9973-8747
University of Pittsburgh · US

Funding

CLINICAL RESEARCH TRAINING IN CHILD PSYCHIATRYT32MH018951 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TINA R GOLDSTEIN · 1990 to 2026
$9.7M
CLINICAL RESEARCH TRAINING FOR PSYCHOLOGISTST32MH018269 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MICHELE D LEVINE · 1986 to 2026
$6.3M
Biological Mechanisms of Suicidal Behavior among Sexual Minority Adolescents - SupplementK01MH117142 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI THOMA, BRIAN · 2019 to 2023
$879k
NIMH NIH HHS K01 MH117142NIMH NIH HHS T32 MH018269NIMH NIH HHS T32 MH018951
6 · The paper itself

Abstract

objectiveAdolescence is a developmental period of increased risk for disordered eating. Gender minority adolescents (GMAs), or those whose gender identity does not align with their sex assigned at birth, may experience body image concerns related to unique gender-related stressors. GMAs may use disordered eating to affirm a feminine, masculine, or nonbinary gender identity. However, little is known about differences in disordered eating between GMAs and cisgender adolescents. Therefore, this study had two primary goals: (a) to compare disordered eating between GMAs and cisgender adolescents by examining the role of gender identity and sex assigned at birth; and (b) within GMAs, to examine associations between gender identity congruence and disordered eating.

methodA large U.S. sample of GMAs and cisgender adolescents (n = 1,191 GMAs; 919 cisgender; M

resultsA MANOVA revealed a significant interaction between gender identity and sex assigned at birth. Follow-up ANOVAs demonstrated that purging, caloric restriction, excessive exercise, and muscle building differed as a function of gender identity and sex assigned at birth. Among GMAs, a multiple multivariate regression model demonstrated that disordered eating was lower among participants who reported greater gender identity congruence. DISCUSSION: GMAs should not be considered a homogenous group, as differences in gender identity may lead to the internalization of different appearance ideals and disparate eating disorder symptomatology. Results suggest that clinicians working with GMAs consider the unique body image concerns that could accompany a specific gender identity.

Indexed as

Feeding and Eating DisordersSexual and Gender MinoritiesAdolescentBody ImageFemaleGender IdentityHumansMaleSurveys and Questionnairesadolescentfeeding and eating disordersgender identitysexual and gender minorities

Identifiers

PMID33638569
PMCPMC13051521
OpenAlexW3131603063

What OpenQuestion holds

Textmetadata
LicenceTDM
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.