Evidence map›Paper›PMID 33962139›Full record

ArticleEating behaviors2021

Eating disorder screening and treatment experiences in transgender and gender diverse young adults.

Sydney M Hartman-Munick, Scout Silverstein, Carly E Guss, Ethan Lopez, Jerel P Calzo, Allegra R Gordon

Open access · greenAbstract read
In one paragraph

Article in Eating behaviors, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
18.9field-weighted citation impact, top 1% 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

53 citing papers in PubMed, 1 synthesis or guideline pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Iatrogenic Harm, Psychotherapy, and Eating Disorders: An Urgent Call to Action.International journal of mental health nursing · 2026
    Article
  4. Article
  5. Exploring the Intersection of Gender Identity and Eating Behaviours in Gender-Diverse Populations.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Potential Harm in the Psychological Treatment of Sexual and Gender Minority Youth.Research on child and adolescent psychopathology · 2025
    Review
  16. 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
    Article
  17. Article
  18. Article
  19. Article
  20. 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

6 authors at 2 institutions in 1 country.

Sydney M Hartman-MunickDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA. Electronic address: sydney.hartman-munick@childrens.harvard.edu.
Scout SilversteinFighting Eating Disorders in Underrepresented Populations (Formerly called Trans Folx Fighting Eating Disorders), San Diego, CA, USA. Electronic address: silvea3@alumni.sage.edu.
Carly E GussDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA. Electronic address: carly.guss@childrens.harvard.edu.
Ethan LopezFighting Eating Disorders in Underrepresented Populations (Formerly called Trans Folx Fighting Eating Disorders), San Diego, CA, USA. Electronic address: ethanezekiellopez@gmail.com.
Jerel P CalzoInstitute for Behavioral and Community Health, San Diego State University, San Diego, CA, USA; Division of Health Promotion and Behavioral Science, San Diego State University, San Diego, CA, USA. Electronic address: jcalzo@sdsu.edu.
Allegra R GordonDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA; Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA. Electronic address: allegrag@bu.edu.
Boston Children's Hospital · USSan Diego State University · US

Funding

The Harvard Clinical and Translational Science CenterUL1TR002541 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2018 to 2022
$93.0M
NCATS NIH HHS UL1 TR002541
6 · The paper itself

Abstract

Transgender and gender diverse (TGD) young adults have elevated risk for disordered eating, unhealthy weight control behaviors, and eating disorders (EDs). Little is known about TGD young adult experiences with ED screening and treatment; this qualitative study aimed to address this gap. This study used data from eight asynchronous online focus groups, a dynamic online bulletin board method (N = 66). Participants posted responses to moderator-posed questions over a 4-day period. Participants were TGD young adults ages 18-30 years old, were recruited using social media and outreach to community organizations, and resided in 25 US states. We conducted inductive thematic analysis of all focus group excerpts that described experiences with ED screening or treatment (n = 32). Participants were of diverse gender identities (25% transgender woman, 41% transgender man, 28% non-binary, 6% another gender) and racial/ethnic identities (62% White, 13% Latinx, 13% Multiracial, 6% Asian, 6% Black). Three major themes emerged from the analysis: (1) Barriers to ED screening/treatment; (2) Complexity of the relationship between EDs and gender dysphoria; (3) Need for provider education in gender affirming care practices for ED screening and treatment. Results indicate an ongoing need for gender affirming care for TGD young adults in ED screening and treatment. Health care systems must address barriers to screening and treatment for TGD young adults, including enhancing understanding of the intersection of gender dysphoria and eating disorders as well as improvements in health care provider training.

Indexed as

Feeding and Eating DisordersTransgender PersonsAdolescentAdultFemaleGender IdentityHealth PersonnelHumansMaleQualitative ResearchYoung AdultEating disorderGender diverseScreeningTransgenderTreatment

Identifiers

PMID33962139
PMCPMC9645530
OpenAlexW3159944658

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.