Evidence map›Paper›PMID 34049053›Full record

ArticleEating behaviors2021

Characterizing eating disorder diagnosis and related outcomes by sexual orientation and gender identity in a national sample of college students.

Anne Claire Grammer, Melissa M Vázquez, Ellen E Fitzsimmons-Craft, Lauren A Fowler, Gavin N Rackoff, Natasha A Schvey, Sarah Ketchen Lipson, Michelle G Newman, Daniel Eisenberg, C Barr Taylor and 1 more

Abstract 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 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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

25 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Article
  7. Mediating Factors and Demographic Disparities Associated With Disordered Eating in University Students During the Era of COVID-19.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. The current clinical approach to feeding and eating disorders aimed to increase personalization of management.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025
    Article
  13. Psychotherapy utilization by United States college students.Journal of American college health : J of ACH · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  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

11 authors.

Anne Claire GrammerDepartment 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.
Melissa M VázquezDepartment of Psychiatry, Washington University School of Medicine, Mailstop 8134-29-2100, 660 S. Euclid Ave., St. Louis, MO 63110, USA.
Ellen E Fitzsimmons-CraftDepartment of Psychiatry, Washington University School of Medicine, Mailstop 8134-29-2100, 660 S. Euclid Ave., St. Louis, MO 63110, USA.
Lauren A FowlerDepartment of Psychiatry, Washington University School of Medicine, Mailstop 8134-29-2100, 660 S. Euclid Ave., St. Louis, MO 63110, USA.
Gavin N RackoffDepartment of Psychology, The Pennsylvania State University, 371 Moore Building, University Park, PA 16802, USA.
Natasha A SchveyDepartment of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, DoD, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
Sarah Ketchen LipsonDepartment of Health Law Policy and Management, Boston University School of Public Health, 715 Albany Street, Talbot Building, T2W, Boston, MA 02118, USA.
Michelle G NewmanDepartment of Psychology, The Pennsylvania State University, 371 Moore Building, University Park, PA 16802, USA.
Daniel EisenbergDepartment 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.
C Barr TaylorDepartment 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.
Denise E WilfleyDepartment of Psychiatry, Washington University School of Medicine, Mailstop 8134-29-2100, 660 S. Euclid Ave., St. Louis, MO 63110, USA.

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
Harnessing Mobile Technology to Reduce Mental Health Disorders in College PopulationsR01MH115128 · NIMH · WASHINGTON UNIVERSITY · PI EISENBERG, DANIEL, NEWMAN, MICHELLE G · 2018 to 2022
$4.1M
A Naturalistic Examination of Dietary Lapses in Low-Income, Treatment-Seeking Families with ObesityF31HL158000 · NHLBI · WASHINGTON UNIVERSITY · PI GRAMMER, ANNE CLAIRE · 2021 to 2022
$92k
NHLBI NIH HHS F31 HL158000NIDDK NIH HHS P30 DK056341NIMH NIH HHS R01 MH115128
6 · The paper itself

Abstract

objectiveIn 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.

methodStudents 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.

resultsA 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.

Indexed as

Feeding and Eating DisordersSexual and Gender MinoritiesFemaleGender IdentityHumansMaleSexual BehaviorStudentsCollege studentsComorbiditiesEating disordersSexual and gender diverse

Identifiers

PMID34049053
PMCPMC8380708

What OpenQuestion holds

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Registered trials

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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.