Evidence map›Paper›PMID 35436662›Full record

ArticleSocial science & medicine (1982)2022

Cumulative exposure to state-level structural sexism and risk of disordered eating: Results from a 20-year prospective cohort study.

Ariel L Beccia, S Bryn Austin, Jonggyu Baek, Madina Agénor, Sarah Forrester, Eric Y Ding, William M Jesdale, Kate L Lapane

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Social science & medicine (1982), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
6.1field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 36 citations in OpenAlex.

  1. Discrimination and Disordered Eating in Economically Disadvantaged Adults: A Multilevel, Longitudinal Study.Clinical psychological science : a journal of the Association for Psychological Science · 2026
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  20. Future Directions in Mental Health Treatment with Stigmatized Youth.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
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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

8 authors at 3 institutions in 1 country.

Ariel L BecciaClinical and Population Health Research Program, Morningside Graduate School of Biomedical Sciences, University of Massachusetts Chan Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA; Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA. Electronic address: ariel.beccia@umassmed.edu.
S Bryn AustinDivision of Adolescent/Young Adult Medicine, Boston Children's Hospital, 333 Longwood Avenue, Boston, MA, 02115, USA; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 02115, USA. Electronic address: bryn.austin@childrens.harvard.edu.
Jonggyu BaekDepartment of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA. Electronic address: jonggyu.baek@umassmed.edu.
Madina AgénorDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, 02903, USA; Center for Health Promotion and Health Equity, Brown University School of Public Health, Providence, RI, 02903, USA; The Fenway Institute, Fenway Health, Boston, MA, 02215, USA. Electronic address: madina_agenor@brown.edu.
Sarah ForresterDepartment of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA. Electronic address: sarah.forrester@umassmed.edu.
Eric Y DingClinical and Population Health Research Program, Morningside Graduate School of Biomedical Sciences, University of Massachusetts Chan Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA; Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA. Electronic address: eric.ding@umassmed.edu.
William M JesdaleDepartment of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA. Electronic address: william.jesdale@umassmed.edu.
Kate L LapaneDepartment of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, 55 Lake Ave North, Worcester, MA, 01655, USA. Electronic address: kate.lapane@umassmed.edu.
University of Massachusetts Chan Medical School · USBrigham and Women's Hospital · USBrown University · US

Funding

Integrating lifecourse approaches, biologic and digital phenotypes in support of heart and lung disease epidemiologic researchU01HL145386 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI CHAVARRO, JORGE EDUARDO, MANSON, JOANN ELISABETH · 2019 to 2025
$17.8M
Intersectionality of Sexual Orientation, Gender Expression, and Weight Status on Risk of Disordered Eating BehaviorsF31MD015203 · NIMHD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI BECCIA, ARIEL L · 2020 to 2021
$59k
NHLBI NIH HHS U01 HL145386NIMHD NIH HHS F31 MD015203
6 · The paper itself

Abstract

backgroundGendered inequities in disordered eating are well-documented, yet few studies have examined their structural drivers. To help fill this gap, we investigated whether cumulative exposure to state-level structural sexism from childhood through young adulthood potentiates differences in disordered eating risk between cisgender girls/women and boys/men.

methodsParticipants came from the Growing Up Today Study (N = 16,875), a cohort of children aged 9-14 years in 1996 who we followed through 2016. Using a composite index of relevant state policies and social inequalities from the Institute for Women's Policy Research, we categorized states as having high or low levels of structural sexism and summed the number of years participants had lived in a high structural sexism state during the study period to quantify their cumulative exposure. We fit sequential conditional mean models to estimate the effect of cumulative exposure on risk of four outcomes (chronic dieting, purging, binge eating, and overeating), controlling for individual- and state-level confounders via propensity scores. We then tested whether effects differed between girls/women and boys/men by including cumulative-exposure-by-gender-identity interaction terms and calculating the relative excess risk due to interaction (RERI).

resultsIn the full sample, each additional year of living in a high structural sexism state was associated with a 5% increased risk of purging (95% confidence interval (CI): 3%, 7%), an 8% increased risk of binge eating (95% CI: 6%, 10%), and a 9% increased risk of overeating (95% CI: 8%, 11%). Risk increases were larger on average for girls/women than for boys/men, and girls/women who had lived in a high structural sexism state for four or more years had excess risk of chronic dieting (RERI: 0.64, 95% CI: 0.18, 1.10), purging (RERI: 2.64, 95% CI: 1.24, 4.30), and binge eating (RERI: 2.21, 95% CI: 0.93, 3.50).

conclusionsStructural sexism may contribute to inequities in disordered eating between cisgender girls/women and boys/men. Future research should include transgender and gender diverse participants, explore intersectional effects, and identify underlying mechanisms to inform policy-oriented interventions.

Indexed as

BulimiaFeeding and Eating DisordersAdultChildCohort StudiesFemaleHumansMaleProspective StudiesSexismYoung AdultCumulative disadvantageDisordered eatingEpidemiologyGenderLife-courseLongitudinalStructural sexismUSA

Identifiers

PMID35436662
PMCPMC9167701
OpenAlexW4223906773

What OpenQuestion holds

Textmetadata
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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.