ArticlePsychological medicine2023
Socioeconomic status and eating disorder prevalence: at the intersections of gender identity, sexual orientation, and race/ethnicity.
Article in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
47 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Childhood maltreatment and the risk of eating disorders: a meta-analysis of observational studies.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2025Pooled it
- Prevalence, severity and risk factors for mental disorders among sexual and gender minority young people: a systematic review of systematic reviews and meta-analyses.European child & adolescent psychiatry · 2025Pooled it
- The role of minority stress in disordered eating: a systematic review of the literature.Eating and weight disorders : EWD · 2024Pooled it
- Eating disorder severity and treatment outcome across race/ethnicity, sexual orientation, and socioeconomic status: Intersectional inequities in a clinical sample.Social science & medicine (1982) · 2026Article
- Discrimination and Disordered Eating in Economically Disadvantaged Adults: A Multilevel, Longitudinal Study.Clinical psychological science : a journal of the Association for Psychological Science · 2026Article
- Geosocial networking apps and disordered eating among queer Asian American men: a serial mediation model of racial oppression.Journal of eating disorders · 2026Article
- Intersectionality-informed eating pathology research: A scoping review.Dialogues in health · 2026Review
- "Everyone knows everyone": a qualitative examination of influences of eating disorder risk among rural US adolescents.Journal of eating disorders · 2026Article
- Conceptualising trauma in eating disorders: a reflexive commentary on the role of neglect, iatrogenic harm, and epistemic injury.Journal of eating disorders · 2026Article
- The changing landscape of eating disorders between the years 2015 through 2023.Eating and weight disorders : EWD · 2026Article
- Cognitive behavioural therapy is not universally evidence-based: implications for eating disorders.Journal of eating disorders · 2026Article
- Barriers Individuals From Racial-Ethnic Minority Groups Face in Accessing Eating Disorder Treatment and Proposed Solutions.Psychiatric services (Washington, D.C.) · 2026Review
- Bodies under stress-a psychological parallel mediation model between daily LGBTQ + heterosexism and eating disorder risk.Eating and weight disorders : EWD · 2026Article
- Improving screening for disordered eating behaviors in pediatric weight management using quality improvement methodology.Obesity pillars · 2025Article
- Disordered eating in autistic trans and gender diverse people: a lived experience-led scoping review.Journal of eating disorders · 2025Review
- Inequities in eating disorder diagnoses in college students: An intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA).Social science & medicine (1982) · 2025Article
- The Role of LGBTQ+ Vicarious Trauma in Eating Disorder Risk-A Psychological Parallel Mediation Model.Behavioral sciences (Basel, Switzerland) · 2025Article
- Gendered racial microaggressions, self-silencing, and disordered eating in Black women.Body image · 2025Article
- The burden of eating disorder risk in Chinese adolescents: prevalence, multilevel correlates, and psychosocial differences in a national study.BMC medicine · 2025Article
- Prevalence of disordered eating behaviors varies at the intersection of gender identity and sexual orientation among sexual and gender minority youth.Journal of psychopathology and clinical science · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundLongstanding biases have fostered the erroneous notion that only those of higher socioeconomic status (SES) experience eating disorders (EDs); however, EDs present across all SES strata. Considering the dearth of ED research among those of lower SES, this study examined (1) the overall association between SES and ED prevalence, and (2) ED prevalence in the context of four relevant social identities (i.e. SES, gender identity, sexual orientation, and race/ethnicity) from an intersectional perspective, as unique combinations of multiple social identities may differentially influence risk.
methodsA sample of 120 891 undergraduate/graduate students from the Healthy Minds Study self-reported family SES with a single-item question, gender identity, sexual orientation, and race/ethnicity, and were screened for ED risk.
resultsParticipants of lower SES had 1.27 (95% CI 1.25-1.30) times greater prevalence of a positive ED screen than those of higher SES. Substantial heterogeneity was observed across the four social identities beyond the association with SES. For example, positive ED screens were particularly common among lower SES, Latinx, sexual minority cisgender men and women, with 52% of bisexual men and 52% of lesbian women of Latinx ethnicity and lower SES screening positive.
conclusionsAlthough positive ED screens were more common among undergraduate/graduate students of lower SES, the particularly high ED risk reported by certain groups of lower SES with multiple minority identities reinforces the importance of investigating multi-layered constructs of identity when identifying groups at disproportionate risk.
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