Evidence map›Paper›PMID 39763174›Full record

ArticleThe International journal of eating disorders2025

Prevalence of Disordered Eating Behaviors Among Sexual and Gender Minority Youth Varies at the Intersection of Gender Identity and Race/Ethnicity.

Lauren N Forrest, Brooke L Bennett, Ariel Beccia, Rebecca Puhl, Ryan J Watson

Abstract read
In one paragraph

Article in The International journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

5 authors.

Lauren N ForrestDepartment of Psychology, University of Oregon, Eugene, Oregon, USA.ORCID 0000-0003-1481-5078
Brooke L BennettDepartment of Psychology, Clemson University, Clemson, South Carolina, USA.ORCID 0000-0001-5292-5660
Ariel BecciaDivision of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-6617-7031
Rebecca PuhlDepartment of Human Development and Family Sciences, University of Connecticut, Storrs, Connecticut, USA.ORCID 0000-0003-2340-2486
Ryan J WatsonDepartment of Human Development and Family Sciences, University of Connecticut, Storrs, Connecticut, USA.ORCID 0000-0001-7824-7714

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Penn State Institutional Career Development CoreKL2TR002015 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI VAN SCOY, LAUREN JODI · 2016 to 2025
$7.8M
PrEP and substance use among sexual minority young adultsK01DA047918 · NIDA · UNIVERSITY OF CONNECTICUT STORRS · PI WATSON, RYAN J · 2019 to 2023
$952k
Predicting acute and dynamic suicide risk in rural sexual minoritiesK08MD019314 · NIMHD · UNIVERSITY OF OREGON · PI Lauren Nicole Forrest · 2024 to 2026
$466k
Sexual Minority Mental Health During the COVID-19 Pandemic: An Intersectional, Social Epidemiologic InvestigationF32MD017452 · NIMHD · BOSTON CHILDREN'S HOSPITAL · PI BECCIA, ARIEL L · 2022 to 2025
$228k
NCATS NIH HHS KL2 TR002015NCATS NIH HHS KL2TR002015NCATS NIH HHS UL1 TR002014NCATS NIH HHS UL1TR002014NIDA NIH HHS K01 DA047918NIDA NIH HHS K01DA047918NIMHD NIH HHS F32 MD017452NIMHD NIH HHS F32MD017452NIMHD NIH HHS K08 MD019314NIMHD NIH HHS K08MD019314
6 · The paper itself

Abstract

objectivePrior work has documented inequities in disordered eating behavior (DEB) prevalence across gender identity, race, and ethnicity, yet has often ignored the fact that individuals belong to multiple social groups simultaneously. The present study assessed DEB inequities at the intersection of gender identity and race/ethnicity.

methodThe sample included n = 10,287 adolescents (68% gender-diverse, 33% belonging to marginalized racial/ethnic groups). Past-year prevalence of dietary restriction, self-induced vomiting, diet pill use, and binge eating was assessed. Data were analyzed with multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA). MAIHDA nests individuals within social strata defined by all combinations of gender identity and race/ethnicity (a proxy for exposure to structural (cis)sexism and racism). MAIHDA allows for comparison of outcome prevalence across strata and identifies strata with disproportionately high or low prevalence.

resultsHispanic gender-nonconforming youth had a high prevalence of multiple DEBs: restricting prevalence was 67.1% (95% CI [62.1%-72.2%]), vomiting prevalence was 25.9% (95% CI [21.6%-31.0%]), and binge eating prevalence was 46.0% (95% CI [40.2%-51.4%]). For all outcomes, at least one stratum had disproportionately low prevalence; for all outcomes except vomiting, at least one stratum had disproportionately high prevalence, indicative of intersectional interactions between gender identity and race/ethnicity. DISCUSSION: DEB prevalence among adolescents varies substantially at the intersection of gender and race/ethnicity, with the highest prevalence among those belonging to multiple marginalized groups. Future research is needed on the multilevel drivers of DEBs.

Indexed as

EthnicityFeeding and Eating DisordersGender IdentityRacial GroupsSexual and Gender MinoritiesAdolescentFemaleHumansMalePrevalencedisordered eatinginequitiesintersectionalitytransgender

Identifiers

PMID39763174
PMCPMC11891641

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.