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Eating disorder symptoms and obesity at the intersections of gender, ethnicity, and sexual orientation in US high school students

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  • Bryn Austin, S.
  • Nelson, L.A.
  • Birkett, M.A.
  • Calzo, J.P.
  • Everett, B.

Abstract

Objectives. We examined purging for weight control, diet pill use, and obesity across sexual orientation identity and ethnicity groups. Methods. Anonymous survey data were analyzed from 24 591 high school students of diverse ethnicities in the federal Youth Risk Behavioral Surveillance System Survey in 2005 and 2007. Self-reported data were gathered on gender, ethnicity, sexual orientation identity, height, weight, and purging and diet pill use in the past 30 days. We used multivariable logistic regression to estimate odds of purging, diet pill use, and obesity associated with sexual orientation identity in gender-stratified models and examined for the presence of interactions between ethnicity and sexual orientation. Results. Lesbian, gay, and bisexual (LGB) identity was associated with substantially elevated odds of purging and diet pill use in both girls and boys (odds ratios [OR] range = 1.9-6.8). Bisexual girls and boys were also at elevated odds of obesity compared to same-gender heterosexuals (OR = 2.3 and 2.1, respectively). Conclusions. Interventions to reduce eating disorders and obesity that are appropriate for LGB youths of diverse ethnicities are urgently needed. Copyright © 2012 by the American Public Health Association®.

Suggested Citation

  • Bryn Austin, S. & Nelson, L.A. & Birkett, M.A. & Calzo, J.P. & Everett, B., 2013. "Eating disorder symptoms and obesity at the intersections of gender, ethnicity, and sexual orientation in US high school students," American Journal of Public Health, American Public Health Association, vol. 103(2), pages 16-22.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301150_7
    DOI: 10.2105/AJPH.2012.301150
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    Cited by:

    1. Simone, Melissa & Telke, Susan & Anderson, Lisa M. & Eisenberg, Marla & Neumark-Sztainer, Dianne, 2022. "Ethnic/racial and gender differences in disordered eating behavior prevalence trajectories among women and men from adolescence into adulthood," Social Science & Medicine, Elsevier, vol. 294(C).
    2. Gordon, Allegra R. & Austin, S. Bryn & Krieger, Nancy & White Hughto, Jaclyn M. & Reisner, Sari L., 2016. "“I have to constantly prove to myself, to people, that I fit the bill”: Perspectives on weight and shape control behaviors among low-income, ethnically diverse young transgender women," Social Science & Medicine, Elsevier, vol. 165(C), pages 141-149.
    3. Stefanie Mollborn & Aubrey Limburg & Bethany G. Everett, 2022. "Mothers’ Sexual Identity and Children’s Health," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(3), pages 1217-1239, June.
    4. Paul, June C., 2020. "Exploring support for LGBTQ youth transitioning from foster care to emerging adulthood," Children and Youth Services Review, Elsevier, vol. 119(C).
    5. Corinne Reczek & Hui Liu & Dustin Brown, 2014. "Cigarette Smoking in Same-Sex and Different-Sex Unions: The Role of Socioeconomic and Psychological Factors," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(4), pages 527-551, August.
    6. Beccia, Ariel L. & Austin, S. Bryn & Baek, Jonggyu & Agénor, Madina & Forrester, Sarah & Ding, Eric Y. & Jesdale, William M. & Lapane, Kate L., 2022. "Cumulative exposure to state-level structural sexism and risk of disordered eating: Results from a 20-year prospective cohort study," Social Science & Medicine, Elsevier, vol. 301(C).

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