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    Risk of disordered eating at the intersection of gender and racial/ethnic identity among U.S. high school students

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    Authors
    Beccia, Ariel
    Baek, Jonggyu
    Jesdale, William M.
    Austin, S. Bryn
    Forrester, Sarah N.
    Curtin, Carol
    Lapane, Kate L.
    UMass Chan Affiliations
    Eunice Kennedy Shriver Center
    Department of Family Medicine and Community Health
    Department of Population and Quantitative Health Sciences
    Clinical and Population Health Research Program, Graduate School of Biomedical Sciences
    Document Type
    Journal Article
    Publication Date
    2019-08-01
    Keywords
    Adolescence
    Disordered eating
    Disparity
    Gender
    Intersectionality
    Race/ethnicity
    Dietetics and Clinical Nutrition
    Gender and Sexuality
    Health Services Research
    Mental Disorders
    Psychiatry and Psychology
    Race and Ethnicity
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    https://doi.org/10.1016/j.eatbeh.2019.05.002
    Abstract
    BACKGROUND: Gender and racial/ethnic disparities in disordered eating among youth exist, although whether having multiple marginalized identities disproportionately increases risk is unclear. Therefore, we aimed to quantify the risk of disordered eating associated with intersecting gender and racial/ethnic identities of U.S. adolescents. METHODS: We analyzed data from 11,514 U.S. high school students identifying as White, Black/African American, or Hispanic/Latino who participated in the 2013 National Youth Risk Behavior Surveillance System. Age-adjusted relative risks (RR) of purging, fasting, diet pill use, and any disordered eating were estimated using log-binomial models. Relative excess risk due to interaction (RERI) was estimated to evaluate the degree to which the combined effect of marginalized gender and racial/ethnic identity was larger than the sum of their individual effects. RESULTS: Disordered eating was prevalent (girls: 20.4% Black/African American, 29.2% Hispanic/Latina, 21.4% White; boys: 13.4% Black/African American, 12.4% Hispanic/Latino; 8.1% Whites). Girls of all racial/ethnic identities and racial/ethnic minority boys had elevated risks of purging, fasting, and any disordered eating compared to White boys (RR range=1.57-7.43); Hispanic/Latina and White girls also had elevated risk of diet pill use (RR range=1.98-3.20). Among Hispanic/Latina girls, positive interaction between gender and race/ethnicity produced excess risk of any disordered eating and purging (RERI: any=0.42 (95% confidence interval (CI)=-0.02, 0.87); purging=1.74 (95% CI=0.06, 3.42). CONCLUSIONS: Findings illustrate the advantages of adopting an intersectional approach to disordered eating research. Future research should investigate the mechanisms of these disparities.
    Source

    Eat Behav. 2019 Aug;34:101299. doi: 10.1016/j.eatbeh.2019.05.002. Epub 2019 May 9. Link to article on publisher's site

    DOI
    10.1016/j.eatbeh.2019.05.002
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46818
    PubMed ID
    31153023
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1016/j.eatbeh.2019.05.002
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    Morningside Graduate School of Biomedical Sciences Scholarly Publications
    Population and Quantitative Health Sciences Publications

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