Cited by 220Eating Disorders and BehaviorsLGBTQ Health, Identity, and PolicyNutrition, Health and Food Behavior

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Disordered eating behaviors among transgender youth: Probability profiles from risk and protective factors

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Watson, Ryan J., Veale, Jaimie F., Saewyc, Elizabeth M.·2017·International Journal of Eating Disorders

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Abstract

PURPOSE: Research has documented high rates of disordered eating for lesbian, gay, and bisexual youth, but prevalence and patterns of disordered eating among transgender youth remain unexplored. This is despite unique challenges faced by this group, including gender-related body image and the use of hormones. We explore the relationship between disordered eating and risk and protective factors for transgender youth. METHODS: An online survey of 923 transgender youth (aged 14-25) across Canada was conducted, primarily using measures from existing youth health surveys. Analyses were stratified by gender identity and included logistic regressions with probability profiles to illustrate combinations of risk and protective factors for eating disordered behaviors. RESULTS: Enacted stigma (the higher rates of harassment and discrimination sexual minority youth experience) was linked to higher odds of reported past year binge eating and fasting or vomiting to lose weight, while protective factors, including family connectedness, school connectedness, caring friends, and social support, were linked to lower odds of past year disordered eating. Youth with the highest levels of enacted stigma and no protective factors had high probabilities of past year eating disordered behaviors. DISCUSSION: Our study found high prevalence of disorders. Risk for these behaviors was linked to stigma and violence exposure, but offset by social supports. Health professionals should assess transgender youth for disordered eating behaviors and supportive resources. © 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2017; 50:515-522).

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“Discrimination and harassment against individuals who identify as sexual minorities have been linked to food insecurity and eating disorders [15,27,28].”
Additional file 2 of Eating disorder symptomatology among transgender individuals: a systematic review and meta-analysis
Rasmussen, S., Dalgaard, M. K., Roloff, M., Pinholt, M., Skrubbeltrang, C., Clausen, L., & Telléus, G. K. (2024) · Figshare · doi:10.6084/m9.figshare.26592002
Additional file 2 of Towards gender-affirming nutrition assessment: a case series of adult transgender men with distinct nutrition considerations
Linsenmeyer, W. R., Drallmeier, T., & Thomure, M. (2020) · Figshare · doi:10.6084/m9.figshare.12668010
Additional file 5 of Eating disorder symptomatology among transgender individuals: a systematic review and meta-analysis
Rasmussen, S., Dalgaard, M. K., Roloff, M., Pinholt, M., Skrubbeltrang, C., Clausen, L., & Telléus, G. K. (2024) · Figshare · doi:10.6084/m9.figshare.26592011
Additional file 1 of Analyzing body dissatisfaction and gender dysphoria in the context of minority stress among transgender adolescents
Brecht, A., Bos, S., Ries, L., Hübner, K., Widenka, P.-M., Winter, S. M., & Calvano, C. (2024) · Figshare · doi:10.6084/m9.figshare.26688005
Additional file 1 of Eating disorder symptomatology among transgender individuals: a systematic review and meta-analysis
Rasmussen, S., Dalgaard, M. K., Roloff, M., Pinholt, M., Skrubbeltrang, C., Clausen, L., & Telléus, G. K. (2024) · Figshare · doi:10.6084/m9.figshare.26591999

Authors: Watson, R. J., Veale, J. F., & Saewyc, E. M.
Affiliations: University of Connecticut (US)
University of Waikato (NZ)
University of British Columbia (CA)
Corresponding author: Watson, Ryan J.
ORCID: Watson, Ryan J.
Veale, Jaimie F.
Saewyc, Elizabeth M.
Venue: International Journal of Eating Disorders
Publisher: Wiley
Published: 2016-11-12
Volume: 50
Issue: 5
Pages: 515-522
ISSN: 0276-3478 (ISSN-L)
1098-108X
DOI: 10.1002/eat.22627
PMC: PMC5754211
OpenAlex: W2555681457
Cited by: 220
References: 41
Citations by year: 2026: 19 · 2025: 23 · 2024: 38 · 2023: 39 · 2022: 16 · 2021: 31 · 2020: 32 · 2019: 10 · 2018: 10 · 2017: 2
FWCI: 9.81
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: International Journal of Eating Disorders (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Research Commons (University of Waikato) (submittedVersion)
Funders: Canadian Institutes of Health Research (MOP 119472)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords: disordered eating, transgender youth, binge eating, enacted stigma, discrimination and harassment, protective factors, social support, family connectedness, school connectedness, gender identity, eating disorder risk, hormone use, body image
MeSH terms: Adolescent, Adult, Feeding and Eating Disorders, Feeding Behavior, Female, Humans, Male, Risk, Prevalence, Young Adult, Transgender Persons, Protective Factors

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Disordered eating behaviors among transgender youth: Probability profiles from risk and protective factors

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