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Cited by 77Eating Disorders and BehaviorsNutrition, Health and Food BehaviorObesity, Physical Activity, Diet

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

Beccia, Ariel L., Baek, Jonggyu, Jesdale, William M., Austin, S. Bryn, Forrester, Sarah, Curtin, Carol, Lapane, Kate L.·2019·Eating Behaviors
DOI 10.1016/j.eatbeh.2019.05.002
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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.

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Crossref · 10.1016/j.eatbeh.2019.05.002

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  • The lack of focus on racial/ethnic identity represents a widespread issue in psychological science, and researchers from the body image and disordered eating literatures have recently called for an intersectional perspective and a clearer focus on the experiences of People of Color.

    “The lack of focus on racial/ethnic identity represents a widespread issue in psychological science (Roberts et al., 2020), and researchers from the body image and disordered eating literatures have recently called for an intersectional perspective and a clearer focus on the experiences of People of Color (e.g., Beccia et al., 2019; Burke et al., 2020; McEntee et al., 2020; Watson et al., 2019).”

    From The Perfect Storm: A Developmental-Sociocultural Framework for the Role of Social Media in Adolescent Girls' Body Image Concerns and Mental Health. (2022) · cites this paper as Beccia et al., 2019

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Authors
Beccia, A. L., Baek, J., Jesdale, W. M., Austin, S. B., Forrester, S., Curtin, C., & Lapane, K. L.
Affiliations
  • University of Massachusetts Chan Medical School (US)
  • Boston Children's Hospital (US)
Corresponding author
Beccia, Ariel L.
ORCID
Venue
Eating Behaviors
Publisher
Elsevier BV
Published
2019-08
Volume
34
Pages
101299
ISSN
1471-0153 (ISSN-L)
DOI
10.1016/j.eatbeh.2019.05.002
OpenAlex
W2943970659
Cited by
77
References
40
Citations by year
2026: 7 · 2025: 20 · 2024: 10 · 2023: 7 · 2022: 14 · 2021: 9 · 2020: 9 · 2019: 1
FWCI
9.64
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Eating Behaviors (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship@UMassChan (submittedVersion)
Funders
  • Maternal and Child Health Bureau
  • U.S. Department of Health and Human Services
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
disordered eating, intersectionality, gender identity, ethnic-racial identity, adolescents, high school students, purging, fasting, Hispanic/Latino youth, sex differences, health disparities
MeSH terms
Adolescent, Feeding and Eating Disorders, Black or African American, Female, Hispanic or Latino, Humans, Male, Minority Groups, Students, United States, Prevalence, Sex Distribution, White People

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