The DOI matches its Crossref record; 36 of the 37 references it cites were found in a registry or an index.
Disordered Weight Management Behaviors, Nonprescription Steroid Use, and Weight Perception in Transgender Youth
Open accessAbstract
Purpose Disordered weight management behaviors are prevalent among youth; recent case reports suggested that these behaviors might also be common in transgender youth. We studied associations of gender identity with disordered weight management behaviors, nonprescription steroid use, and weight perception among transgender and cisgender (nontransgender) high-school students in Massachusetts.Methods Data were analyzed from the 2013 Massachusetts Youth Health Survey, an anonymous survey in a random sample of Massachusetts public high schools. Respondents were divided into three groups: transgender (n = 67), cisgender male (n = 1,117), and cisgender female (n = 1,289). Fisher's exact tests and multivariable logistic regression models were used to examine unhealthy weight management behaviors in the past 30 days: fasting >24 hours, vomiting, diet pill use, and laxative use; nonprescription steroid use; and self-perceived weight status. Analyses controlled for age, race/ethnicity, and body mass index.Results Compared with cisgender males, transgender adolescents had higher odds of fasting >24 hours (adjusted odds ratio [AOR] = 2.9, confidence interval [CI] = 1.1-7.8), using diet pills (AOR = 8.9, 95% CI = 2.3-35.2) and taking laxatives (AOR = 7.2, 95% CI = 1.4-38.4). Transgender youth had higher odds of lifetime use of steroids without a prescription than male cisgender respondents (AOR = 26.6, 95% CI = 3.5-200.1). Compared with cisgender females, transgender respondents had higher odds of perceiving themselves as healthy weight/underweight when they were overweight/obese (AOR = 2.4, 95% CI = 1.5-4.1).Conclusions Transgender youth disproportionately self-reported unsafe weight management behaviors and nonprescription steroid use compared with cisgender youth. Clinicians should be aware of this increased risk among transgender youth. Research is needed to further understand these disparities and to inform future interventions.
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In the citing paper
“Extant literature provides support for TGAs being at increased risk for disordered eating.”
From Exploring transgender adolescents’ body image concerns and disordered eating: Semi-structured interviews with nine gender minority youth (2021) · cites this paper as Guss et al., 2017
In the citing paper
“The majority of TGAs feel their biological body does not align with their felt sense of gender identity (Guss et al., 2017; McClain & Peebles, 2016).”
From Exploring transgender adolescents’ body image concerns and disordered eating: Semi-structured interviews with nine gender minority youth (2021) · cites this paper as Guss et al., 2017
In the citing paper
“Transmasculine adolescents—those assigned female at birth and who currently identify with a male gender identity—may engage in muscle-building behaviors aimed at achieving the muscular male ideal (Guss et al., 2017; McGuire et al., 2016).”
From Exploring transgender adolescents’ body image concerns and disordered eating: Semi-structured interviews with nine gender minority youth (2021) · cites this paper as Guss et al., 2017
In the citing paper
“In a representative sample of U.S. high school students, TGAs reported equal rates of diet pill and laxative abuse as cisgender females, long thought to be the most at-risk population for disordered eating (Guss et al., 2017).”
From Exploring transgender adolescents’ body image concerns and disordered eating: Semi-structured interviews with nine gender minority youth (2021) · cites this paper as Guss et al., 2017
In the citing paper
“For example, transfeminine adolescents—those who were assigned male at birth and currently identify with a female gender identity—may engage in restrictive behaviors to align with beauty standards for women (Gordon et al., 2016; Guss et al., 2017; McGuire et al., 2016).”
From Exploring transgender adolescents’ body image concerns and disordered eating: Semi-structured interviews with nine gender minority youth (2021) · cites this paper as Guss et al., 2017
In the citing paper
“A key overarching theme from this qualitative study is that it is often difficult to disentangle gender minority-specific from broader factors underlying TGAs’ body dissatisfaction and disordered eating (Gordon et al., 2016; Guss et al., 2017).”
From Exploring transgender adolescents’ body image concerns and disordered eating: Semi-structured interviews with nine gender minority youth (2021) · cites this paper as Guss et al., 2017
In the citing paper
“The body dissatisfaction and disordered eating experienced as a result of dissonance between their physical bodies and their felt sense of gender is consistent with evidence of TGAs being a high-risk population (Guss et al., 2017; Watson et al., 2017).”
From Exploring transgender adolescents’ body image concerns and disordered eating: Semi-structured interviews with nine gender minority youth (2021) · cites this paper as Guss et al., 2017
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Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders(DSM)
Leong, F. T. L. (2008) · Sage eBooks · doi:10.4135/9781412963978.n182 · Cited by 10,861
Barlow, S. E., & and the Expert Committee (2007) · Pediatrics · doi:10.1542/peds.2007-2329c · Cited by 4,497
Coleman, E., Bockting, W. O., Botzer, M., Cohen‐Kettenis, P. T., Cuypere, G. D., Feldman, J., Fraser, L., Green, J., Knudson, G., Meyer, W. J., et al. (2012) · International Journal of Transgenderism · doi:10.1080/15532739.2011.700873 · Cited by 3,273
Youth Risk Behavior Surveillance - United States, 2009
Eaton, D. K., Kann, L. K., Kinchen, S., Shanklin, S. L., Flint, K. H., Hawkins, J., Harris, W. A., Lowry, R., McManus, T., Chyen, D., et al. (2010) · PsycEXTRA Dataset · doi:10.1037/e661322010-001 · Cited by 1,754
Youth Risk Behavior Surveillance — United States, 2001
Grunbaum, J. A., Kann, L. K., Kinchen, S. A., Williams, B., Ross, J. G., Lowry, R., & Kolbe, L. J. (2002) · Journal of School Health · doi:10.1111/j.1746-1561.2002.tb07917.x · Cited by 1,412
Neumark-Sztainer, D., Wall, M., Guo, J., Story, M., Haines, J., & Eisenberg, M. (2006) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2006.01.003 · Cited by 939
Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment
de Vries, A. L. C., McGuire, J. K., Steensma, T. D., Wagenaar, E. C. F., DORELEIJERS, T. A. H., & Cohen‐Kettenis, P. T. (2014) · PEDIATRICS · doi:10.1542/peds.2013-2958 · Cited by 931
Puberty Suppression in Adolescents With Gender Identity Disorder: A Prospective Follow-Up Study
de Vries, A. L. C., Steensma, T. D., DORELEIJERS, T. A. H., & Cohen‐Kettenis, P. T. (2010) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2010.01943.x · Cited by 643
Body dissatisfaction from adolescence to young adulthood: Findings from a 10-year longitudinal study
Bucchianeri, M. M., Arikian, A. J., Hannan, P. J., Eisenberg, M. E., & Neumark-Sztainer, D. (2013) · Body Image · doi:10.1016/j.bodyim.2012.09.001 · Cited by 615
Medical complications of anorexia nervosa and bulimia
Westmoreland, P., Krantz, M. J., & Mehler, P. S. (2016) · The American Journal of Medicine · doi:10.1016/j.amjmed.2015.06.031 · Cited by 467
Diemer, E. W., Grant, J. D., Munn-Chernoff, M. A., Patterson, D. A., & Duncan, A. E. (2015) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2015.03.003 · Cited by 460
Eating Disorders in Children and Adolescents: State of the Art Review
Campbell, K., & Peebles, R. (2014) · PEDIATRICS · doi:10.1542/peds.2014-0194 · Cited by 404
Rohde, P., Stice, E., & Marti, C. N. (2015) · International Journal of Eating Disorders · doi:10.1002/eat.22270 · Cited by 388
Rotondi, N. K., Bauer, G. R., Scanlon, K., Kaay, M., Travers, R., & Travers, A. (2013) · American Journal of Public Health · doi:10.2105/ajph.2013.301348 · Cited by 223
Body image in transgender young people: Findings from a qualitative, community based study
McGuire, J. K., Doty, J. L., Catalpa, J. M., & Ola, C. (2016) · Body Image · doi:10.1016/j.bodyim.2016.06.004 · Cited by 205
Body Satisfaction and Physical Appearance in Gender Dysphoria
van de Grift, T. C., Cohen‐Kettenis, P. T., Steensma, T. D., Cuypere, G. D., Richter‐Appelt, H., Haraldsen, I., Dikmans, R. E. G., Cerwenka, S. C., & Kreukels, B. P. C. (2015) · Archives of Sexual Behavior · doi:10.1007/s10508-015-0614-1 · Cited by 175
Witcomb, G. L., Bouman, W. P., Brewin, N., Richards, C., Fernández‐Aranda, F., & Arcelus, J. (2015) · European Eating Disorders Review · doi:10.1002/erv.2362 · Cited by 173
Disordered Eating and Gender Identity Disorder: A Qualitative Study
Ålgars, M., Alanko, K., Santtila, P. O., & Sandnabba, N. K. (2012) · Eating Disorders · doi:10.1080/10640266.2012.668482 · Cited by 172
Approach to the Patient: Transgender Youth: Endocrine Considerations
Rosenthal, S. M. (2014) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2014-1919 · Cited by 168
Edwards-Leeper, L. A., & Spack, N. P. (2012) · Journal of Homosexuality · doi:10.1080/00918369.2012.653302 · Cited by 167
Reiner, W. G., & Reiner, D. T. (2014) · Routledge eBooks · doi:10.4324/9781315873060-9 · Cited by 138
Hadland, S. E., Austin, S. B., Goodenow, C. S., & Calzo, J. P. (2013) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2013.08.021 · Cited by 137
Self-citationMepham, N., Bouman, W. P., Arcelus, J., Hayter, M., & Wylie, K. R. (2014) · The Journal of Sexual Medicine · doi:10.1111/jsm.12691 · Cited by 115
Gender identity disorder and eating disorders
Hepp, U., & Milos, G. F. (2002) · International Journal of Eating Disorders · doi:10.1002/eat.10090 · Cited by 103
Chung, A. E., Perrin, E. M., & Skinner, A. C. (2013) · Academic Pediatrics · doi:10.1016/j.acap.2013.04.011 · Cited by 101
High prevalence of abnormal eating and weight control practices among U.S. high-school students
Forman‐Hoffman, V. L. (2004) · Eating Behaviors · doi:10.1016/j.eatbeh.2004.04.003 · Cited by 93
Strandjord, S. E., Ng, H., & Rome, E. S. (2015) · International Journal of Eating Disorders · doi:10.1002/eat.22438 · Cited by 85
A network analysis of body satisfaction of people with gender dysphoria
van de Grift, T. C., Cohen‐Kettenis, P. T., Elaut, E., Cuypere, G. D., Richter‐Appelt, H., Haraldsen, I., & Kreukels, B. P. C. (2016) · Body Image · doi:10.1016/j.bodyim.2016.04.002 · Cited by 85
Treatment of anorexia nervosa in the context of transsexuality: A case report
Ewan, L. A., Middleman, A. B., & Feldmann, J. (2013) · International Journal of Eating Disorders · doi:10.1002/eat.22209 · Cited by 80
Anorexia nervosa and gender dysphoria in two adolescents
Couturier, J., Pindiprolu, B., Findlay, S., & Johnson, N. (2015) · International Journal of Eating Disorders · doi:10.1002/eat.22368 · Cited by 74
Androgenic-anabolic steroids and body dysmorphia in young men
Wroblewska, A.-M. (1997) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(96)00302-9 · Cited by 62
Gonsalves, D., Hawk, H., & Goodenow, C. S. (2013) · Maternal and Child Health Journal · doi:10.1007/s10995-013-1424-5 · Cited by 53
Diverging Eating Psychopathology in Transgendered Eating Disorder Patients: A Report of Two Cases
Murray, S. B., Boon, E. S. K., & Touyz, S. W. (2012) · Eating Disorders · doi:10.1080/10640266.2013.741989 · Cited by 47
Oellingrath, I. M., Hestetun, I., & Svendsen, M. V. (2015) · Public Health Nutrition · doi:10.1017/s1368980015001007 · Cited by 32
Sherry, B. (2007) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.161.12.1154 · Cited by 24
Leone, J. E., & Fetro, J. V. (2007) · The Journal of Strength and Conditioning Research · doi:10.1519/r-18665.1 · Cited by 21
Cited by
Sorted by citations
The enigma of male eating disorders: A critical review and synthesis
Murray, S. B., Nagata, J. M., Griffiths, S., Calzo, J. P., Brown, T. A., Mitchison, D., Blashill, A. J., & Mond, J. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.08.001 · Cited by 715
Streed, C. G., Beach, L. B., Caceres, B. A., Dowshen, N., Moreau, K. L., Mukherjee, M., Poteat, T., Radix, A., Reisner, S. L., & Singh, V. (2021) · Circulation · doi:10.1161/cir.0000000000001003 · Cited by 312
Self-citationEating disorders and disordered eating behaviors in the LGBT population: a review of the literature
Parker, L. L., & Harriger, J. A. (2020) · Journal of Eating Disorders · doi:10.1186/s40337-020-00327-y · Cited by 355
Safe Schools? Transgender Youth’s School Experiences and Perceptions of School Climate
Day, J. K., Perez‐Brumer, A., & Russell, S. T. (2018) · Journal of Youth and Adolescence · doi:10.1007/s10964-018-0866-x · Cited by 206
Mental health of transgender and gender diverse youth
Wittlin, N. M., Kuper, L. E., & Olson, K. R. (2023) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-072220-020326 · Cited by 199
Metadata
- Authors
- Guss, C. E., Williams, D. N., Reisner, S. L., Austin, S. B., & Katz-Wise, S. L.
- Affiliations
- Boston Children's Hospital (US)
- Corresponding author
- Guss, Carly E.
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2017-01
- Volume
- 60
- Issue
- 1
- Pages
- 17-22
- ISSN
- 1054-139X (ISSN-L)
- PMC
- PMC8091135
- OpenAlex
- W2540941017
- Cited by
- 153
- References
- 37
- Citations by year
- 2026: 12 · 2025: 17 · 2024: 17 · 2023: 24 · 2022: 14 · 2021: 18 · 2020: 21 · 2019: 13 · 2018: 11 · 2017: 5
- FWCI
- 13.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- National Institutes of Health (R01 HD 066963, K99HD082340, R01 HD057368)
- Maternal and Child Health Bureau (T76-MC00001)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- transgender youth, weight perception, gender identity, fasting, vomiting, laxative use, weight loss pills, eating disorders, adolescent obesity
- MeSH terms
- Drug Misuse, Adolescent, Adolescent Behavior, Body Image, Fasting, Female, Humans, Male, Massachusetts, Obesity, Risk-Taking, Vomiting, Testosterone Congeners, Laxatives, Transgender Persons
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