Cited by 141Eating Disorders and BehaviorsNutrition, Health and Food BehaviorLGBTQ Health, Identity, and Policy

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Sexual Orientation, Weight Concerns, and Eating-Disordered Behaviors in Adolescent Girls and Boys

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AUSTIN, S. BRYN, ZIYADEH, NAJAT, KAHN, JESSICA A., CAMARGO, CARLOS A., COLDITZ, GRAHAM A., FIELD, ALISON E.·2004·Journal of the American Academy of Child & Adolescent Psychiatry

DOI 10.1097/01.chi.0000131139.93862.10

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Abstract

Objective To examine sexual orientation group differences in eating disorder symptoms in adolescent girls and boys.Method Cross-sectional associations were examined using multivariate regression techniques using data gathered in 1999 from 10,583 adolescents in the Growing Up Today Study, a cohort of children of women participating in the Nurses' Health Study II.Results Ninety-two percent of the cohort described themselves as heterosexual, 5% as mostly heterosexual, 1% as lesbian/gay/bisexual, and 2% as unsure. Both mostly heterosexual girls and boys had greater concerns with weight and appearance and were less happy with their bodies compared with same-gender heterosexuals (all p < .05). Compared with heterosexual girls, the mostly heterosexual girls were more likely to vomit/use laxatives to control weight (odds ratio 1.7; 95% confidence interval = 1.2-2.6) and to binge eat (odds ratio 2.3; 95% confidence interval = 1.4-3.8) in the past year. Compared with heterosexual boys, gay/bisexual boys were more concerned with trying to look like men in the media (p < .05) and more likely to binge (odds ratio 15.2; 95% confidence interval = 3.3-69). Compared with heterosexual girls, lesbian/bisexual girls were happier with their bodies (p < .05) and less concerned with trying to look like women in the media (p < .05).Conclusions Mostly heterosexual girls and boys are a newly identified group at increased risk of eating disorder symptoms. Gay/bisexual boys were also at increased risk.

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Authors: AUSTIN, S. B., ZIYADEH, N., KAHN, J. A., CAMARGO, C. A., COLDITZ, G. A., & FIELD, A. E.
Affiliations: Cincinnati Children's Hospital Medical Center (US)
Brigham and Women's Hospital (US)
ORCID: AUSTIN, S. BRYN
ZIYADEH, NAJAT
KAHN, JESSICA A.
CAMARGO, CARLOS A.
COLDITZ, GRAHAM A.
FIELD, ALISON E.
Venue: Journal of the American Academy of Child & Adolescent Psychiatry
Publisher: Elsevier BV
Published: 2004-09
Volume: 43
Issue: 9
Pages: 1115-1123
ISSN: 0890-8567 (ISSN-L)
DOI: 10.1097/01.chi.0000131139.93862.10
OpenAlex: W2030068931
Cited by: 141
References: 45
Citations by year: 2026: 3 · 2025: 1 · 2024: 1 · 2023: 7 · 2022: 7 · 2021: 5 · 2020: 4 · 2019: 8 · 2018: 9 · 2017: 7 · 2016: 10 · 2015: 11 · 2014: 7 · 2013: 10 · 2012: 3
FWCI: 8.39
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: Maternal and Child Health Bureau (6T71-MC00009-12-01)
National Institutes of Health (DK46834)
Robert Wood Johnson Foundation
National Eating Disorders Association
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
Keywords: sexual orientation, eating disorders, adolescent girls, adolescent boys, weight concern, body image, binge eating, purging behavior, Growing Up Today Study
MeSH terms: Adolescent, Bisexuality, Body Image, Body Weight, Bulimia, Cross-Sectional Studies, Female, Humans, Longitudinal Studies, Male, Sexual Behavior, United States, Cohort Studies, Homosexuality, Male, Homosexuality, Female

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Sexual Orientation, Weight Concerns, and Eating-Disordered Behaviors in Adolescent Girls and Boys

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