Psychological Medicine

, volume 53 , issue 9 , pages 1-11

Socioeconomic status and eating disorder prevalence: at the intersections of gender identity, sexual orientation, and race/ethnicity

Natasha L. Burke ¹

Vivienne M Hazzard ^{2, 3}

Lauren M. Schaefer ^{4, 5}

Melissa Simone ^{2, 3}

Jennifer L Oflynn ^{6, 7}

Rachel Rodgers ^{6, 8}

Hide authors affiliations Show authors affiliations: 8 affiliations

Department of Psychology, Fordham University, 441 East Fordham Road, Dealy Hall, Bronx, NY 10458, USA |

Department of Psychiatry and Behavioral Science, University of Minnesota Medical School, Minneapolis, MN, USA, 55454 |

Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA, 55454 |

⁴

Sanford Center for Bio-Behavioral Research, 120 Eighth Street South, Fargo, ND 58103, USA |

⁵

Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, 1919 Elm Street N, Fargo, ND, 58102, USA |

⁶

Department of Applied Psychology, Northeastern University, 360 Huntington Avenue, Boston, MA 02115, USA |

⁷

Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, 02139, USA |

⁸

Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHRU Montpellier, France |

Publication type: Journal Article

Publication date: 2022-05-16

Cambridge University Press

Psychological Medicine

scimago Q1

wos Q1

SJR: 2.424

CiteScore: 13.2

Impact factor: 5.5

ISSN: 00332917, 14698978

DOI: 10.1017/s0033291722001015

Copy DOI

PubMed ID: 35574702

Psychiatry and Mental health

Applied Psychology

Abstract

Background

Longstanding biases have fostered the erroneous notion that only those of higher socioeconomic status (SES) experience eating disorders (EDs); however, EDs present across all SES strata. Considering the dearth of ED research among those of lower SES, this study examined (1) the overall association between SES and ED prevalence, and (2) ED prevalence in the context of four relevant social identities (i.e. SES, gender identity, sexual orientation, and race/ethnicity) from an intersectional perspective, as unique combinations of multiple social identities may differentially influence risk.

Methods

A sample of 120 891 undergraduate/graduate students from the Healthy Minds Study self-reported family SES with a single-item question, gender identity, sexual orientation, and race/ethnicity, and were screened for ED risk.

Results

Participants of lower SES had 1.27 (95% CI 1.25–1.30) times greater prevalence of a positive ED screen than those of higher SES. Substantial heterogeneity was observed across the four social identities beyond the association with SES. For example, positive ED screens were particularly common among lower SES, Latinx, sexual minority cisgender men and women, with 52% of bisexual men and 52% of lesbian women of Latinx ethnicity and lower SES screening positive.

Conclusions

Although positive ED screens were more common among undergraduate/graduate students of lower SES, the particularly high ED risk reported by certain groups of lower SES with multiple minority identities reinforces the importance of investigating multi-layered constructs of identity when identifying groups at disproportionate risk.

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GOST |

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GOST Copy

Burke N. L. et al. Socioeconomic status and eating disorder prevalence: at the intersections of gender identity, sexual orientation, and race/ethnicity // Psychological Medicine. 2022. Vol. 53. No. 9. pp. 1-11.

GOST all authors (up to 50) Copy

Burke N. L., Hazzard V. M., Schaefer L. M., Simone M., Oflynn J. L., Rodgers R. Socioeconomic status and eating disorder prevalence: at the intersections of gender identity, sexual orientation, and race/ethnicity // Psychological Medicine. 2022. Vol. 53. No. 9. pp. 1-11.

RIS |

Cite this

RIS Copy

TY - JOUR

DO - 10.1017/s0033291722001015

UR - https://doi.org/10.1017/s0033291722001015

TI - Socioeconomic status and eating disorder prevalence: at the intersections of gender identity, sexual orientation, and race/ethnicity

T2 - Psychological Medicine

AU - Burke, Natasha L.

AU - Hazzard, Vivienne M

AU - Schaefer, Lauren M.

AU - Simone, Melissa

AU - Oflynn, Jennifer L

AU - Rodgers, Rachel

PY - 2022

DA - 2022/05/16

PB - Cambridge University Press

SP - 1-11

IS - 9

VL - 53

PMID - 35574702

SN - 0033-2917

SN - 1469-8978

ER -

BibTex |

Cite this

BibTex (up to 50 authors) Copy

@article{2022_Burke,

author = {Natasha L. Burke and Vivienne M Hazzard and Lauren M. Schaefer and Melissa Simone and Jennifer L Oflynn and Rachel Rodgers},

title = {Socioeconomic status and eating disorder prevalence: at the intersections of gender identity, sexual orientation, and race/ethnicity},

journal = {Psychological Medicine},

year = {2022},

volume = {53},

publisher = {Cambridge University Press},

month = {may},

url = {https://doi.org/10.1017/s0033291722001015},

number = {9},

pages = {1--11},

doi = {10.1017/s0033291722001015}

}

MLA

Cite this

MLA Copy

Burke, Natasha L., et al. “Socioeconomic status and eating disorder prevalence: at the intersections of gender identity, sexual orientation, and race/ethnicity.” Psychological Medicine, vol. 53, no. 9, May. 2022, pp. 1-11. https://doi.org/10.1017/s0033291722001015.

Publisher

Cambridge University Press

Journal

Psychological Medicine

scimago Q1

wos Q1

SJR

2.424

CiteScore

13.2

Impact factor

5.5

ISSN

00332917 (Print)

14698978 (Electronic)