{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T14:50:11Z","timestamp":1788965411096,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,1,14]],"date-time":"2020-01-14T00:00:00Z","timestamp":1578960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["T32MH082761"],"award-info":[{"award-number":["T32MH082761"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The purpose of the current study was threefold: (a) compare rates of self\u2010reported anorexia nervosa (AN), self\u2010reported bulimia nervosa (BN), and eating pathology\u2010specific academic impairment (EAI) by gender identity (cisgender men, cisgender women, transgender or genderqueer) and sexual orientation (gay or lesbian, bisexual, unsure, other), (b) examine associations between gender identity, sexual orientation, and eating outcomes, and (c) identify for whom rates of eating disorder diagnosis and impairment is greatest.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The study includes a sample of Minnesota students (<jats:italic>n<\/jats:italic> = 13,906) who participated in the College Student Health Survey from 2015 to 2018. Chi\u2010square tests with bootstrapping examined differences in eating pathology rates between groups. Adjusted logistic regressions tested the association between gender identity, sexual orientation, and self\u2010reported eating outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Chi\u2010square results revealed heightened rates of self\u2010reported AN, self\u2010reported BN, and EAI in cisgender women, transgender or genderqueer, and sexual minority (e.g., lesbian or bisexual) students. Logistic regression analyses in cisgender men and cisgender women revealed higher odds of self\u2010reported AN, self\u2010reported BN, and EAI in sexual minority students relative their heterosexual peers. Chi\u2010square analyses indicated that bisexual cisgender women reported heightened rates of all three eating pathology measures relative to other sexual and\/or gender (e.g., transgender) minority students.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Individuals with marginalized gender and\/or sexual orientation identities report heightened rates of eating pathology, with cisgender bisexual women reporting the poorest outcomes relative to individuals from other marginalized identities. Preventive efforts and more research are needed to understand the mechanisms driving this disparity and to reduce prevalence among marginalized groups.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23226","type":"journal-article","created":{"date-parts":[[2020,1,15]],"date-time":"2020-01-15T04:33:08Z","timestamp":1579062788000},"page":"513-524","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":69,"title":["Disparities in self\u2010reported eating disorders and academic impairment in sexual and gender minority college students relative to their heterosexual and cisgender peers"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6939-2784","authenticated-orcid":false,"given":"Melissa","family":"Simone","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Minnesota  Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7183-3160","authenticated-orcid":false,"given":"Autumn","family":"Askew","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Minnesota  Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6852-4826","authenticated-orcid":false,"given":"Katherine","family":"Lust","sequence":"additional","affiliation":[{"name":"Boynton Health University of Minnesota  Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7730-4913","authenticated-orcid":false,"given":"Marla E.","family":"Eisenberg","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Minnesota  Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3296-5304","authenticated-orcid":false,"given":"Emily M.","family":"Pisetsky","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Minnesota  Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,14]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11199-010-9758-6"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.chi.0000131139.93862.10"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0023244"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2016.03.007"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2008.06.012"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300750"},{"key":"e_1_2_13_8_1","unstructured":"Boynton Health. 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