{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T22:21:16Z","timestamp":1776723676824,"version":"3.51.2"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T00:00:00Z","timestamp":1670457600000},"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":["F31MH120982"],"award-info":[{"award-number":["F31MH120982"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K01MH121515"],"award-info":[{"award-number":["K01MH121515"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["F31MD015203"],"award-info":[{"award-number":["F31MD015203"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001143","name":"William T. Grant Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001143","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":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Early COVID\u201019 eating disorders (EDs) research used regionally restricted samples with little sociodemographic diversity. The present study aimed to address these research gaps by examining whether pandemic\u2010related changes in ED symptoms and mental healthcare prevalence differed for historically marginalized groups within a national sample of US college students.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants included 242,906 US college students (<jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub>\u00a0=\u00a023.45, <jats:italic>SD<\/jats:italic>\u00a0=\u00a07.04; <jats:italic>M<\/jats:italic><jats:sub>BMI<\/jats:sub>\u00a0=\u00a025.28, <jats:italic>SD<\/jats:italic>\u00a0=\u00a05.91) who completed the repeated cross\u2010sectional multi\u2010institute Healthy Minds Study between January 2019 and May 2021. Moderated logistic regressions examined whether pandemic\u2010related changes in individuals' likelihoods of exhibiting current probable ED, reporting lifetime ED diagnoses, and\u2014among individuals with current probable ED\u2014mental healthcare engagement differed for diverse gender, sexual, and racial\/ethnic identity groups, and by body mass index (BMI) and financial stress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were increases of 5% and 12% in individuals' likelihoods of exhibiting current probable ED and symptomatic individuals' mental healthcare engagement, respectively, pre\u2010 to post\u2010COVID\u201019 onset, but no pandemic\u2010related changes in lifetime ED diagnosis prevalence. There were also important variations in these time\u2010trends for different marginalized groups. For example, individuals identifying as genderqueer\/gender nonconforming and lesbian exhibited increasing ED symptoms pre\u2010 to post\u2010COVID\u201019 onset, and individuals with current probable ED and higher BMIs were increasingly likely to receive mental healthcare. Associations between financial stress, and the ED and mental healthcare outcomes did not change over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>These findings provide insight into groups of US college students that experienced disproportionate ED burden during the pandemic at the population level, and directions for research and interventions that warrant consideration.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23869","type":"journal-article","created":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T15:56:38Z","timestamp":1670514998000},"page":"203-215","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Disparities in eating disorder symptoms and mental healthcare engagement prior to and following the onset of the <scp>COVID<\/scp>\u201019 pandemic: Findings from a national study of US college students"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1803-0163","authenticated-orcid":false,"given":"Kelly A.","family":"Romano","sequence":"first","affiliation":[{"name":"Department of Psychology Virginia Consortium Program in Clinical Psychology  Norfolk Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4552-4361","authenticated-orcid":false,"given":"Sarah K.","family":"Lipson","sequence":"additional","affiliation":[{"name":"Boston University School of Public Health Department of Health Law Policy and Management  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6617-7031","authenticated-orcid":false,"given":"Ariel L.","family":"Beccia","sequence":"additional","affiliation":[{"name":"Division of Adolescent and Young Adult Medicine Boston Children's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula A.","family":"Quatromoni","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, College of Health and Rehabilitation Sciences: Sargent College Boston University  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose","family":"Murgueitio","sequence":"additional","affiliation":[{"name":"Department of Psychology and Neuroscience University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,12,8]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2021.105452"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22785"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/sjp.2013.92"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2021.101539"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30460-8"},{"key":"e_1_2_13_7_1","volume-title":"Minority stress and lesbian women","author":"Brooks V. R.","year":"1981"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20213"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23368"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2021.105122"},{"key":"e_1_2_13_11_1","unstructured":"Centers for Disease Control and Prevention. (2022).CDC museum COVID\u201019 timeline.https:\/\/www.cdc.gov\/museum\/timeline\/covid19.html."},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23517"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23155"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0016441"},{"key":"e_1_2_13_15_1","unstructured":"Healthy Minds Network. (2020).Healthy minds study among colleges and universities 2020 (HMS 2019\u201320 2020\u201321)[Data set]. Healthy Minds Network University of Michigan University of California Los Angeles Boston University and Wayne State University.https:\/\/healthymindsnetwork.org\/research\/data\u2010for\u2010researchers\/."},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23193"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23375"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2012.11.020"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/13557858.2020.1853067"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-021-10241-5"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-05478-6"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S60735"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2021.05.019"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23640"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2020.12.045"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.129.5.674"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7223.1467"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.22850"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23317"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2020.105062"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2020.104853"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23709"},{"key":"e_1_2_13_33_1","unstructured":"Ruiz N. G. Horowitz J. M. &Tamir C.(2020).Many black and Asian Americans say they have experienced discrimination amid the COVID\u201019 outbreak.Pew Research Center."},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12992\u2010020\u201000589\u2010w"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.3390\/foods9050675"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23374"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2021.105"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23353"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2018.03.014"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23869","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/eat.23869","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23869","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T15:52:45Z","timestamp":1692546765000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.23869"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,8]]},"references-count":38,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1002\/eat.23869"],"URL":"https:\/\/doi.org\/10.1002\/eat.23869","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,8]]},"assertion":[{"value":"2022-06-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}