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The present study assessed DEB inequities at the intersection of gender identity and race\/ethnicity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The sample included <jats:italic>n<\/jats:italic>\u2009=\u200910,287 adolescents (68% gender\u2010diverse, 33% belonging to marginalized racial\/ethnic groups). Past\u2010year prevalence of dietary restriction, self\u2010induced vomiting, diet pill use, and binge eating was assessed. Data were analyzed with multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA). MAIHDA nests individuals within social strata defined by all combinations of gender identity and race\/ethnicity (a proxy for exposure to structural (cis)sexism and racism). MAIHDA allows for comparison of outcome prevalence across strata and identifies strata with disproportionately high or low prevalence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hispanic gender\u2010nonconforming youth had a high prevalence of multiple DEBs: restricting prevalence was 67.1% (95% CI [62.1%\u201372.2%]), vomiting prevalence was 25.9% (95% CI [21.6%\u201331.0%]), and binge eating prevalence was 46.0% (95% CI [40.2%\u201351.4%]). For all outcomes, at least one stratum had disproportionately low prevalence; for all outcomes except vomiting, at least one stratum had disproportionately high prevalence, indicative of intersectional interactions between gender identity and race\/ethnicity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>DEB prevalence among adolescents varies substantially at the intersection of gender and race\/ethnicity, with the highest prevalence among those belonging to multiple marginalized groups. Future research is needed on the multilevel drivers of DEBs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24352","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T06:40:10Z","timestamp":1736232010000},"page":"635-646","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Prevalence of Disordered Eating Behaviors Among Sexual and Gender Minority Youth Varies at the Intersection of Gender Identity and Race\/Ethnicity"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1481-5078","authenticated-orcid":false,"given":"Lauren N.","family":"Forrest","sequence":"first","affiliation":[{"name":"Department of Psychology University of Oregon  Eugene Oregon USA"},{"name":"Department of Psychiatry and Behavioral Health Penn State College of Medicine  Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5292-5660","authenticated-orcid":false,"given":"Brooke L.","family":"Bennett","sequence":"additional","affiliation":[{"name":"Department of Psychology Clemson University  Clemson South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6617-7031","authenticated-orcid":false,"given":"Ariel","family":"Beccia","sequence":"additional","affiliation":[{"name":"Division of Adolescent and Young Adult Medicine Boston Children's Hospital  Boston Massachusetts USA"},{"name":"Department of Pediatrics Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2340-2486","authenticated-orcid":false,"given":"Rebecca","family":"Puhl","sequence":"additional","affiliation":[{"name":"Department of Human Development and Family Sciences University of Connecticut  Storrs Connecticut USA"},{"name":"Rudd Center for Food Policy &amp; Health University of Connecticut  Hartford Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7824-7714","authenticated-orcid":false,"given":"Ryan J.","family":"Watson","sequence":"additional","affiliation":[{"name":"Department of Human Development and Family Sciences University of Connecticut  Storrs Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2023.08.019"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2021.0157"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2024.2328460"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24171"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2023.101652"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2022.114956"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114092"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2019.05.002"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-08-097086-8.28031-8"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300750"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2021.01394"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23820"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291722001015"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v080.i01"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.molmed.2023.11.006"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23699"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24202"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/03610911003650383"},{"key":"e_1_2_9_20_1","article-title":"Demarginalizing the Intersection of Race and Sex: A Black Feminist Critique of Antidiscrimination Doctrine, Feminist Theory, and Antiracist Politics","author":"Crenshaw K.","year":"1989","journal-title":"University of Chicago Legal Forum"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/sgd0000515"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2018.11.036"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2024.101664"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2017.11.011"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24089"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24015"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23760"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003122419848723"},{"key":"e_1_2_9_29_1","unstructured":"Human Rights Campaign. n.d.\u201cGlossary of Terms.\u201dhttps:\/\/www.hrc.org\/resources\/glossary\u2010of\u2010terms."},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23773"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24092"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1037\/cou0000339"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.13069"},{"key":"e_1_2_9_34_1","unstructured":"Lopez M. 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