{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:43:22Z","timestamp":1791938602935,"version":"4.3.4"},"reference-count":29,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Despite the ongoing youth mental health crisis and reports of spiking eating disorder rates, especially in rural and underserved areas, epidemiologic data on these patterns remain scarce. To help address this gap, the objectives of our study were to document the prevalence of key disordered eating behaviors in a representative sample of youth from Alaska (a state with a vast geographic area and significant rural and remote populations), examine differences across sociodemographic subgroups, and identify mental health correlates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Participants were those from the 2023 Alaska Youth Risk Behavior Survey, a cross\u2010section of traditional (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091129) and alternative (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009418) high school students in grades 9\u201312. We estimated weighted proportions of youth reporting past\u2010month binge eating or unhealthy weight control behaviors (UWCBs), overall and by grade, sex\/gender, race\/ethnicity, and weight status; we then fit a series of logistic models to quantify associations between each outcome and indicators of mental distress and substance use.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Approximately one\u2010half of Alaska youth engaged in disordered eating in 2023, with female youth, racial\/ethnic minority youth, and youth of higher weight status having inequitably higher prevalence. Youth who reported depression, anxiety, suicide ideation or attempts, alcohol use, e\u2010cigarette use, or other substance misuse had significantly higher odds of both binge eating and UWCBs; conversely, cigarette use was not associated with either outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These findings collectively underscore the urgent need to include eating disorders within broader conversations regarding the ongoing youth mental health crisis, especially as it pertains to impacts on rural areas of the US. Ongoing surveillance at the state and federal levels, enhanced screening, and large\u2010scale prevention efforts are warranted to address this growing public health threat.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24518","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T11:59:49Z","timestamp":1754913589000},"page":"2235-2240","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Prevalence and Correlates of Disordered Eating Among Alaska Youth: Results From the 2023 Alaska Youth Risk Behavior Survey"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6617-7031","authenticated-orcid":false,"given":"Ariel L.","family":"Beccia","sequence":"first","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"},{"name":"Department of Epidemiology Harvard T.H. Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4779-1853","authenticated-orcid":false,"given":"Jenny","family":"Poon","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Alaska Anchorage  Anchorage Alaska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karol","family":"Fink","sequence":"additional","affiliation":[{"name":"State of Alaska Department of Health Section of Chronic Disease Prevention and Health Promotion  Anchorage Alaska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Loudon","sequence":"additional","affiliation":[{"name":"The Alaska Eating Disorders Alliance  Anchorage Alaska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0830-5293","authenticated-orcid":false,"given":"S. Bryn","family":"Austin","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"},{"name":"Department of Social and Behavioral Sciences Harvard T.H. Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,11]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Alaska Department of Education & Early Development.\u201cAlternative Schools\u2014Education and Early Development.\u201dAccessed April 8 2025.https:\/\/education.alaska.gov\/alt."},{"key":"e_1_2_10_3_1","unstructured":"Alaska Department of Health.2024.\u201cAlaska YRBS (Youth Risk Behavior Survey).\u201dhttps:\/\/health.alaska.gov\/dph\/Chronic\/Pages\/yrbs\/default.aspx."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.01.007"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870440008407364"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2019.05.002"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.su7304a1"},{"key":"e_1_2_10_8_1","unstructured":"Centers for Disease Control and Prevention.2024.\u201cChild and Teen BMI Categories.\u201dhttps:\/\/www.cdc.gov\/bmi\/child\u2010teen\u2010calculator\/bmi\u2010categories.html."},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010018\u20105348\u20102"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1100\/tsw.2005.101"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23843"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2022.4346"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010023\u201000854\u20104"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwac115"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22174"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2022.5848"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470580066"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2025.101905"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022\u2010058198"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/cts.2020.42"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010024\u201001508\u20101"},{"key":"e_1_2_10_22_1","unstructured":"Office of the Surgeon General (OSG).2021.\u201cProtecting Youth Mental Health: The U.S. Surgeon General's Advisory.\u201dUS Department of Health and Human Services http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK575984\/."},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22506"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7108e2"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23970"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23709"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23869"},{"key":"e_1_2_10_28_1","unstructured":"State of Alaska Department of Health.2024.\u201cAlaska Youth Risk Behavior Survey Trends.\u201dhttps:\/\/content.govdelivery.com\/attachments\/AKDHSS\/2024\/08\/02\/file_attachments\/2956209\/23YRBS_TrendsTable.pdf."},{"key":"e_1_2_10_29_1","unstructured":"Strategic Training Initiative for the Prevention of Eating Disorders (STRIPED).2024.\u201cAssessing Disordered Eating in the Youth Risk Behavior Survey (YRBS): Best Practices and Recommendations for Item Selection.\u201dhttps:\/\/hsph.harvard.edu\/wp\u2010content\/uploads\/2024\/11\/Working\u2010Group\u2010Assessing\u2010Disordered\u2010Eating.pdf."},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20894"}],"container-title":["International Journal of Eating 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