Eating disorders in diverse lesbian, gay, and bisexual populations.

OBJECTIVE This study estimates the prevalence of eating disorders in lesbian, gay, and bisexual (LGB) men and women, and examines the association between participation in the gay community and eating disorder prevalence in gay and bisexual men. METHOD One hundred and twenty six white heterosexuals and 388 white, black, Latino LGB men and women were sampled from community venues. DSM-IV diagnoses of anorexia, bulimia, and binge eating disorder were assessed using the World Health Organization's Composite International Diagnostic Interview. RESULTS Gay and bisexual men had significantly higher prevalence estimates of eating disorders than heterosexual men. There were no differences in eating disorder prevalence between lesbian and bisexual women and heterosexual women, or across gender or racial groups. Attending a gay recreational group was significantly related to eating disorder prevalence in gay and bisexual men. CONCLUSION Researchers should study the causes of the high prevalence of eating disorders among gay and bisexual men.

[1]  H. Kraemer,et al.  Eating disorders in white and black women. , 2003, The American journal of psychiatry.

[2]  K. Brownell,et al.  Lesbians, bisexual women, and body image: an investigation of gender roles and social group affiliation. , 1999, The International journal of eating disorders.

[3]  S. Cochran,et al.  Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. , 2003, Journal of consulting and clinical psychology.

[4]  J. Crocker,et al.  A Collective Self-Esteem Scale: Self-Evaluation of One's Social Identity , 1992 .

[5]  L. Wichstrøm.  Sexual orientation as a risk factor for bulimic symptoms. , 2006, The International journal of eating disorders.

[6]  山中 学.  「大学生男子の摂食障害」, Olivardia R, Pope HG Jr, Mangweth B, et al, Eating disorders in college men. Am J Psychiatry 152,1279-1285,1995 , 1996 .

[7]  M. Drummond.  Men’s Bodies , 2005 .

[8]  D S Goldbloom,et al.  Bulimia nervosa in a Canadian community sample: prevalence and comparison of subgroups. , 1995, The American journal of psychiatry.

[9]  I. Williamson,et al.  Towards an understanding of risk factors for eating disturbance amongst gay men , 2001 .

[10]  M. Morrison,et al.  Does body satisfaction differ between gay men and lesbian women and heterosexual men and women? A meta-analytic review. , 2004, Body image.

[11]  R. Kessler,et al.  The Prevalence and Correlates of Eating Disorders in the National Comorbidity Survey Replication , 2007, Biological Psychiatry.

[12]  D. Bowen,et al.  Lesbian, Gay, Bisexual, and Transgender Health: Findings and Concerns , 2000 .

[13]  G. Colditz,et al.  Sexual orientation, weight concerns, and eating-disordered behaviors in adolescent girls and boys. , 2004, Journal of the American Academy of Child and Adolescent Psychiatry.

[14]  D. Herzog,et al.  Sexual conflict and eating disorders in 27 males. , 1984, The American journal of psychiatry.

[15]  R. Rosenheck,et al.  Eating disorders in a national sample of hospitalized female and male veterans: detection rates and psychiatric comorbidity. , 1999, The International journal of eating disorders.

[16]  K. Halmi,et al.  More males seek treatment for eating disorders. , 1999, The International journal of eating disorders.

[17]  D. Williamson,et al.  Eating Disorder Symptoms and Concerns About Body Differ as a Function of Gender and Sexual Orientation , 2000 .

[18]  Weighty perspectives: contemporary challenges in obesity and eating disorders. , 2000, The American journal of psychiatry.

[19]  M. Siever.  Sexual orientation and gender as factors in socioculturally acquired vulnerability to body dissatisfaction and eating disorders. , 1994, Journal of consulting and clinical psychology.

[20]  D. Herzog,et al.  Body image satisfaction in homosexual and heterosexual women , 1992 .

[21]  E. Stice,et al.  Body image and eating disturbances across ethnic groups: more similarities than differences. , 2004, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[22]  D S Goldbloom,et al.  Comparisons of men with full or partial eating disorders, men without eating disorders, and women with eating disorders in the community. , 2001, American Journal of Psychiatry.

[23]  A. Gnisci,et al.  Brief report: psychological characteristics of less severe forms of eating disorders: an epidemiological study among 259 female adolescents. , 2005, Journal of adolescence.

[24]  E. Rothblum,et al.  A comparison of lesbians, gay men, and heterosexuals on weight and restrained eating. , 1992 .

[25]  T. Frieden,et al.  Health Disparities in New York City , 2004 .

[26]  J. Yager,et al.  Behaviors and attitudes related to eating disorders in homosexual male college students. , 1988, The American journal of psychiatry.

[27]  L. Ricciardelli,et al.  Role of Sexual Orientation and Gender-Related Traits in Disordered Eating , 1999 .

[28]  P. Keel,et al.  Homosexuality as a specific risk factor for eating disorders in men. , 2002, The International journal of eating disorders.

[29]  H. Hospers,et al.  Why Homosexuality is a Risk Factor for Eating Disorders in Males , 2005 .

[30]  D. Wilfley,et al.  The influence of sexual orientation on body dissatisfaction in adult men and women. , 1996, The International journal of eating disorders.

[31]  S. Daniels,et al.  An empirical study of the typology of bulimia nervosa and its spectrum variants , 2005, Psychological Medicine.

[32]  C. Shisslak,et al.  Eating disturbances among American minority groups: a review. , 1996, The International journal of eating disorders.

[33]  Laurie B. Mintz,et al.  Differences Between Lesbians and Heterosexual Women in Disordered Eating and Related Attitudes , 2002, Journal of homosexuality.

[34]  K. Heffernan,et al.  Eating disorders and weight concern among lesbians. , 1996, The International journal of eating disorders.

[35]  D. Sloan,et al.  Empirical classification of eating disorders. , 2005, Eating behaviors.

[36]  V. Sadock.  The Social Organization of Sexuality: Sexual Practices in the United States , 1995 .

[37]  J. Thompson,et al.  Actual differences and stereotypical perceptions in body image and eating disturbance: A comparison of male and female heterosexual and homosexual samples , 1993 .

[38]  M. Tiggemann,et al.  Muscularity and the gay ideal: body dissatisfaction and disordered eating in homosexual men. , 2003, Eating behaviors.

[39]  T. B. Üstün,et al.  The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) , 2004, International journal of methods in psychiatric research.

[40]  A. O'Leary,et al.  Gender, sexual orientation, and disordered eating , 1995 .

[41]  H G Pope,et al.  Eating disorders in college men. , 1995, The American journal of psychiatry.

[42]  C. A. Camargo,et al.  Review of bulimia nervosa in males. , 1991, The American journal of psychiatry.

[43]  I. Williamson,et al.  British research into the increased vulnerability of young gay men to eating disturbance and body dissatisfaction , 1998 .

[44]  Olga V. Demler,et al.  Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. , 2005, Archives of general psychiatry.

[45]  C. Camargo,et al.  Eating disorders in males: a report on 135 patients. , 1997, The American journal of psychiatry.

[46]  H. Hoek,et al.  Review of the prevalence and incidence of eating disorders. , 2003, The International journal of eating disorders.

[47]  J. Kulik,et al.  Social comparison and women's body satisfaction. , 2002 .