Eatg Disorrs Diverse Lbian, Gay, and Bisexual Populatns - PMC

Contents:

• EATG DISORRS LBIAN, GAY, AND BISEXUAL PEOPLE
• GAY MEN MORE AT RISK OF EATG DISORRS, BUT FDG COMMUNY CAN BE HARD
• AS A GAY MAN WH AN EATG DISORR, I KNOW THE DAMAGE STEREOTYP N DO TO MENTAL HEALTH
• EATG DISORR SYMPTOMS AND PRONENS GAY MEN, LBIAN WOMEN, AND TRANSGENR AND GENR NON-NFORMG ADULTS: COMPARATIVE LEVELS AND A PROPOSED MEDIATNAL MOL
• EATG DISORRS ARE RAMPANT GAY MEN AND THE ARE 5 THGS WE CAN DO TO HELP
• EATG DISORRS THE GAY AND LBIAN COMMUNY
• 7 IMPORTANT FACTS ABOUT GAY AND BI MEN WHO SUFFER FROM EATG DISORRS
• BISEXUAL MEN MORE PRONE TO EATG DISORRS THAN GAY OR STRAIGHT MEN, STUDY FDS
• THE RABOW DIET: SURVIVG ANOREXIA AND GAY BODY EXPECTATNS
• EATG DISORRS STRAIGHT AND GAY MEN
• GAY WATER, A NEW NNED CKTAIL, WANTS TO BE THE ANTI-BUD LIGHT
• JAGUARS ASSOCIATE STRENGTH ACH KEV MAXEN OUT AS GAY A FIRST FOR US-BASED PRO LEAGU
• EATG DISORRS DIVERSE LBIAN, GAY, AND BISEXUAL POPULATNS
• ACTIVISTS NMN VLENCE AGAST LGBTQ MUNY ST. VCENT, WHERE GAY SEX IS ILLEGAL
• CALIFORNIA STILL HAS AN ANTI-GAY MARRIAGE LAW ON THE BOOKS. VOTERS ULD REMOVE NEXT YEAR

EATG DISORRS LBIAN, GAY, AND BISEXUAL PEOPLE

The groups prise anyone who do not intify as entirely heterosexual, cludg people who intify as gay, lbian, or bisexual; those who report attractns to people of the same or multiple genrs; and dividuals who report engagg sexual ntact wh people of the same or multiple genrs.

This fdg of elevated risk extends to adults, wh rearch ditg that gay men are at greater risk than heterosexual men for velopg eatg disorrs (Striegel-Moore and Bulik, 2007; Feldman and Meyer, 2010) and have a higher cince of drive for thns, body dissatisfactn, and body image related anxiety (McCla and Peebl, 2016). As such, the IPT-ED mol n be seen as an eatg disorr specific stantiatn of Meyer's (2003) mory strs mol which poss that, “stigma, prejudice, and discrimatn create a hostile and strsful social environment that mental health problems” mory groups such as gay, lbian, and TGNC populatns (p. This self-passnate rponse provis a means of unterg the potentially adverse effects of negative social evaluatn on self-teem and mood that leave the dividual vulnerable to eatg disorr light of the aforementned nsiratns, the ratnale for our study was to (1) ntribute to the mimal rearch to date that has pared eatg disorr symptoms gay men, lbian women, and TGNC adults; (2) unrstand the factors that may be volved sceptibily to an eatg disorr the groups g an empirilly-supported theoretil mol (i.

GAY MEN MORE AT RISK OF EATG DISORRS, BUT FDG COMMUNY CAN BE HARD

E., IPT-ED) that has particular relevance to populatns vulnerable to experiencg negative social evaluatn; and (3) move beyond asssg the rrelat of eatg disorr pathology to unrstand how the variabl teract wh one another through our tt of a medatnal mol based on the IPT-ED specifilly, the prent study, we vtigated and pared the percentage of eatg disorr symptoms (cludg maladaptive weight ntrol behavrs, dissatisfactn wh eatg patterns, eatg secret, and weight-based self-worth) and pronens to an eatg disorr (“ED pronens”) gay cisgenr men (gay men), lbian cisgenr women (lbian women), and TGNC adult populatns. While only limed rearch has been unrtaken, available data suggts parable prevalence rat eatg disorrs between gay men and lbian women (Feldman and Meyer, 2007) but that TGNC dividuals have higher levels of eatg disorr symptoms pared to gay men and lbian women (Diemer et al., 2015). Fally, sce rearch supports the notn that eatg disorr pathology among the transgenr populatn is largely or entirely sendary to dissatisfactn wh sex featur that are nsistent wh one's genr inty, we hypothized that the risk and protective factors of ED pronens this group would differ om those of cisgenr gay men and lbian women.

AS A GAY MAN WH AN EATG DISORR, I KNOW THE DAMAGE STEREOTYP N DO TO MENTAL HEALTH

0MeasurA mographics qutnnaire was admistered that asked participants to intify their age, sex at birth (male, female), genr inty (male, female, transgenr male to female, transgenr female to male, genr queer, genr-fluid, non-bary, agenr, two-spir, tersex, or other), ethnicy, and sexual orientatn (heterosexual/straight, gay, lbian, bisexual, pansexual, asexual, queer, or other). The prent fdg that lbian women had a higher percentage of ED pronens than gay men n be partly unrstood terms of the ESP xg weight-based self-worth and therefore beg potentially sensive to the mculary-based ncerns of men, wh prev rearch supportg the notn of an elevated drive for mculary wh male sexual mory populatns (Kimmel and Mahalik, 2005; Brennan et al., 2012) the fdgs reported Table ​2, appears that ED pronens was largely ntributed to by the ESP em, “Do your weight affect the way you feel about yourself?

EATG DISORR SYMPTOMS AND PRONENS GAY MEN, LBIAN WOMEN, AND TRANSGENR AND GENR NON-NFORMG ADULTS: COMPARATIVE LEVELS AND A PROPOSED MEDIATNAL MOL

Such fdgs are acrdance wh the mory strs mol, which highlights the role of stigma the etlogy of mental health problems among mory populatns such as gay men and lbian women (Meyer, 2003) was further expected that self-passn might be pecially relevant as a potential protective factor for ED pronens this sexual mory and genr diverse sample, as may functn to protect the dividual agast the adverse nsequenc of stigmatizg environments. Dpe higher levels of prsn, anxiety, negative social exchange, thwarted belonggns, perceived stigma, and lower levels of self-passn the TGNC group pared to gay men and lbian women, self-passn was the only variable that monstrated a unique associatn wh ED pronens the TGNC group. That is, while terpersonal factors did not have a direct associatn wh ED pronens any group (apart om perceived stigma the gay men), thwarted belonggns and perceived stigma were found to have an direct relatnship that was mediated by lower self-passn the gay men and TGNC groups, and by prsn among the lbian women.

Many gay men are aaid of beg associated wh femy for dog so, or they still believe mental illns aren't real and that they should jt suck creat a perfect storm for gay men sufferg om eatg disorrs: the male gaze puts the prsure on them to look a certa way, but masculy dictat that they not seek we n all do to tackle this problem is nstct the rigid ncept of masculy and the ternalized homophobia that stigmatiz eatg disorrs as "effemate" and that perceiv femy as a weakns. But we n do better validatg each seems like we are quick to dismiss gay men we see as unattractive, quick to wre people off if they don't look a certa way, quick to judge someone on their we should be dog is creatg an environment where people n be attractive different ways.

Addnally, we examed four specific LGBT subgroups (lbian adults and adolcents; gay adults and adolcents; bisexual, mostly heterosexual, and qutng adults and adolcents; transgenr and genr non-nformg adults and adolcents), as well as risk factors for each mory strs mol (MSM) is often ed to expla mental health dispari sexual [121] and genr mory [76] groups. Mory strs mols pos that dividuals om LGBT populatns experience unique distal strsors, such as stigma and discrimatn, and proximal strsors, such as ternalized homophobia or transphobia and ncealment of sexual or genr inty [122] which turn lead to creased risk for the velopment of physil and mental health issu [26, 101, 118, 121, 122]. For example, one study found that sexual mory adolcents reported var forms of strs om the origal mol [121] cludg distal (discrimatn and victimizatn), proximal (expectatns of rejectn and ternalized stigma such as homophobia), and disclosure (ncealment strs), as well as vlence and social and verbal victimizatn [59].

EATG DISORRS ARE RAMPANT GAY MEN AND THE ARE 5 THGS WE CAN DO TO HELP

G., gay men stereotypilly have a lean and mcular body); (3) genr inty, sexual orientatn, and race/ethnicy all uniquely ntributed to the prsure one felt to appear a certa way; and (4) LGBT-specific muny spac had the potential to be eher affirmg or nstrag to one’s appearance, that other sexual and genr mori were eher acceptg of a variety of body shap and siz, or rerced societal expectatns of the ial body rearch fdgs suggt that the sexual mory muny has both protective and trimental effects on adult LGB dividuals’ body image and eatg behavrs. For adult lbians, risk factors related to sexual orientatn clud discrimatn, ncealment of sexual orientatn, ls volvement the LGB muny, ternalized homophobia, ternalized homonegativy, heterosexist experienc, proximal mory strs, lower sense of belongg to the lbian muny, anizatns, and iends, and stigma nscns [69, 70, 74, 107, 108, 109, 165]. Table 1 Eatg Disorr and Disorred Eatg Behavr Risk Factors Lbian Adults and AdolcentsFull size tableGay adults and adolcentsOverall, rearch has dited that both adult and adolcent gay mal were more likely to suffer om clil eatg disorrs or report disorred eatg behavrs pared to heterosexual mal, wh ltle variance the studi.

Other studi also found gay adults to be at a higher risk for beg diagnosed wh an eatg disorr than their heterosexual unterparts [44, 53, 73] rearch fdgs suggt that gay adults reported more equent dietg and greater dietary rtrat, more bge eatg, ls ntrol over their eatg behavrs, more purgg, and more exercise than heterosexual men [56, 99, 139] and the fdgs are supported by more ntemporary rearch.

Compared to heterosexual men, gay adults reported creased rat of bge eatg, disorred eatg behavrs, unhealthy weight ntrol behavrs, food addictn, and diagnosed clil eatg disorrs, addn to poorer physil activy ([10, 20, 27, 54, 58, 67, 113, 127, 137, 141, 145, 146, 149, 152, 159, 161, 172, 173]). Further, was found that parison to their heterosexual unterparts, gay young adult and adolcent mal were more likely to engage exercisg wh tentn to lose weight, rtrictive eatg, fastg, bgeg, purgg, and e of diet pills, puttg them at an creased risk for eatg disorrs [6, 7, 31, 167, 168, 174]. Addnally, was found that parison to their heterosexual unterparts, gay young adult and adolcent mal reported greater body dissatisfactn, reported greater sire for toned mcl, experienced a greater crease weight and shape ncern over time, were more ncerned wh tryg to look like men the media, and were more foced on beg lean [6, 31, 33, 34].

EATG DISORRS THE GAY AND LBIAN COMMUNY

Addnally, many scribed this ial body shape as both mcular and th, notg that thns was unique to the gay male muny ( parison to heterosexual men), and that their masculy fluenced their body image and weight-related an addnal theory, was hypothized that bee gay adults experienced greater levels of body shame and body objectifitn than heterosexual men, this, turn, predicted creased rat of eatg disorr symptomology among gay adults [104]. Specifilly, risk factors related to sexual orientatn clud ambivalence about their sexual orientatn, ncern about the perceptn of others regardg their sexual orientatn, attendg a gay recreatnal group, pornography viewg, and sexual objectifitn experienc [52, 63, 142, 170].

For gay adults, risk factors related to sexual orientatn clud discrimatn, ncealment of sexual orientatn, matn on discrimatory experienc, ternalized homophobia, ternalized homonegativy, gay muny intifitn (for thner men), and belongg to the gay muny [10, 23, 47, 82, 96, 136, 156, 163]. E., the ngence between societal msag about genr norms and beliefs about what is achievable, rultg psychologil distrs) was associated wh negative affect and social sensivy, which turn were associated wh body dissatisfactn and disorred eatg behavrs [17] risk factors for disorred eatg behavrs intified among gay male adolcents clud earlier age of achievement of sexual mory velopmental ton, bullyg, lack of support om adults, beg of an olr age, and lack of engagement physil activy [33, 92, 133]. Table 2 Eatg Disorr and Disorred Eatg Behavr Risk Factors Gay Male Adults and AdolcentsFull size tableBisexual adults and adolcentsIt should be noted that bee bisexualy is a relatively new area of study, the rearch on the topics of eatg disorrs and disorred eatg behavrs is recent and relatively limed.

Intertgly, vtigators have also found that bisexual girls were more satisfied wh their bodi, and ls ncerned wh attemptg to look like women the media, ntrary to other fdgs [6] bisexual men, distal risk factors for eatg disorrs related to sexual orientatn clud attendg a gay recreatnal group, ambivalence regardg their sexual orientatn, ncern about perceptn of others regardg their sexual orientatn, gay muny volvement, sexual objectifitn experienc, creased e of pornography, antibisexual discrimatn, ternalized biphobia, and sexual objectifitn experienc [26, 42, 52, 63, 170]. Risk factors related to body image clud drive for mculary, greater exercise equency, ternalizatn of cultural standards of attractivens, body surveillance, steroid e, and upward appearance-based social parisons [2, 26, 42, 62, 170] bisexual women, distal risk factors for eatg disorrs clud gay muny volvement, antibisexual discrimatn, ternalized biphobia, sexual objectifitn experienc, relatnship dissatisfactn, prsn, beg of Lata/Hispanic or black ethnicy, genr role orientatn, low self-teem, maladaptive social parison, objectified body nscns, self-nscns durg physil timacy, ternalizatn of soccultural standards of attractivens, and body surveillance [26, 42, 53, 54, 142]. It should be noted that no empiril evince to date has intified distal risk factors for eatg disorrs for bisexual adolcents; more rearch this area is bisexual men, distal risk factors for disorred eatg behavrs related to sexual orientatn clud discrimatn, ncealment of sexual orientatn, matn about discrimatn, ternalized biphobia, ternalized begativy, gay muny intifitn (for thner men), and sexual objectifitn experienc [10, 23, 26, 47, 156, 163, 166].

7 IMPORTANT FACTS ABOUT GAY AND BI MEN WHO SUFFER FROM EATG DISORRS

Siarly, ternalized homonegativy creased body surveillance, which creased body shame, and then disorred eatg behavrs [165] bisexual adolcent mal, distal risk factors for disorred eatg behavrs clud cyberbullyg, lack of support om adults, beg of an olr age, beg obe, and lack of engagement physil activy [33, 133]. For example, low self-teem was found to be an trapsychic functng risk factor across all subgroups except gay adults; however, this is likely due to lack of rearch, rather than lack of prence, pecially sce this was found to be a risk factor for disorred eatg behavrs. But the fdgs, published this month the journal Eatg and Weight Disorrs, suggt that bisexual men are even more sceptible to some unhealthy a samplg of over 4, 500 LGBTQ adults, a quarter of bisexual men reported havg fasted for more than eight hours to fluence their weight or appearance, pared to 20 percent of gay men.

"Thirty percent of bi men the survey reported beg aaid of losg ntrol of their eatg, and nearly a third said they had difficulty focg on work or other activi bee they were thkg about food, eatg or bge eatg was siar among gay and bi men this report, a 2018 Amerin Psychiatric Associatn study of universy stunts found that bisexual men were three tim as likely to bge eat as their gay classmat and five tim as likely as heterosexual male stunts. And a 2013 report the Journal of Adolcent Health found that suicidal thoughts did not crease as they entered adulthood, as they did for gay and straight few diagnostic tools or treatment programs make aquate distctns, Nagata said, even for genr: Most asssment tools for eatg disorrs, for example, were vised for cisgenr women, and they n overlook behavrs more mon among men, like eatg more to ga mass. In fact, rearchers have found a greater cince of homosexual and bisexual behavrs patients affected by EDs [6] and a greater distortn of the eatg style and the relatnship wh body image groups of homosexual men [15, 16], even when their sr are ntrolled wh rpect to the self-teem and prsn [14] or the peer prsure [16].

BISEXUAL MEN MORE PRONE TO EATG DISORRS THAN GAY OR STRAIGHT MEN, STUDY FDS

Concerng the homosexual subjects, the ndns for operatg wh the rearch were that no face-to-face terview would have been admistered to prerve plete bldns (also for the rearchers) about their personal inty, and that no psychopathology qutnnaire would have been admistered to avoid any possibily of stigmatizatn of homosexual genr.

On the other hand, sce is not clear at what gree the personaly tras pre-exist or reprent a reactn to strsful suatns [30] our homosexual ntrols they may also reprent a reactn of to environmental strsors and social cu which are not specific risk factors for EDs velopment.

If a homosexual orientatn may produce a predisposn to the velopment of an ED mal seems not to rive om a personaly tra which strictly rembl that of men wh anorexia nervosa, but only for higher HA and a trend towards lower SD, which is a generic risk factor for, or reactn to mental sufferg [30]. Gay Water might not have the ep pockets pared to s petors, like Whe Claw, but “even at small sle, pani of many siz are havg succs makg spir-based seltzers and premixed cktails, ” Bryan Roth, an analyst for Feel Goods Company and edor of the alhol beverage newsletter, Sightl+, told CNN.

THE RABOW DIET: SURVIVG ANOREXIA AND GAY BODY EXPECTATNS

“There’s lots of space the spir-based seltzer tegory which Gay Water n play, pecially if the brand n offer a cultural or emotnal nnectn that will feel more excg than the prospect of another peapple-flavored vodka seltzer om natnal or ternatnal rporatns, ” Roth said. A young man fac a heightened risk if he was overweight gra school and teased for , or if oby or eatg disorrs n his fay, or if he participat a sport that emphasiz speed or weight ntrol (such as wrtlg, distance nng, or cyclg), or if he’s gay, as are an timated 18 percent of male nrologil roots of anorexia rema elive, but one promisg avenue ppots a regn of the bra’s gray matter lled the sula.

EATG DISORRS STRAIGHT AND GAY MEN

Published fal eded form as:PMCID: PMC2080655NIHMSID: NIHMS32619AbstractObjective This study timat the prevalence of eatg disorrs lbian, gay, and bisexual (LGB) men and women, and exam the associatn between participatn the gay muny and eatg disorr prevalence gay and bisexual One hundred and twenty six whe heterosexuals and 388 whe, black, Lato LGB men and women were sampled om muny venu. 19 found that the proportn of gay and bisexual men wh symptoms related to disorred eatg was 10 tim higher than among heterosexual men (10 and 1%, rpectively) proment explanatn for the high prevalence of eatg disorrs among gay and bisexual men n be referred to as the soccultural perspective.

Recment was done by outreach workers who approached potential study participants and ved them to participate the study, scribed as ncerng the health of “New York Cy muni, ” venu that were primarily nongay, or the health of “LGB muni, ” venu that tered primarily to LGB dividuals.

Rponnts were eligible if they were 18–59 years old, New York Cy rints for 2 years or more, and self-intified as: (a) heterosexual or lbian, gay, or bisexual; (b) male or female; and (c) whe, black, or Lato (rponnts may have ed other inty terms referrg to the social groups). Third, participatn gay or bisexual groups and anizatns was measured as the percentage of profsnal, recreatnal, relig, polil, and/or charable anizatns (excludg those whose functn is the treatment of disorrs) that the rponnt belonged to that were heavily attend by other gay or bisexual men.

GAY WATER, A NEW NNED CKTAIL, WANTS TO BE THE ANTI-BUD LIGHT

Dpe the fdg that there were no signifint race/ethnic differenc among the LGB subgroups, is notable that Lato and black LGB men and women had particularly a high prevalence of eatg disorrs, cludg subclil bulimia, and any subclil eatg disorr (see Table 1), among the LGB participants, we found no differenc the prevalence of any of the eatg disorrs between women and men, or between rponnts who had a bisexual vers a gay or lbian inty. There were no signifint associatns between the prevalence of current full syndrome eatg disorrs and any of the measur of participatn the gay muny, but we found that, pared wh nonparticipants, rponnts who participated a gay recreatnal anizatn or group had a signifintly higher prevalence of current subclil eatg disorrs, cludg anorexia, bulimia, and/or bge eatg disorr. Siarly, there was no associatn between the prevalence of current eatg disorrs and the percentage of LGB-affiliated group and anizatns of total number of groups and anizatns the rponnt belong to 3Current (1 year) and lifetime full syndrome and subclila eatg disorrs by muny participatn gay and bisexual menb (n = 193)Current (12 months).

34, 35To tt hypoth based on the soccultural perspective that, among gay and bisexual men, participatn the gay muny may ntribute to the prevalence of eatg disorrs, we tted the relatnship of several factors related to participatn wh the gay muny and lifetime and 1-year prevalence of eatg disorrs.

JAGUARS ASSOCIATE STRENGTH ACH KEV MAXEN OUT AS GAY A FIRST FOR US-BASED PRO LEAGU

Although this may have led to misintify some associatns, should not affect the fdgs that were signifint, or our ncln about the prevalence of eatg disorr among LGB men and rults suggt that clicians and public health practners workg wh gay and bisexual men need to be aware of the clil maniftatns of eatg disorrs. As reported by Ranker, she often played men onstage, worked wh lbian director Dorothy Arzner on the movie "Christopher Strong" which she played a headstrong aviator, and even ma a movie wh gay director Gee Cor, "Sylvia Srlett, " that featured a same-sex kiss as Hepburn played a woman pretendg to be a man.

EATG DISORRS DIVERSE LBIAN, GAY, AND BISEXUAL POPULATNS

ACTIVISTS NMN VLENCE AGAST LGBTQ MUNY ST. VCENT, WHERE GAY SEX IS ILLEGAL

CALIFORNIA STILL HAS AN ANTI-GAY MARRIAGE LAW ON THE BOOKS. VOTERS ULD REMOVE NEXT YEAR