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The association between sexual orientation and eating disorders‐related eating behaviours in adolescents: A systematic review and meta‐analysis

Cao, Zhangqi; Cini, Erica; Pellegrini, Dario; Fragkos, Kostantinos C; (2023) The association between sexual orientation and eating disorders‐related eating behaviours in adolescents: A systematic review and meta‐analysis. European Eating Disorders Review , 31 (1) pp. 46-64. 10.1002/erv.2952. Green open access

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Abstract

BACKGROUND: Sexual orientation is usually developed during the adolescence, which coincides with the eating disorders peak onset. This paper aims to explore existing literature to identify whether there is an association between sexual orientation and eating disorder-related eating behaviours (EDrEBs) in this age-group. METHODS: This review was based on the PRISMA guidelines, covering the published articles between 1990 and 2021. A meta-analysis of the proportion of sexual orientation and the adjusted odds ratio (OR) with 95% confident intervals was reported. RESULTS: Ten studies (412,601 participants) were included in this review. The results demonstrated adolescents identified as minority sexual orientation, particularly homosexual males were with higher OR of EDrEBs, as follows: Homosexual (binge eating: M = 7.20, F = 2.14; purging: M = 5.40, F = 2.41; diet pills use: M = 3.50, F = 2.59; dieting: M = 3.10, F = 1.75); Bisexual (binge eating: M = 4.60, F = 2.26; purging: M = 4.44, F = 2.37; diet pills use: M = 3.42, F = 2.30; dieting: M = 2.36, F = 1.86). CONCLUSIONS: Adolescents who were of a minority sexual orientation were more vulnerable to EDrEBs than their heterosexual peers. Healthcare professionals and sexual minority communities should be primed to facilitate earlier recognition and access to services in these vulnerable groups.

Type: Article
Title: The association between sexual orientation and eating disorders‐related eating behaviours in adolescents: A systematic review and meta‐analysis
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/erv.2952
Publisher version: https://doi.org/10.1002/erv.2952
Language: English
Additional information: © 2022 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (http://creativecommons.org/licenses/by-nc-nd/4.0/).
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/10173412
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