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Stories of lesbian activism are even harder to find. This unique, evocative, and fascinating memoir tells both a personal and a community story of creativity, political commitment, grief, and the love that motivates it all. Confronting Race, Class and the Assumptions of LGBT Politics "This free wheeling memoir of lesbian activism -alternately funny and raucous, meditative and reflective-is a document of a specific time and place.

But it is also a marvelous, timeless tale of wit, survival, determination, and ultimately facing history. Fast-paced and reminiscent of New Narrative, there's a lot of instructive joy to be found with a mixture of performance and protest fueling the prose First, our data are based on nonprobability sampling which may bias our results.

Of greatest concern would be a bias that led to over- or underrepresentation of individuals with eating disorders.

Our sampling strategy was designed to minimize such bias and is a great improvement over current studies of LGB populations whose study volunteers may have been motivated by having greater difficulties around body image and eating disorders than nonvolunteers. A second major limitation is that our sample size was not as large as would be optimal to study eating disorders, particularly because eating disorders have a low base rate in the general population.

As a result, we report large and sometimes unstable standard errors and CIs. This is most pronounced in the group of heterosexual men. Although this may have led us to misidentify some associations, it should not affect the findings that were significant, or our conclusion about the prevalence of eating disorder among LGB men and women. Our results suggest that clinicians and public health practitioners working with gay and bisexual men need to be aware of the clinical manifestations of eating disorders. Clinicians should be particularly attentive to younger LGB clients who are at an increased risk for eating disorders.

The authors thank Greg Falkin and Anna Keski-Rahkonen for their valuable comments on earlier drafts of this manuscript. National Center for Biotechnology Information , U. Int J Eat Disord. Author manuscript; available in PMC Nov Meyer , PhD 3. Author information Copyright and License information Disclaimer.

The publisher's final edited version of this article is available at Int J Eat Disord. See other articles in PMC that cite the published article. Abstract 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 white, black, Latino LGB men and women were sampled from community venues.

Results Gay and bisexual men had significantly higher prevalence estimates of eating disorders than heterosexual men. Conclusion Researchers should study the causes of the high prevalence of eating disorders among gay and bisexual men.

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Participants A total of eligible respondents were interviewed in person. Statistical Analysis To test the first two hypotheses about prevalence of disorders, we estimated lifetime prevalence and standard errors, and tested differences between heterosexual and gay, lesbian, and bisexual men and women. Results Eating Disorder Prevalence In Table 1 we present the lifetime prevalence estimates and standard errors for eating disorders in LGB and heterosexual respondents. Open in a separate window. Conclusion Our study is the first to assess DSM diagnostic categories, rather than use measures that may be indicative of eating disorders e.

At the time you weighed weight reported in EA2 were you very afraid that you might gain weight? Did you feel like you were heavier than you should have been or heavier than you wanted to be? Did you think some parts of your body were too fat?

Did you feel like your self-esteem or confidence depended on your ability to stay thin or to lose even more weight? Did anyone tell you that your low weight was bad for your health? An episode of binge eating is characterized by both of the following: With that definition mind, did you ever have a time in your life when you went on eating binges at least twice a week for several months or longer?

Did you eat until you felt uncomfortably full? Did you usually continue to eat even when you did not feel hungry? Did you usually eat alone because you were embarrassed by how much you ate?

Did you often get upset both during and after binges that your eating was out of your control? Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting, or excessive exercise. Yes on at least one of the following: Did you ever do any of the following things regularly after binging in order to control your weight: Did you fast by not eating at all or only taking liquids for 8 h or longer?

1. Introduction

Did you take water pills, diuretics, or weight-control medicines? Did you make yourself vomit? Did you take laxatives or enemas? Did you exercise excessively?


Self-evaluation is unduly influenced by body shape and weight. Did you feel like your self-esteem and confidence depended on your weight and body shape? The disturbance does not occur exclusively during episodes of anorexia nervosa. In cases that met criteria for anorexia nervosa, as defined above, there was evidence that bulimia nervosa was present at times when anorexia nervosa was absent, as evidenced by: Onset of compensatory behaviors twice weekly or more associated with binge eating at least one year prior to onset of anorexia nervosa;.

Most recent compensatory activities twice weekly or more associated with binge eating at least 1 year after most recent episode of anorexia nervosa; or. Total duration of regular compensatory behaviors associated with binge eating that was at least 1 year longer than the period encompassed by anorexia nervosa.

Bulimia nervosa in a Canadian community sample: Prevalence and comparison of subgroups. Hoek HW, van Hoeken D. Review of the prevalence and incidence of eating disorders.

Eating Disorders in Diverse Lesbian, Gay, and Bisexual Populations

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Gender, sexual orientation, and disordered eating. Sexual orientation and gender as factors in socioculturally acquired vulnerability to body dissatisfaction and eating disorders. J Consult Clin Psychol. Williamson I, Hartley P. British research into the increased vulnerability of young gay men to eating disturbance and body dissatisfaction.

Eur J Eat Disord. Behaviors and attitudes related to eating disorders in homosexual male college students. Yelland C, Tiggemann M. Muscularity and the gay ideal: Body dissatisfaction and disordered eating in homosexual men. Sexual orientation, weight concerns, and eating-disordered behaviors in adolescent girls and boys. Sexual orientation as a risk factor for bulimic symptoms. Eating disorder symptoms and concerns about body differ as a function of gender and sexual orientation. J Soc Clin Psychol. Contemporary challenges in obesity and eating disorders. Basic Appl Soc Psychol. The influence of sexual orientation on body dissatisfaction in adult men and women.

Hospers HJ, Jansen A. Why homosexuality is a risk factor for eating disorder in males. Williamson I, Spence K. Towards an understanding of risk factors for eating disturbance amongst gay men. Actual differences and stereotypical perceptions in body image and eating disturbance: A comparison of male and female heterosexual and homosexual samples. Body image satisfaction in homosexual and heterosexual women. Eating disorders and weight concern among lesbians. Lesbians, bisexual women, and body image: An investigation of gender roles and social group affiliation.

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A comparison of lesbians, gay men, and heterosexuals on weight and restricted eating. Role of sexual orientation and gender-related traits in disordered eating. Differences between lesbians and heterosexual women in disordered eating and related attitudes. Lesbian, gay, bisexual, and transgender health: J Gay Lesbian Med Assoc. Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. Eating disturbances among American minority groups: Body image and eating disturbance across ethnic groups: More similarities than differences.

Final dispositions of case codes and outcome rates for surveys.