PMID- 37002190
OWN - NLM
STAT- MEDLINE
DCOM- 20230721
LR  - 20231003
IS  - 1098-108X (Electronic)
IS  - 0276-3478 (Print)
IS  - 0276-3478 (Linking)
VI  - 56
IP  - 7
DP  - 2023 Jul
TI  - Associations between household income and disordered eating differ across sex and 
      racial identity in a population-based sample of adults.
PG  - 1391-1405
LID - 10.1002/eat.23948 [doi]
AB  - BACKGROUND: Most research on socioeconomic status (SES) and eating disorders 
      (EDs) has focused on young White women. Consequently, little is known regarding 
      how SES may relate to EDs/disordered eating in older adults, men, or people with 
      different racial identities. We examined whether associations between SES and 
      EDs/disordered eating differed across age, sex, and racial identity in a large, 
      population-based sample spanning early-to-later adulthood. METHODS: Analyses 
      included 2797 women and 2781 men ages 18-65 (M(age)  = 37.41, SD = 7.38) from the 
      population-based Michigan State University Twin Registry. We first examined 
      associations between SES and dimensional ED symptoms, binge eating (BE), and 
      self-reported ED diagnoses across age and sex in the full sample. We then 
      examined the impact of racial identity on associations by conducting within- and 
      between-group analyses among Black and White participants. RESULTS: In the full 
      sample, lower SES was associated with significantly greater odds of BE and 
      lifetime EDs in men, but not women, across adulthood. The association between 
      lower SES and greater BE risk was stronger for Black men than for White men, 
      though significant in both groups. Conversely, Black women showed a positive 
      association between SES and dimensional ED symptoms that significantly differed 
      from effects for Black men and White women. CONCLUSIONS: Associations between 
      socioeconomic disadvantage and EDs/disordered eating may be particularly robust 
      for men in adulthood, especially men with a marginalized racial identity. 
      Oppositely, Black women may encounter social pressures and minority stress in 
      higher SES environments that could contribute to somewhat heightened ED risk. 
      PUBLIC SIGNIFICANCE: Little is known regarding how associations between 
      socioeconomic status (SES) and eating disorders (EDs) may differ across age/sex 
      or racial identity. We found lower SES was associated with greater odds of a 
      lifetime ED or binge eating in men only, with a particularly strong association 
      between lower SES and binge eating for Black men. Results highlight the 
      importance of examining how SES-ED associations may differ across other aspects 
      of identity.
CI  - (c) 2023 The Authors. International Journal of Eating Disorders published by Wiley 
      Periodicals LLC.
FAU - Mikhail, Megan E
AU  - Mikhail ME
AUID- ORCID: 0000-0001-9262-3683
AD  - Department of Psychology, Michigan State University, East Lansing, Michigan, USA.
FAU - Ackerman, Lindsay S
AU  - Ackerman LS
AD  - Department of Psychology, Michigan State University, East Lansing, Michigan, USA.
FAU - Anaya, Carolina
AU  - Anaya C
AUID- ORCID: 0000-0002-7180-8993
AD  - Department of Psychology, Michigan State University, East Lansing, Michigan, USA.
FAU - Culbert, Kristen M
AU  - Culbert KM
AUID- ORCID: 0000-0002-9139-6068
AD  - Department of Psychology, Michigan State University, East Lansing, Michigan, USA.
FAU - Burt, S Alexandra
AU  - Burt SA
AD  - Department of Psychology, Michigan State University, East Lansing, Michigan, USA.
FAU - Klump, Kelly L
AU  - Klump KL
AUID- ORCID: 0000-0003-1790-9264
AD  - Department of Psychology, Michigan State University, East Lansing, Michigan, USA.
LA  - eng
GR  - R01 MH128196/MH/NIMH NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20230331
PL  - United States
TA  - Int J Eat Disord
JT  - The International journal of eating disorders
JID - 8111226
SB  - IM
MH  - Male
MH  - Humans
MH  - Aged
MH  - Adult
MH  - Social Class
MH  - *Binge-Eating Disorder
MH  - *Bulimia
PMC - PMC10524225
MID - NIHMS1895148
OTO - NOTNLM
OT  - binge eating
OT  - disadvantage
OT  - disordered eating
OT  - eating disorder
OT  - financial
OT  - income
OT  - race
OT  - sex differences
OT  - socioeconomic
COIS- Conflicts of Interest: The authors have no conflicts to declare.
EDAT- 2023/04/01 06:00
MHDA- 2023/07/21 06:43
PMCR- 2024/07/01
CRDT- 2023/03/31 22:52
PHST- 2023/03/17 00:00 [revised]
PHST- 2023/02/17 00:00 [received]
PHST- 2023/03/17 00:00 [accepted]
PHST- 2024/07/01 00:00 [pmc-release]
PHST- 2023/07/21 06:43 [medline]
PHST- 2023/04/01 06:00 [pubmed]
PHST- 2023/03/31 22:52 [entrez]
AID - 10.1002/eat.23948 [doi]
PST - ppublish
SO  - Int J Eat Disord. 2023 Jul;56(7):1391-1405. doi: 10.1002/eat.23948. Epub 2023 Mar 
      31.