Purpose-To describe patterns of purging and binge eating from early through late adolescence in female and male youth across a range of sexual orientations.Methods-Using data from the prospective Growing Up Today Study, a large cohort of U.S. youth, we investigated trends in past-year self-reports of purging (ever vomit or use laxatives for weight control) and binge eating at least monthly. The analytic sample included 57,668 observations from repeated measures gathered from 13,795 youth ages 12 to 23 years providing information collected by self-administered questionnaires from six waves of data collection. We used multivariable logistic regression models to examine sexual orientation group (heterosexual, "mostly heterosexual," bisexual, and lesbian/gay) differences in purging and binge eating throughout adolescence, with same-gender heterosexuals as the referent group and controlling for age and race/ethnicity.Results-Throughout adolescence, in most cases, sexual orientation group differences were evident at the youngest ages and persisted through adolescence. Among females and compared to heterosexuals, "mostly heterosexuals," bisexuals, and lesbians were more likely to report binge eating, but only "mostly heterosexuals" and bisexuals were also more likely to report purging. Among males, all three sexual orientation subgroups were more likely than heterosexual males to report both binge eating and purging. Within each orientation subgroup, females generally reported higher prevalence of purging and binge eating than did males.Corresponding Author: S. Bryn Austin, ScD, Division of Adolescent and Young Adult Medicine, Children's Hospital, 300 Longwood Ave., Boston, MA 02115, Ph (617)355-8194, Fax (617)730-0185, Email: bryn.austin@childrens.harvard.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conclusions-Clinicians need to be alert to the risk of eating disordered behaviors in lesbian, gay, bisexual, and "mostly heterosexual" adolescents of both genders in order to better evaluate these youth and refer them for treatment.
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