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Eat Behav. Author manuscript; available in PMC 2017 August 01. Published in final edited form as: Eat Behav. 2016 August ; 22: 27–33. doi:10.1016/j.eatbeh.2016.03.021.

Gender and Racial/Ethnic Differences in Binge Eating Symptoms in a Nationally Representative Sample of Adolescents in the United States

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Angela E. Lee-Winn*, Department of Mental Health, Johns Hopkins Bloomberg School of Public Health 624 North Broadway Hampton House, Room 782 Baltimore, MD 21205, USA, [email protected] Shauna P. Reinblatt, The Johns Hopkins University School of Medicine, Department of Psychiatry and Behavioral Sciences, Division of Child and Adolescent Psychiatry, 550 North Broadway, Room 206D, Baltimore, MD 21205 USA, [email protected] Ramin Mojtabai, and Department of Mental Health, Johns Hopkins Bloomberg School of Public Health 624 North Broadway Hampton House, Room 797 Baltimore, MD 21205, USA, [email protected] Tamar Mendelson Department of Mental Health, Johns Hopkins Bloomberg School of Public Health 624 North Broadway Hampton House, Room 853 Baltimore, MD 21205, USA, [email protected]

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Abstract Objective—Binge eating disorder (BED) is the most prevalent eating disorder in the U.S. adolescent population. Both BED and subthreshold binge eating disorder (SBED) are associated with physical and mental health problems. Gender and racial/ethnic differences in prevalence of binge eating in a nationally representative sample of adolescents have been reported but have not yet been assessed in relation to individual symptoms of binge eating. We examined gender and racial/ethnic differences in endorsement of eight binge eating symptoms in a nationally representative sample of U.S. adolescents.

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Corresponding author: Angela E. Lee-Winn is now at National Institutes of Health, Eunice Shriver Kennedy National Institute of Child Health and Human Development, 6100 Executive Blvd 7B13 Rockville, MD 20892 USA, [email protected]. 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.

Conflict of Interest S. Reinblatt has received royalties from the Osler Institute for Past Board Review CME Lectures; non-financial support (travel) from Sunovion, Actavis and Alcobra; consulting for the National Board of Medical Examiners. R. Mojtabai has received research funding and consulting fees from Bristol-Myers Squibb and Lundbeck Pharmaceuticals and royalties from UptoDate©. All other authors declare that they have no conflicts of interest. Contributors A. Lee-Winn contributed to the study conceptualization, acquisition of data, analysis and interpretation of the acquired data, and drafting and revision of the manuscript. S. Reinblatt, R. Mojtabai, and T. Mendelson contributed to interpretation of the study results and critical revision of the manuscript. All authors have approved the final manuscript.

Lee-Winn et al.

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Methods—We used data from the National Comorbidity Survey-Adolescent Supplement (NCSA; 2001–2004), a nationally representative cross-sectional study of adolescents aged 13 to 18 years (n=9,336). We compared binge eating symptoms across genders and racial/ethnic groups using multivariable regression models. Results—Females endorsed more binge eating symptoms than males associated with loss of control (‘eat when not hungry’ (adjusted prevalence ratio [aPR]=1.18, 95% confidence interval [CI]=1.02, 1.37, p=0.024) and distress (e.g., ‘afraid of weight gain while binge eating’ [aPR=3.29, CI=2.43, 4.47, p

ethnic differences in binge eating symptoms in a nationally representative sample of adolescents in the United States.

Binge eating disorder (BED) is the most prevalent eating disorder in the U.S. adolescent population. Both BED and subthreshold binge eating disorder (...
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