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. 2020 Oct 16;8:51. doi: 10.1186/s40337-020-00327-y

Table 2.

Eating Disorder and Disordered Eating Behavior Risk Factors in Gay Male Adults and Adolescents

Risk Factors Eating Disorders Disordered Eating Behaviors
Adults Adults Adolescents
Sexual Orientation

Ambivalence about sexual orientation

Concern about the perception of others regarding sexual orientation

Attending a gay recreational group

Sexual objectification experiences

Pornography viewing

Discrimination

Concealment of sexual orientation

Rumination

Internalized homophobia

Internalized homonegativity

Gay community identification (thinner men)

Belonging to the gay community

High-risk sexual behaviors

Achieving sexual minority developmental milestones at a younger age
Relationship Dynamic Social media use

Lower relationship satisfaction

Being single

Unmet need to belong

Social sensitivity

Dating app usage

Bullying

Lack of support from adults

Body Image

Longer exercise sessions

Internalization of cultural standards of attractiveness

Body surveillance

Steroid use

Athletic appearance ideal internalization

Upward appearance-base social comparisons

Body image dissatisfaction

Higher BMI

Awareness of sociocultural norms regarding weight

Implicit and explicit attitudes regarding weight

External motivation for working out

Engaging in behaviors to increase muscle mass

Pressure to diet

Body image disturbance

Body image dissatisfaction

Higher BMI

Lack of physical activity

Body image dissatisfaction

Higher BMI

Intrapsychic Functioning

Susceptibility to social messages

Low self-esteem

Low self-compassion

Media internalization

Demographic Latino/Hispanic or black ethnicity

Caucasian ethnicity

Older age

Younger age

Older age
Mental Health

Anxiety

Depression

Substance use disorder

Specific phobia

Any psychiatric disorder

Childhood sexual abuse

History of childhood sexual abuse

Depression

Negative affect

Alcohol abuse

Gender Attitude

Conformity to masculine norms

Recalled childhood harassment for gender nonconformity

Negative femininity

Greater levels of femininity

Gender role conflict