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Gender inequalities in Anorexia nervosa and Bulimia nervosa in the United States of America

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Anorexia nervosa (AN) and bulimia nervosa (BN) are eating disorders (EDs) generally associated with women and not seen as disorders that men can also suffer from. This paper explores the prevalence of EDs in men in the United States and comments on the lack of attention in research and media campai...

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  • February 4, 2021
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Public health - Demographic paper

Gender inequalities in Anorexia nervosa and Bulimia nervosa in the United
States of America

Maud van den Berge, Raluca Siska & Margot Zomer

04-12-2019

Mirte Kuipers & Hanneke Merten

Amsterdam University College


Abstract

Anorexia nervosa (AN) and bulimia nervosa (BN) are eating disorders (EDs) generally

associated with women and not seen as disorders that men can also suffer from. This paper explores

the prevalence of EDs in men in the United States and comments on the lack of attention in research

and media campaigns for male patients compared to female patients. Despite a higher prevalence in

females, it is also a problem in males that requires attention. The limited amount of information on

how EDs manifest in men can cause misdiagnosis, a lack of understanding of their symptoms, and

fuels the stigma surrounding male ED patients. This can result in men not getting diagnosed, thus the

actual percentage of affected males may be considerably higher. There is a multitude of determinants

that contribute to the development of EDs, and the rise of mass media has created standards to look a

certain way. These standards, however, differ between genders, as more pressure is put on females,

which can explain why their prevalence is higher. Additionally, men are not encouraged to show any

form of emotional vulnerability in today’s society, again fueling the stigma. In order to gain

understanding of EDs in males, more extensive research on their symptoms and behavior should be

done. There are already good intervention treatments available for diagnosed patients, such as family-

based behavioral treatment. Tackling the stigma through government induced media campaigns and

platforms with a male narrative can open up the discussion and allow more research to take place, for

example through screening high-risk populations such as high school students. Altogether, by

, attaining more information about EDs in males and normalizing them in society, the misconception

and gender inequality of EDs can be reduced.

Keywords: Eating disorders, Anorexia Nervosa, Bulimia Nervosa, Gender inequality




Gender inequalities in Anorexia nervosa and Bulimia nervosa in the United
States

Introduction

Anorexia nervosa (AN) and bulimia nervosa (BN) are generally associated with women and

not seen as disorders that are also prevalent in men. Anorexia nervosa is an eating disorder (ED)

strongly related to mental health issues and emotional pathology, resulting in an obsession with body

image and losing weight. This obsession becomes a severe problem when people suffering from AN

lose weight to an extent that threatens their life (Cottrel & Williams, 2016). Bulimia nervosa is an

eating disorder that involves overeating followed by induced vomiting, using laxatives or/and

excessive exercising to make sure there is no or less caloric intake (Cottrel & Williams, 2016). This

paper aims to explore the prevalence of eating disorders in men in the United States and why there is

less attention for men with eating disorders than for women.

Although EDs are more often prevalent in women, with the female to male ratio ranging from

3:1 to 18:1, there is a number of men that are diagnosed with EDs, which means it is a problem that

acquires attention (Kinasz, Accuso, Kass & Le Grange, 2017). According to a study done by Weltzin

in 2005 males accounted for approximately 10% of AN and BN. A study carried out by Hudson

however, reported that 25% of AN and BN cases were males (2007). These numbers indicate that the

prevalence, as well as the incidence among men is increasing, potentially because more men are

seeking help and thus being diagnosed (Strother, Lemberg, Stanford & Turberville, 2017). However,

there are still inequalities at play when it comes to men with eating disorders.

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