Purpose Gender-expansive individuals (i.e., those who identify outside of the binary system of man or woman) are a marginalized group that faces discrimination and have a high burden of mental health problems, but there is a paucity of research on eating disorders in this population. This study aimed to describe the community norms for the Eating Disorder Examination Questionnaire (EDE-Q) in gender-expansive populations. Methods The participants were 988 gender-expansive individuals (defined as neither exclusively cisgender nor binary transgender) from The PRIDE study, an existing longitudinal cohort study of health outcomes in sexual and gender minority people. Results We present the mean scores, standard deviations, and percentile ranks for the Global score and four subscale scores of the EDE-Q in this group as a whole and stratified by sex assigned at birth. Gender-expansive individuals reported any occurrence (≥1/28 days) of dietary restraint (23.0%), objective binge episodes (12.9%), excessive exercise (7.4%), self-induced vomiting (1.4%), or laxative misuse (1.2%). We found no statistically significant differences by sex assigned at birth. Compared to a prior study of transgender men and women, there were no significant differences in eating attitudes or disordered eating behaviors noted between gender-expansive individuals and transgender men. Transgender women reported higher Restraint and Shape Concern subscale scores compared to gender-expansive individuals. Compared to a prior study of presumed cisgender men 18–26 years, our age-matched gender-expansive sample had higher Eating, Weight, and Shape Concern subscales and Global Score, but reported a lower frequency of objective binge episodes and excessive exercise. Compared to a prior study of presumed cisgender women 18–25 years, our age-matched gender-expansive sample had a higher Shape Concern subscale score, a lower Restraint subscale score, and lower frequencies of self-induced vomiting, laxative misuse, and excessive exercise. Conclusions Gender-expansive individuals reported lower Restraint and Shape Concern scores than transgender women; higher Eating, Weight, and Shape Concern scores than presumed cisgender men; and lower Restraint but higher Shape Concern scores than presumed cisgender women. These norms can help clinicians in treating this population and interpreting the EDE-Q scores of their gender-expansive patients.

中文翻译：

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性别广泛人群中饮食失调检查问卷 (EDE-Q) 的社区规范

目的跨性别者（即那些在男人或女人的二元系统之外进行身份识别的人）是一个面临歧视且心理健康问题负担沉重的边缘化群体，但在这方面缺乏对饮食失调的研究。人口。本研究旨在描述性别广泛人群中饮食障碍检查问卷 (EDE-Q) 的社区规范。方法 参与者是来自 PRIDE 研究的 988 名性别广泛的个体（定义为既不是完全顺性别也不是二元跨性别），这是一项现有的关于性和性别少数人群健康结果的纵向队列研究。结果 我们给出了平均分、标准差、该组作为一个整体并按出生时分配的性别分层的全球分数和 EDE-Q 的四个分量表分数的百分位排名。性别广泛的个体报告任何发生（≥1/28 天）的饮食限制 (23.0%)、客观暴饮暴食 (12.9%)、过度运动 (7.4%)、自我诱导呕吐 (1.4%) 或滥用泻药（ 1.2%）。我们发现按出生时分配的性别没有统计学上的显着差异。与之前对跨性别男性和女性的研究相比，性别广泛的人和跨性别男性在饮食态度或饮食紊乱方面没有显着差异。与性别广泛的个体相比，跨性别女性报告的克制和形状关注分量表得分更高。与之前对 18-26 岁假定顺性别男性的研究相比，我们的年龄匹配的性别扩展样本具有较高的饮食、体重和形状关注分量表和全球评分，但报告客观暴饮暴食和过度运动的频率较低。与之前对 18-25 岁假定顺性别女性的研究相比，我们的年龄匹配的性别扩展样本具有更高的形状关注分量表得分、更低的约束分量表得分以及更低的自我诱导呕吐、滥用泻药和过度使用锻炼。结论 与跨性别女性相比，性别广泛的个体报告的克制和形状关注得分较低；比假定的顺性别男性更高的饮食、体重和形状关注分数；与假定的顺性别女性相比，较低的克制但较高的形状关注分数。