The number of individuals identifying as multiracial in the United States (US) has significantly increased in the past few decades, yet they are rarely the focus of study in eating disorders (ED) research. The current study is among the first to examine prevalence estimates of ED pathology across several distinct multiracial groups, to contrast prevalence estimates of ED pathology in each multiracial group with those among the corresponding monoracial identities, and to investigate these findings intersectionally with gender identity. Data from 145,379 US students, 11,433 of whom were multiracial, were collected from 199 US colleges and universities participating in the Healthy Minds Study between 2014 and 2019. Elevated ED pathology was defined as a score ≥ 2 on the SCOFF. Multiracial individuals identifying as American Indian/Alaskan Native and Hispanic/Latinx exhibited the highest prevalence estimates of elevated ED pathology (41.4% compared to 23.5% in the full sample). This group, as well as some other doubly marginalized groups (African American/Black and Hispanic/Latinx; African American/Black and Asian American/Asian), exhibited higher prevalence of elevated ED pathology than expected based on the observed prevalence estimates in their corresponding monoracial groups. Across gender identities, greater than expected prevalence estimates of elevated ED pathology were observed among multiracial individuals identifying as African American/Black and White and lower than expected prevalence estimates were observed among multiracial individuals identifying as Middle Eastern/Arab/Arab American and White. These results have important implications for understanding ED pathology in multiracial individuals and should inform intervention and treatment efforts to support individuals from these underserved groups.

在过去的几十年里，在美国 (US) 被认定为多种族的人数显着增加，但他们很少成为饮食失调 (ED) 研究的重点。目前的研究是第一个检查几个不同多种族群体的 ED 病理学患病率估计值，将每个多种族群体中 ED 病理学的患病率估计值与相应的单种族身份中的患病率估计值进行对比，并将这些发现与性别认同交叉调查。在 2014 年至 2019 年期间，从 199 所美国大学和大学中收集了 145,379 名学生的数据，其中 11,433 人是多种族的。ED 病理学升高定义为 SCOFF 评分≥2。识别为美洲印第安人/阿拉斯加原住民和西班牙裔/拉丁裔的多种族个体表现出 ED 病理学升高的最高患病率估计值（41.4% 与完整样本中的 23.5% 相比）。该群体以及其他一些双重边缘化群体（非洲裔美国人/黑人和西班牙裔/拉丁裔；非洲裔美国人/黑人和亚裔美国人/亚洲人）表现出比预期更高的 ED 病理学升高患病率，基于观察到的相应患病率估计单种族群体。在性别认同中，在被认定为非洲裔美国人/黑人和白人的多种族个体中观察到高于预期的 ED 病理学升高的患病率估计值，而在被认定为中东/阿拉伯/阿拉伯裔美国人和白人的多种族个体中观察到低于预期的患病率估计值。