{"id":1881,"date":"2023-05-03T13:28:58","date_gmt":"2023-05-03T17:28:58","guid":{"rendered":"https:\/\/www.acpsk12.org\/theogony\/2022-2023\/?p=1881"},"modified":"2023-05-03T13:28:58","modified_gmt":"2023-05-03T17:28:58","slug":"a-hidden-demographic","status":"publish","type":"post","link":"https:\/\/www.acpsk12.org\/theogony\/2022-2023\/2023\/05\/03\/a-hidden-demographic\/","title":{"rendered":"A Hidden Demographic\u00a0"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Eating disorders in males are on the rise. Here\u2019s what experts and students have to say about it.<\/h4>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Yahney-Marie Sangar\u00e9<\/p>\n<cite>Editor<\/cite><\/blockquote>\n\n\n\n<p>The National Association of Anorexia Nervosa and Associated Disorders (NADA) <a href=\"https:\/\/anad.org\/eating-disorders-statistics\/\">reports that<\/a> 9% of Americans will suffer from an eating disorder in their lifetime. With anorexia (a type of eating disorder) having <a href=\"https:\/\/www.eatingdisorderhope.com\/information\/anorexia\/anorexia-death-rate#:~:text=The%20anorexia%20death%20rate%20is,and%20often%20long%2Dterm%20treatment.\">the highest mortality rate of any mental illness<\/a>, and conversations about mental health drastically increasing in a post-pandemic era, challenges still exist in having inclusive awareness. Specifically, of the nearly 30 million Americans who will suffer from an eating disorder in their lifetime, 25% will be male.&nbsp;<\/p>\n\n\n\n<p>\u201cThe stereotypical media representation of someone who is affected by an eating disorder has been a white, young female in a lower weight body. We know that eating disorders affect people of all ages, races, genders, sexual orientations, socio-economic status, weights and sizes,\u201d said Elizabet Altunkara, Director of Education at NEDA. \u201cThis misperception may lead to the under or undiagnosis of men with eating disorders and may prevent men from seeking help and support.\u201d<\/p>\n\n\n\n<p>From 1999 to 2009, the <a href=\"https:\/\/hcup-us.ahrq.gov\/reports\/statbriefs\/sb120.pdf\">Healthcare Cost and Utilization Project<\/a> found a 53% increase in male adolescent hospitalizations for eating disorders. The New York Times <a href=\"https:\/\/www.nytimes.com\/2021\/04\/28\/well\/family\/teens-eating-disorders.html\">published an article <\/a>in 2021 documenting the explosion in diagnoses of eating disorders, which stretched already-scarce resources thin. Although eating disorders are not new (\u2018anorexia nervosa\u2019 was coined in the 19th century), a wide-scale public acknowledgment of eating disorders only came in the late 20th century. Now, it may be necessary to have another conversation. The challenge &#8212; for schools, parents and people &#8212; is when and where.<\/p>\n\n\n\n<p>The <a href=\"https:\/\/www.psychiatry.org\/patients-families\/eating-disorders\/what-are-eating-disorders\">American Psychiatric Association<\/a> defines eating disorders as \u201cbehavioral conditions characterized by severe and persistent disturbance in eating behaviors and associated distressing thoughts and emotions.\u201d Although eating disorders occur across all age groups (with the median age of onset being 18 for anorexia nervosa and bulimia nervosa), a <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4482129\/#R38\">2015 study<\/a> found that the age at which eating disorders are most likely to occur in men was lower than that of women.&nbsp;<\/p>\n\n\n\n<p>In 2013, Virginia signed <a href=\"https:\/\/lis.virginia.gov\/cgi-bin\/legp604.exe?131+ful+CHAP0715&amp;131+ful+CHAP0715\">HB 1406<\/a>, mandating that the Department of Education work with the Department of Health &#8212; alongside various organizations, including NEDA &#8212; to develop a framework for parental education around eating disorders. The 2020 Health Standards of Learning outlines eating disorder education for students in seventh and ninth grade, including warning signs, symptoms and knowing community resources. Still, in ACHS, many students&#8217; first exposure to eating disorders far predates learning about it in a health class&#8211;if it was ever addressed at all.<\/p>\n\n\n\n<p>\u201cI don\u2019t think I\u2019ve ever seen [eating disorders] covered in schools,\u201d said junior Sophia Waldhoff. \u201cSometimes, there might be a character in a book we\u2019re reading that\u2019ll have an eating disorder, and the teacher will say, \u2018eating disorders are bad,\u2019 but that\u2019s it.\u201d&nbsp;<\/p>\n\n\n\n<p>\u201cMy first exposure to eating disorders as a concept was in school, but as a thing, probably from peers,\u201d said junior Finn McBride. \u201cYou get the rough low-down in health class, but it\u2019s not in depth.\u201d<\/p>\n\n\n\n<p>Although resources for eating disorders exist, they\u2019re often in limited supply. A <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25047025\/\">2014 study<\/a> found that 80.6% of surveyed residency programs in the United States did not offer any form of eating disorder training.&nbsp;<\/p>\n\n\n\n<p>\u201cWe know that most doctors don\u2019t receive training on eating disorders in medical school or in their residency. Since eating disorders are complex illnesses, we always recommend seeking help from a professional who specializes in eating disorders. There are many efforts to raise awareness of eating disorders for primary physicians so that they are at a better place to recognize the signs and refer the patient to appropriate resources,\u201d said Altunkara.<\/p>\n\n\n\n<p>This lack of education bleeds into public knowledge. Although statistically most people will know at least one person with an eating disorder, rarely are informed conversations held, especially among men. Media portrayals with characters that are not white women are also fairly uncommon, and social media might be feeding the problem.&nbsp;<\/p>\n\n\n\n<p>\u201cThe only representation I\u2019ve seen that features a male is <em>Heartstopper<\/em> by Alice Oseman,\u201d said senior Owen Maccubbin. \u201cI\u2019ve not had any formal [education] telling me how to deal with a [friend opening about an eating disorder.] I don\u2019t think I\u2019ve ever been told what an eating disorder is in school.\u201d&nbsp;<\/p>\n\n\n\n<p>\u201cEating disorders are barely talked about [among men], and if they are, [they\u2019re] used as an insult,\u201d said McBride.&nbsp;<\/p>\n\n\n\n<p>Considering eating disorders manifest from a myriad of interwoven issues, treatment and prevention are often specified. Stigma &#8212; both around eating disorders and related mental health issues &#8212; is a predominant issue. And, although eating disorders are <a href=\"https:\/\/www.nationaleatingdisorders.org\/risk-factors\">not strictly about body image<\/a>, a lack of transparent conversations about mental health in men may prevent those with eating disorders from getting the help they need.<\/p>\n\n\n\n<p>\u201cThe biggest misconception is that men cannot suffer from an eating disorder and that it\u2019s just a female issue. The messages about the \u2018the appearance ideal\u2019 that we receive from the media are also slightly different for men. The \u201cideal\u201d male body type in the media is lean and muscular. Exposure to these ideals may lead to body dissatisfaction in males, which we know is a risk factor for developing an eating disorder,\u201d said Altunkara.<\/p>\n\n\n\n<p>Outside of body image, eating disorders in both men and women can be caused by a variety of situational, psychological and genetic factors. However, sociological analysis of eating disorders in men has posed some common differences between the experiences of men and women. Various studies have found that mortality rates for males with eating disorders may be higher than that of women&#8211;possibly due to representation within diagnosis. Perceptions about eating disorders may cause shame in sufferers, especially men.&nbsp;<\/p>\n\n\n\n<p>\u201cPeople dismiss eating disorders as a teenage girl problem, like the people who are suffering are being dramatic. The \u2018just eat\u2019 mindset can be rooted in misogyny, but also in ignorance,\u201d said Waldhoff. \u201cTeenage boys feel a bit of embarrassment caring about the way they look at all.\u201d&nbsp;<\/p>\n\n\n\n<p>\u201cI think in general, a lot of men are less outward about their emotions, they try to bottle things up,\u201d said Maccubbin. \u201cI think that makes them less likely to seek help or talk about their issues until the point that it is extremely bad, or to the point that they can\u2019t function. . .. They have a sort of complex that they\u2019d seem weak if they had certain issues, especially concerning mental health.\u201d<\/p>\n\n\n\n<p>Still, not all men have the same experiences.&nbsp;<\/p>\n\n\n\n<p>\u201cIt\u2019s not toxic masculinity that makes me worried about opening up [about mental health]; it\u2019s toxic everything in general,\u201d said McBride. \u201cI don\u2019t zero in on the male aspect; that really oversimplifies things when it\u2019s really easy to blame it on the surrounding friction that men create.\u201d&nbsp;<\/p>\n\n\n\n<p>It is hard to zero in on a solution. Generally, eating disorders are treatable with intervention, support and professional treatment. Organizations like NEDA work hard to spread awareness of eating disorders, but there is also a fine line between what can be helpful to a vulnerable audience.<\/p>\n\n\n\n<p>Although Waldhoff said that she thinks more comprehensive education on eating disorders is necessary, there were stipulations. \u201cYes, but [teachers] cannot just say, \u2018This is what they are.\u2019 You have to say, \u2018this is what it is, and it will kill you.\u2019\u201d<\/p>\n\n\n\n<p><em>If you or a loved one is suffering from an eating disorder, help is available. View <\/em><a href=\"https:\/\/www.nationaleatingdisorders.org\/help-support\/contact-helpline\"><em>https:\/\/www.nationaleatingdisorders.org\/help-support\/contact-helpline<\/em><\/a><em> or talk to a trusted health professional for information and support.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The National Association of Anorexia Nervosa and Associated Disorders (NADA) reports that 9% of Americans will suffer from an eating disorder in their lifetime. With anorexia (a type of eating disorder) having the highest mortality rate of any mental illness, and conversations about mental health drastically increasing in a post-pandemic era, challenges still exist in having inclusive awareness. Specifically, of the nearly 30 million Americans who will suffer from an eating disorder in their lifetime, 25% will be male.\u00a0<\/p>\n","protected":false},"author":6,"featured_media":1883,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[18,3],"tags":[539,538,540,22,541],"class_list":["post-1881","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-banner-slider","category-news","tag-men","tag-mental-health-2","tag-mental-illness","tag-news","tag-psychology"],"jetpack_featured_media_url":"https:\/\/www.acpsk12.org\/theogony\/2022-2023\/wp-content\/uploads\/2023\/05\/med-graphic.png","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.acpsk12.org\/theogony\/2022-2023\/wp-json\/wp\/v2\/posts\/1881","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.acpsk12.org\/theogony\/2022-2023\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.acpsk12.org\/theogony\/2022-2023\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.acpsk12.org\/theogony\/2022-2023\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.acpsk12.org\/theogony\/2022-2023\/wp-json\/wp\/v2\/comments?post=1881"}],"version-history":[{"count":1,"href":"https:\/\/www.acpsk12.org\/theogony\/2022-2023\/wp-json\/wp\/v2\/posts\/1881\/revisions"}],"predecessor-version":[{"id":1885,"href":"https:\/\/www.acpsk12.org\/theogony\/2022-2023\/wp-json\/wp\/v2\/posts\/1881\/revisions\/1885"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.acpsk12.org\/theogony\/2022-2023\/wp-json\/wp\/v2\/media\/1883"}],"wp:attachment":[{"href":"https:\/\/www.acpsk12.org\/theogony\/2022-2023\/wp-json\/wp\/v2\/media?parent=1881"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.acpsk12.org\/theogony\/2022-2023\/wp-json\/wp\/v2\/categories?post=1881"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.acpsk12.org\/theogony\/2022-2023\/wp-json\/wp\/v2\/tags?post=1881"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}