Boys don't try? Gendered stigma specifically reduces help-seeking for disordered eating in men, but not women.

Abstract

Background: Eating disorders (EDs) affect individuals across all genders, but men remain underrepresented in ED treatment settings. Stigma related to EDs in men may impede help-seeking, particularly for symptoms that deviate from traditional masculine ideals. This study investigates whether stigma-related perceptions of EDs in men specifically moderate the association between disordered eating symptoms and help-seeking intentions in men, i.e., whether there is a gender-specific component of ED stigma.

Methods: In a cross-sectional survey, n = 242 men and n = 249 women completed questionnaires on various disordered eating symptoms ("traditional" thinness-oriented, muscularity-oriented, orthorexic, and avoidant/restrictive eating behaviors), stigma-related perceptions of EDs in men, and help-seeking intentions. Moderator analyses were conducted by gender to explore interactions between symptom severity and stigma in predicting help-seeking intentions.

Results: Help-seeking intentions increased with the severity of disordered eating symptoms in both men and women, except for avoidant/restrictive eating behavior in both genders and muscularity-oriented symptoms in men. Stigma-related perceptions of EDs in men moderated the association between symptoms and help-seeking intentions in men, which was exclusively the case for "feminized" ED symptoms (i.e., thinness and weight concerns). No moderation effects were observed for other symptom domains or among women.

Conclusions: Results support the notion of a gender-specific role of stigma in men's help-seeking behaviors for EDs. Such stigma, which seems to be related to "feminized" ED symptoms, may contribute to men's reluctance to seek help for EDs. These findings emphasize the need for interventions tailored to reduce stigma, particularly regarding men's experiences of EDs, to support equal access to healthcare.