Objectives
To determine the
relationship between current substance use and unhealthy weight loss practices
(UWLP) among 12-to-18 year olds.
Methods
Participants were
12-to-18 year olds who completed the 2013 Youth Risk Behavior Survey in
Florida (N = 5620). Current alcohol, tobacco, and marijuana use was
self-reported based on last 30-day use. UWLP was defined based on self-report
of at least one of three methods to lose weight in last 30-days: (1) ≥24 h
of fasting, (2) diet pill use, and (3) laxative use/purging. The reference
group included those with no reported UWLP. Logistic regression models adjusted
for age, gender, race/ethnicity, academic performance, age-sex-specific body mass index percentiles, and perceived weight
status were fitted to assess relationships between UWLP and current substance
use.
Results
About 15 and 41 % of adolescents reported ≥1 UWLP and use of
≥1 substance in the last 30-days, respectively. Over half (60.1 %) of
adolescents who reported substance use engaged in UWLP. The prevalence of current alcohol use (50.6 %)
was the highest among those who reported UWLP, followed by marijuana
(31.9 %), tobacco (19.7 %), and cocaine (10.5 %) use.
Adolescents who reported current tobacco, alcohol, or marijuana use had significantly
higher odds of UWLP compared to their non-user counterparts.
Conclusions
This
cross-sectional study shows that substance use and UWLP behaviors are likely to
co-exist in adolescents. Further studies are necessary to determine the
temporal relationship between substance use and UWLP. It is recommended that
intervention programs for youth consider targeting these multiple health risk
behaviors.
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By:
- 1Division of Epidemiology and Population Health Sciences, Department of Public Health Sciences, University of Miami Leonard M. Miller School of Medicine, Miami, FL, 33130, USA. dvidot@med.miami.edu.
- 2Division of Prevention Science and Community Health, Department of Public Health Sciences, University of Miami Leonard M. Miller School of Medicine, Miami, FL, 33130, USA. dvidot@med.miami.edu.
- 3Division of Epidemiology and Population Health Sciences, Department of Public Health Sciences, University of Miami Leonard M. Miller School of Medicine, Miami, FL, 33130, USA. SMessiah@med.miami.edu.
- 4Division of Pediatric Clinical Research, Department of Pediatrics, University of Miami Leonard M. Miller School of Medicine, Miami, FL, 33130, USA. SMessiah@med.miami.edu.
- 5Division of Prevention Science and Community Health, Department of Public Health Sciences, University of Miami Leonard M. Miller School of Medicine, Miami, FL, 33130, USA. GPrado@med.miami.edu.
- 6Division of Epidemiology and Population Health Sciences, Department of Public Health Sciences, University of Miami Leonard M. Miller School of Medicine, Miami, FL, 33130, USA. WHlaing@med.miami.edu.
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