TY - JOUR
T1 - Associations between unhealthy dieting behaviors and tobacco use among adolescents
AU - Sutter, Megan E.
AU - Nasim, Aashir
AU - Veldheer, Susan
AU - Cobb, Caroline O.
N1 - Funding Information:
CC is funded by the Virginia Foundation for Healthy Youth, the National Cancer Institute (P30CA016059, R21CA184634) and National Institute on Drug Abuse of the National Institutes of Health and the Center for Tobacco Products of the U.S. Food and Drug Administration (P50DA036105). SV is primarily funded by the National Institute on Drug Abuse of the National Institutes of Health and the Center for Tobacco Products of the U.S. Food and Drug Administration (under Award Numbers P50DA036107, P50DA036105). This article is solely the responsibility of the author and does not necessarily represent the official views of the National Institutes of Health or the Food and Drug Administration.
Funding Information:
The VYS is an ongoing statewide monitoring and surveillance survey of tobacco use and other health behaviors funded by the U.S. Centers for Disease Control and Prevention, the Department of Health in collaboration with the Virginia Foundation for Healthy Youth, with support from the Department of Education [4]. Description of the survey and methodology used are available elsewhere [22]. In brief, a two-stage cluster sample design of schools and classes is used to obtain a representative student sample in grades 9– 12. The first stage of sampling involves choosing schools with probability proportional to enrollment, and during the second stage of sampling, intact classes are selected randomly. Weighting is used to adjust for non-response bias and the distribution of students by grade, sex, race/ethnicity in each state (i.e., geographic region sampled). The weight is applied to each student; weighted estimates are representative of all students in grades 9–12 in Virginia.
Publisher Copyright:
© 2016 The Author(s).
PY - 2016/12/15
Y1 - 2016/12/15
N2 - Background: Cigarette smoking is an important risk factor for unhealthy dieting behaviors (UDBs) in youth. The role of alternative tobacco products and UDB engagement has yet to be examined empirically despite concerning trends in use. This study aimed to examine UDB prevalence in a U.S. geographic region-specific adolescent sample and associations with a variety of tobacco use behaviors and perceptions. Methods: Weighted data from the 2013 Virginia Youth Survey were analyzed (n = 6903). UDBs assessed included past 30-day fasting, diet pill use, and vomiting/laxative use. Tobacco-related items were ever and past 30-day cigarette smoking, past 30-day smokeless tobacco and cigar use, and the perception that smokers have more friends. UDB prevalence was recoded by the number of behaviors endorsed (0, 1, and 2+). Bivariate and multinomial regression models were used to examine associations between covariates and number of UDBs endorsed by gender. Results: Overall, nearly 16% engaged in at least one UDB. Fasting was most prevalent (14.2%) followed by vomiting/laxative (7.0%) and diet pill use (6.1%). Across gender, ever cigarette smoking, past 30-day cigar use, and the perception that smokers have more friends were positively associated with UDB engagement in relative isolation as well as in combination. Conclusions: Findings highlight the importance of tobacco-related factors for weight control behaviors and are the first to identify an association between UDB incidence and an alternative tobacco product, cigars. This work should inform prevention efforts for tobacco use and UDBs and underscores the need to address the use of any tobacco for weight control.
AB - Background: Cigarette smoking is an important risk factor for unhealthy dieting behaviors (UDBs) in youth. The role of alternative tobacco products and UDB engagement has yet to be examined empirically despite concerning trends in use. This study aimed to examine UDB prevalence in a U.S. geographic region-specific adolescent sample and associations with a variety of tobacco use behaviors and perceptions. Methods: Weighted data from the 2013 Virginia Youth Survey were analyzed (n = 6903). UDBs assessed included past 30-day fasting, diet pill use, and vomiting/laxative use. Tobacco-related items were ever and past 30-day cigarette smoking, past 30-day smokeless tobacco and cigar use, and the perception that smokers have more friends. UDB prevalence was recoded by the number of behaviors endorsed (0, 1, and 2+). Bivariate and multinomial regression models were used to examine associations between covariates and number of UDBs endorsed by gender. Results: Overall, nearly 16% engaged in at least one UDB. Fasting was most prevalent (14.2%) followed by vomiting/laxative (7.0%) and diet pill use (6.1%). Across gender, ever cigarette smoking, past 30-day cigar use, and the perception that smokers have more friends were positively associated with UDB engagement in relative isolation as well as in combination. Conclusions: Findings highlight the importance of tobacco-related factors for weight control behaviors and are the first to identify an association between UDB incidence and an alternative tobacco product, cigars. This work should inform prevention efforts for tobacco use and UDBs and underscores the need to address the use of any tobacco for weight control.
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U2 - 10.1186/s40337-016-0126-y
DO - 10.1186/s40337-016-0126-y
M3 - Article
AN - SCOPUS:85006086308
VL - 4
JO - Journal of Eating Disorders
JF - Journal of Eating Disorders
SN - 2050-2974
IS - 1
M1 - 39
ER -
