J Eat Disord. 2016 Dec 15;4:39. doi: 10.1186/s40337-016-0126-y. eCollection 2016.
Associations between unhealthy dieting behaviors and tobacco use among adolescents.
Journal of eating disorders
Megan E Sutter, Aashir Nasim, Susan Veldheer, Caroline O Cobb
Affiliations
Affiliations
- Department of Psychology, Virginia Commonwealth University, 808 West Franklin St, Richmond, VA 23284 USA.
- Department of African American Studies, Virginia Commonwealth University, Richmond, VA USA.
- Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA USA.
- Department of Psychology, Virginia Commonwealth University, 808 West Franklin St, Richmond, VA 23284 USA ; Center for the Study of Tobacco Products, Virginia Commonwealth University, Richmond, VA USA.
PMID: 28018597
PMCID: PMC5159949 DOI: 10.1186/s40337-016-0126-y
Abstract
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 (
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.
Keywords: Child & adolescent health; Nutrition & diet; Risk behaviors; Smoking & tobacco
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