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Bong AR, Cho YG, Park HA, Kim KW. Unhealthy Weight Control Behaviors according to the Status of Combustible Cigarette and Noncombustible Nicotine or Tobacco Product Use among Korean Adolescents with Experience Attempting to Reduce or Maintain Their Body Weight: The 15th Korea Youth Risk Behavior Survey, 2019. Korean J Fam Med 2024; 45:223-230. [PMID: 38720235 PMCID: PMC11273165 DOI: 10.4082/kjfm.21.0170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Revised: 01/16/2024] [Accepted: 03/07/2024] [Indexed: 07/27/2024] Open
Abstract
BACKGROUND Noncombustible nicotine or tobacco product (NNTP) use, and cigarette smoking are associated with a high likelihood of unhealthy weight control behaviors (UWCBs) among adolescents. However, no study has addressed the differences in UWCBs among non-users, single users of combustible cigarettes (CCs) or NNTPs and dual users. This study compared the frequencies of weight control behaviors according to the status of CC and NNTP use among Korean adolescents. METHODS This was a cross-sectional study of 25,094 adolescents who had attempted to reduce or maintain their body weight during the past 30 days, using data from the 15th Korea Youth Risk Behavior Survey, 2019. Data on the status of CC and NNTP use, weight status, and weight control behaviors were obtained using self-report questionnaires. Subjects were categorized into four groups: non-users, cigarette-only users, NNTP-only users, and dual users. RESULTS Among boys and girls, current smokers and NNTP users were 8.9%±0.3% and 5.5%±0.3%, and 4.2%±0.2% and 1.7%±0.1%, respectively. Among boys, NNTP-only users were more likely to engage in extreme weight control behaviors than non-users. Among girls, users of either CCs or NNTPs were more likely to engage in extreme weight control behaviors and less extreme weight control behaviors than non-users. CONCLUSION This study shows that users of either CCs or NNTPs are more likely to engage in UWCBs, and NNTP-only users are the most likely to do so.
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Affiliation(s)
- A Ra Bong
- Department of Family Medicine, Seoul Paik Hospital, College of Medicine, Inje University, Seoul, Korea
| | - Young Gyu Cho
- Department of Family Medicine, Busan Paik Hospital, College of Medicine, Inje University, Busan, Korea
| | - Hyun Ah Park
- Department of Family Medicine, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea
| | - Kyo Woon Kim
- Department of Family Medicine, Seoul Paik Hospital, College of Medicine, Inje University, Seoul, Korea
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2
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Mohapatra S, Wisidagama S, Schifano F. Exploring Vaping Patterns and Weight Management-Related Concerns among Adolescents and Young Adults: A Systematic Review. J Clin Med 2024; 13:2896. [PMID: 38792437 PMCID: PMC11122629 DOI: 10.3390/jcm13102896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Revised: 05/07/2024] [Accepted: 05/11/2024] [Indexed: 05/26/2024] Open
Abstract
Background: Electronic cigarettes or vapes are battery-operated devices that heat a liquid, often containing nicotine and flavouring substances, to produce an inhalable aerosol. Despite being used as an alternative to traditional smoking, many studies have reported their health risks and ineffectiveness in smoking cessation. The impact of e-cigarettes on weight control behaviours, a known effect of traditional cigarette smoking, is unclear. Herein, a systematic review was conducted to explore the relationship between e-cigarette use and body weight changes in adolescents and young adults. Methods: The existing literature from databases such as PubMed, Cochrane Library, Embase, Science Direct, Web of Science, Scopus, and Google Scholar until October 2023 was searched and included in the review. The methodological quality of all selected studies was assessed using the Joanna Briggs Institute's (JBI) Critical Appraisal Checklists for Studies. Results: Out of 5117 citations, 20 publications featuring cross-sectional studies with adolescent participants were qualitatively analysed. The high rates of e-cigarette usage seemed to correlate with increased weight concerns, particularly among females. Regular e-cigarette users who reported being overweight and used calorie restriction for weight reduction were more likely to view vaping as a weight loss or control strategy. Young adults (<24 years) may consume more flavoured e-cigarettes than older users (>25 years). Conclusions: This study revealed a significant use of e-cigarettes among high school students, driven by taste preferences, weight management, and perceived harm reduction. Particularly among girls facing body image pressures, vaping serves as a weight control method. This highlights the need to assess cardiovascular risks and advocate for further research, including longitudinal studies, to inform public health strategies effectively.
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Affiliation(s)
- Srishti Mohapatra
- General Internal Medicine Doctorate Programme, University of Hertfordshire, Hatfield AL10 9AB, UK
| | | | - Fabrizio Schifano
- Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life and Medical Sciences, University of Hertfordshire, Hatfield AL10 9AB, UK;
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3
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Hochgraf AK, Fosco GM, Lanza ST. Comorbidity between body dissatisfaction and nicotine vaping among young adults in college: a daily diary study. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024:1-7. [PMID: 38713866 DOI: 10.1080/07448481.2024.2346354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Accepted: 04/09/2024] [Indexed: 05/09/2024]
Abstract
Objective: The purpose of this study was to elucidate comorbidity between body dissatisfaction and nicotine vaping. Participants: Participants were 121 college students (M age = 20.51 years; 75.0% female; 75.2% White) who participated in a 14-day daily diary study. Methods: Logistic regression was used to test links between baseline trait body dissatisfaction and vaping frequency across 14 days. Multilevel logistic regression was used to test within-person, daily links between body dissatisfaction and nicotine vaping. Results: Each additional unit of trait body dissatisfaction increased the odds of frequent vaping by 33% (95% CI [1.00, 1.77]) and daily vaping by 54% (95% CI [1.10, 2.15]). Within-person, daily associations between body dissatisfaction and vaping were nonsignificant. Conclusions: Body dissatisfaction may increase college students' risk for engaging in frequent nicotine vaping. However, daily changes in body dissatisfaction may not predict same- or next-day vaping. College students with body dissatisfaction may benefit from nicotine interventions.
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Affiliation(s)
- Anna K Hochgraf
- Department of Human Development and Family Studies, The Pennsylvania State University, University Park, Pennsylvania, USA
- Division of Epidemiology and Community Health, School of Public Health, The University of Minnesota, Minneapolis, Minnesota, USA
| | - Gregory M Fosco
- Department of Human Development and Family Studies, The Pennsylvania State University, University Park, Pennsylvania, USA
- The Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, University Park, Pennsylvania, USA
| | - Stephanie T Lanza
- The Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, University Park, Pennsylvania, USA
- Department of Biobehavioral Health, The Pennsylvania State University, University Park, Pennsylvania, USA
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4
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Easwaran M, Maria CS, Martinez JD, Hung B, Yu X, Soo J, Kimura A, Gross ER, Erickson-DiRenzo E. Effects of Short-term Electronic(e)-Cigarette Aerosol Exposure in the Mouse Larynx. Laryngoscope 2024; 134:1316-1326. [PMID: 37698394 PMCID: PMC10922082 DOI: 10.1002/lary.31043] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 08/17/2023] [Accepted: 08/29/2023] [Indexed: 09/13/2023]
Abstract
OBJECTIVES The effects of electronic cigarettes (e-cigarettes) on the larynx are relatively unknown. This study examined the short-term effects of e-cigarette inhalation on cellular and inflammatory responses within the mouse laryngeal glottic and subglottic regions after exposure to pod-based devices (JUUL). METHODS Male C57BL6/J mice (8-9 weeks) were assigned to control (n = 9), JUUL flavors Mint (JMi; n = 10) or Mango (JMa; n = 10). JUUL mice were exposed to 2 h/day for 1, 5, and 10 days using the inExpose inhalation system. Control mice were in room air. Vocal fold (VF) epithelial thickness, cell proliferation, subglandular area and composition, inflammatory cell infiltration, and surface topography were evaluated in the harvested larynges. Mouse body weight and urinary nicotine biomarkers were also measured. Chemical analysis of JUUL aerosols was conducted using selective ion flow tube mass spectrometry. RESULTS JUUL-exposed mice had reduced body weight after day 5. Urinary nicotine biomarker levels indicated successful JUUL exposure and metabolism. Quantitative analysis of JUUL aerosol indicated that chemical constituents differ between JMi and JMa flavors. VF epithelial thickness, cellular proliferation, glandular area, and surface topography remained unchanged after JUUL exposures. Acidic mucus content increased after 1 day of JMi exposure. VF macrophage and T-cell levels slightly increased after 10 days of JMi exposures. CONCLUSIONS Short-term e-cigarette exposures cause minimal flavor- and region-specific cellular and inflammatory changes in the mouse larynx. This work provides a foundation for long-term studies to determine if these responses are altered with multiple e-cigarette components and concentrations. LEVEL OF EVIDENCE N/A Laryngoscope, 134:1316-1326, 2024.
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Affiliation(s)
- Meena Easwaran
- Department of Otolaryngology - Head & Neck Surgery, School of Medicine, Stanford University, Stanford, CA
| | - Chloe Santa Maria
- Department of Otolaryngology - Head & Neck Surgery, School of Medicine, Stanford University, Stanford, CA
| | - Joshua D. Martinez
- Department of Otolaryngology - Head & Neck Surgery, School of Medicine, Stanford University, Stanford, CA
| | - Barbara Hung
- Department of Anesthesiology, Perioperative and Pain Medicine, School of Medicine, Stanford University, Stanford, CA
| | - Xuan Yu
- Department of Anesthesiology, Perioperative and Pain Medicine, School of Medicine, Stanford University, Stanford, CA
| | - Joanne Soo
- Department of Otolaryngology - Head & Neck Surgery, School of Medicine, Stanford University, Stanford, CA
| | - Akari Kimura
- Department of Otolaryngology - Head & Neck Surgery, School of Medicine, Stanford University, Stanford, CA
| | - Eric R. Gross
- Department of Anesthesiology, Perioperative and Pain Medicine, School of Medicine, Stanford University, Stanford, CA
| | - Elizabeth Erickson-DiRenzo
- Department of Otolaryngology - Head & Neck Surgery, School of Medicine, Stanford University, Stanford, CA
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5
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Nottage MK, Taylor EV, Kim Y, Soh N, Hammond D, Simonavicius E, McNeill A, Arnott D, East K. Marketing claims on the websites of leading e-cigarette brands in England. Tob Control 2023:tc-2023-057934. [PMID: 37402577 DOI: 10.1136/tc-2023-057934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 06/26/2023] [Indexed: 07/06/2023]
Abstract
INTRODUCTION Exposure to electronic cigarette (EC) marketing is associated with EC use, particularly among youth. In England, the Tobacco and Related Products Regulations and Committee of Advertising Practice (CAP) regulate EC marketing to reduce appeal to youth; however, there are little published data on EC marketing claims used online. This study therefore provides an overview of marketing claims present on the websites of EC brands popular in England. METHODS From January to February 2022, a content analysis of 10 of England's most popular EC brand websites was conducted, including violation of CAP codes. RESULTS Of the 10 websites, all presented ECs as an alternative to smoking, 8 as a smoking cessation aid and 6 as less harmful than smoking. Four websites presented ECs as risk-free. All mentioned product quality, modernity, convenience, sensory experiences and vendor promotions. Nine featured claims about flavours, colours, customisability and nicotine salts. Seven featured claims concerning social benefits, personal identity, sustainability, secondhand smoke and nicotine strength. Six featured claims about fire safety. Some claimed ECs are cheaper than tobacco (n=5), cited health professionals (n=4) or featured collaborations with brands/icons (n=4). All were assessed by the research team to violate one or more CAP code(s) by featuring medicinal claims (n=8), contents which may appeal to non-smokers (n=7), associations with youth culture (n=6), depictions of youth using ECs (n=6) or media targeting youth (n=5). CONCLUSION Among 10 top EC brand websites in England, marketing elements that might appeal to youth were commonly identified and CAP code compliance was low.
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Affiliation(s)
| | | | - Yebin Kim
- Addictions Department, King's College London, London, UK
| | - Nicole Soh
- Addictions Department, King's College London, London, UK
| | - David Hammond
- School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada
| | | | - Ann McNeill
- Addictions Department, King's College London, London, UK
- Shaping Public Health Policies to Reduce Inequalities and Harm (SPECTRUM) Consortium, Edinburgh, UK
| | | | - Katherine East
- Addictions Department, King's College London, London, UK
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6
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Hochgraf AK, Fosco GM, Lanza ST. Age-Varying Associations Between Attempts to Lose Weight and Nicotine Vaping Across Adolescence: Results From a Nationally Representative Sample. J Adolesc Health 2023; 72:352-358. [PMID: 36424336 PMCID: PMC10062420 DOI: 10.1016/j.jadohealth.2022.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Revised: 09/18/2022] [Accepted: 10/04/2022] [Indexed: 11/23/2022]
Abstract
PURPOSE The prevalence of nicotine vaping is increasing among adolescents and emerging evidence suggests weight concerns may promote risk for vaping. The aims of this study were to investigate whether there is an association between attempting to lose weight and nicotine vaping during adolescence, when this association emerges and is strongest, and whether there are sex differences in this link. METHODS This study used time-varying effect modeling, an analytic method that estimates regression coefficients as a continuous function of age, to model dynamic associations between weight loss behavior and nicotine vaping across adolescence and sex differences in these links. Data were from 13,677 adolescents (aged 14-18 years, 49.4% female) who participated in the 2019 National Youth Risk Behavior Survey, a nationally representative U.S. SAMPLE RESULTS Results revealed an age-varying association that differed by sex. Girls who were trying to lose weight were at a higher risk for past 30-day vaping from ages 14.2-15.9 years, with the strongest association at 14.8 years (odds ratio [OR] = 1.92, 95% confidence interval [CI] [1.25, 2.95]). For boys, this association was nonsignificant across age (OR = 1.76, 95% CI [0.91, 3.41] at age 14.0 years). Girls who were trying to lose weight were at a higher risk for frequent vaping (vaping on 20-30 of the past 30 days) from ages 15.2-17.1 years, with the strongest association at 16.1 years (OR = 2.59, 95% CI [1.45, 4.62]). This link was not meaningfully significant at any age for boys (OR = 3.26, 95% CI [0.86, 12.33] at age 14.0 years). DISCUSSION Girls, but not boys, who are trying to lose weight appear vulnerable to nicotine vaping during adolescence.
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Affiliation(s)
- Anna K Hochgraf
- Department of Human Development and Family Studies, The Pennsylvania State University, University Park, Pennsylvania; Division of Epidemiology and Community Health, The University of Minnesota, Minneapolis, Minnesota.
| | - Gregory M Fosco
- Department of Human Development and Family Studies, The Pennsylvania State University, University Park, Pennsylvania; The Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, University Park, Pennsylvania
| | - Stephanie T Lanza
- The Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, University Park, Pennsylvania; Department of Biobehavioral Health, The Pennsylvania State University, University Park, Pennsylvania
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7
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A systematic review of socio-ecological factors influencing current e-cigarette use among adolescents and young adults. Addict Behav 2022; 135:107425. [DOI: 10.1016/j.addbeh.2022.107425] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 07/08/2022] [Accepted: 07/10/2022] [Indexed: 12/22/2022]
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8
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Dunn CP, Riley JB, Hawkins KB, Tercyak KP. Factors Associated With Disordered Eating Behavior Among Adolescent Girls: Screening and Education. J Prim Care Community Health 2022; 13:21501319211062673. [PMID: 34986701 PMCID: PMC8744207 DOI: 10.1177/21501319211062673] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Introduction/Objectives: An unhealthy relationship with food can lead to disordered eating in
adolescence, highlighting the importance of screening. This study describes
the frequency of disordered eating behavior among female adolescents, as
well as associated characteristics and health behaviors. Methods: Data are from a multidimensional risk factor screening survey administered at
a university medical center’s adolescent clinic from 2016 to 2018. The
instrument was adapted from existing screening tools such as the Rapid
Assessment for Adolescent Preventive Services (RAAPS), the American Medical
Association’s Guidelines for Adolescent Preventive Services (GAPS), and the
Youth Risk Behavior Survey (YRBS). Analysis was limited to self-reported
responses provided by females aged 10 to 21 years (N = 915). Statistical
analyses included chi-square tests and independent sample
T-tests. Results: Of the N = 915 females who reported on disordered eating behavior, n = 57
(6.2%) had engaged in some form of disordered eating behavior within the
past 12 months. Disordered eating was significantly associated
(P < .001) with not consistently wearing a helmet
while biking, having tried e-cigarettes, being bullied in the past 30 days,
having an adverse childhood experience (ACE), and being African American
(P = .005). Subgroup analysis of the relationship
between disordered eating and bullying, by race, yielded significant
findings: disordered eating was more highly associated with being bullied in
the past 30 days among African American females (P = .038).
The relationship between disordered eating and ACE was also significant
(P < .001) among Caucasian girls when stratified by
race. Conclusions: Adolescent risk behaviors often co-occur, and disordered eating behavior may
be differentially observed by race. Findings highlight the importance of
education and screening to prevent the development of disordered eating, and
identify those who may be struggling. These results can be useful to
community health education and in healthcare to develop and implement health
promotion and eating disorder prevention strategies. Further studies are
needed to assess additional factors that promote or protect against
disordered eating to improve prevention.
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Affiliation(s)
- Catherine P Dunn
- Georgetown University School of Nursing and Health Studies, Washington, DC, USA.,Georgetown University Medical Center, Washington, DC, USA
| | - Joan B Riley
- Georgetown University School of Nursing and Health Studies, Washington, DC, USA
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Sanchez R, Ranjit N, Kelder SH, Gill M, Hoelscher DM. Intention to lose weight and use of electronic cigarettes among adolescents. Prev Med Rep 2021; 23:101406. [PMID: 34136339 PMCID: PMC8181191 DOI: 10.1016/j.pmedr.2021.101406] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 05/05/2021] [Accepted: 05/09/2021] [Indexed: 11/17/2022] Open
Abstract
Electronic cigarette use among American adolescents is a major public health concern given the negative health consequences of nicotine in youth. Recent literature has shown that weight control may be one motivation for use in this population. This study examined associations between intention to lose weight and e-cigarette use among adolescents having overweight or obesity from an ethnically diverse sample of Texas youth by gender. We performed a cross-sectional analysis of a state representative sample of 9056 eighth and eleventh grade students from the 2015-2016 Texas School Physical Activity and Nutrition (Texas SPAN) study. Validated survey items assessed weight intentions and e-cigarette use. Staff collected anthropometric measures. Logistic regression analysis was conducted to assess the relationship between e-cigarette use and weight intentions with gender interaction, adjusting for grade, race/ethnicity, economic status, weight-behaviors and stratified by BMI class. More than half (50.9%) of the weighted sample were Hispanic and 12.5% were Non-Hispanic Black; 8.5% used e-cigarettes; and 50.0% intended to lose weight. Of the 40.2% of the sample having overweight or obesity, 82.9% intended to lose weight. Among respondents with obesity, use of e-cigarettes was significantly higher among males intending to lose weight than among females intending to lose weight (12% versus 6%, p = 0.007). These findings contrast with previous research suggesting that e-cigarette use in females is more likely to be motivated by an intent to lose weight. The ethnic diversity of the Texas SPAN population may explain this discrepancy.
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Affiliation(s)
- Ruth Sanchez
- Michael & Susan Dell Center for Healthy Living, University of Texas School of Public Health, Austin Regional Campus, 1616 Guadalupe St., Suite 6.300, Austin TX 78701, USA
| | - Nalini Ranjit
- Michael & Susan Dell Center for Healthy Living, University of Texas School of Public Health, Austin Regional Campus, 1616 Guadalupe St., Suite 6.300, Austin TX 78701, USA
| | - Steven H. Kelder
- Michael & Susan Dell Center for Healthy Living, University of Texas School of Public Health, Austin Regional Campus, 1616 Guadalupe St., Suite 6.300, Austin TX 78701, USA
| | - Montana Gill
- Texas Department of State Health Services, Division of Community Health Improvement, 110 West 49 St., Austin, TX 78756, USA
| | - Deanna M. Hoelscher
- Michael & Susan Dell Center for Healthy Living, University of Texas School of Public Health, Austin Regional Campus, 1616 Guadalupe St., Suite 6.300, Austin TX 78701, USA
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10
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Mantey DS, Yockey A, Barroso CS. Role of Sex on the Relationship Between Sexual Minority Status and Misperceptions of Body Weight Among High School Students. J Adolesc Health 2021; 68:342-349. [PMID: 32684436 PMCID: PMC8122588 DOI: 10.1016/j.jadohealth.2020.05.051] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Revised: 05/04/2020] [Accepted: 05/27/2020] [Indexed: 12/28/2022]
Abstract
PURPOSE Misperception of body weight during adolescence is a risk factor for negative self-image, harmful eating/dietary habits (e.g., binge eating and purging), and body dysmorphia. Sexual minority youth, particularly males, may be at increased risk for misperceptions of body weight, relative to youth who do not identify as a sexual minority. This study examines the risk for misperception of body weight among sexual minority youth and explores biological sex as an effect modifier in this relationship. METHODS We pooled data from the 2015 and 2017 Youth Risk Behavior Surveillance Surveys. Participants were 18,634 high school students who were not overweight/obese. Multivariable logistic regression examined the association between sexual minority status (i.e., gay, lesbian, bisexual, and unsure) and misperceptions of body weight (i.e., self-perceived as overweight/severely overweight). Weighted multivariable logistic regression analyses, stratified by biological sex, were used to compare this relationship across males and females. Covariates included race/ethnicity, grade, bullying victimization, television/electronic screen time, and tobacco use. RESULTS Overall, 16.6% of the sample self-reported misperceptions of body weight. Sexual minority youth had 1.49 (95% confidence interval [CI]: 1.28-1.73) greater odds of misperception of body weight, adjusting for covariates; this relationship was found across biological sex, but that the main effect was significantly greater among sexual minority males (adjusted odds ratio: 2.24, 95% CI: 1.65-3.03) relative to sexual minority females (adjusted odds ratio: 1.33, 95% CI: 1.11-1.59). CONCLUSIONS Sexual minority youth had greater odds of overestimating their weight status. Biological sex appears to modify this relationship with sexual minority males being at particularly high risk for overestimating their weight status.
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Affiliation(s)
- Dale S. Mantey
- Michael & Susan Dell Center for Healthy Living, University of Tennessee School of Public Health, Austin, Texas
| | - Andrew Yockey
- Health Promotion and Education, School of Human Services, University of Cincinnati, Cincinnati, Ohio
| | - Cristina S. Barroso
- Department of Public Health, University of Tennessee, Knoxville, Tennessee,Address correspondence to: Cristina S. Barroso, Dr.P.H., Department of Public Health, University of Tennesse, 1914 Andy Holt Ave, Suite 390, Knoxville, TN 37996. (C.S. Barroso)
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11
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Naveed A, Dang N, Gonzalez P, Choi SH, Mathew A, Wardle M, Garey L, Hamidovic A. E-Cigarette Dependence and Weight-Related Attitudes/Behaviors Associated With Eating Disorders in Adolescent Girls. Front Psychiatry 2021; 12:713094. [PMID: 34526923 PMCID: PMC8437144 DOI: 10.3389/fpsyt.2021.713094] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 07/31/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Although numerous motivations for vaping have been identified in adolescents, no study to date has examined a possible link between vaping and attitudes/behaviors that are associated with eating disorders in adolescent females. Examining this question in adolescent females is especially relevant given the higher prevalence of eating disorders in adolescent girls and women compared to adolescent boys and men. Methods: We recruited 299 girls (between 13 to 17 years old) via Facebook advertisement to complete a REDCap survey, which included the Electronic Cigarette Dependence Index (ECDI), Minnesota Eating Behavior Survey (MEBS), and demographic questions. Data were analyzed using nonparametric Spearman rank correlation test in R. Results: Electronic Cigarette Dependence Index (ECDI) scores were correlated with weight preoccupation (WP), binge eating (BE) and compensatory behavior (CB), but not body dissatisfaction (BD). The following were the results of Spearman correlation tests: (1) WP: rho = 0.13, p = 0.02; (2) BD: rho = 0.06, p = 0.28; (3) BE: rho = 0.15, p = 0.0095; (4) CB: rho = 0.021, p = 0.00027. Conclusion: The present study adds to the current literature examining motivations for e-cigarette use in adolescent girls. As eating disorders and e-cigarette dependence are significant public health concerns, our results highlight the need for intervention development.
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Affiliation(s)
- Aamina Naveed
- Department of Pharmacy, University of Illinois at Chicago, Chicago, IL, United States
| | - Nhan Dang
- Department of Public Health, University of Illinois at Chicago, Chicago, IL, United States
| | - Pierina Gonzalez
- Department of Pharmacy, University of Illinois at Chicago, Chicago, IL, United States
| | - So Hee Choi
- Department of Pharmacy, University of Illinois at Chicago, Chicago, IL, United States
| | - Amanda Mathew
- Department of Preventive Medicine, Rush University, Chicago, IL, United States
| | - Margaret Wardle
- Department of Psychology, University of Illinois at Chicago, Chicago, IL, United States
| | - Lorra Garey
- Department of Psychology, University of Houston, Houston, TX, United States
| | - Ajna Hamidovic
- Department of Pharmacy, University of Illinois at Chicago, Chicago, IL, United States
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12
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Wang M, Wang H, Hu RY, Gong WW, Pan J, Yu M. Associations between trying to control weight, weight control behaviors and current electronic cigarette usage in middle and high school students: A cross-sectional study in Zhejiang Province, China. Tob Induc Dis 2020; 18:28. [PMID: 32292318 PMCID: PMC7152784 DOI: 10.18332/tid/119126] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2019] [Revised: 01/12/2020] [Accepted: 03/17/2020] [Indexed: 12/15/2022] Open
Abstract
INTRODUCTION Previous research has indicated that weight control behaviors are linked to cigarette smoking, whether these relationships extend to electronic cigarettes (e-cigarettes) is unknown. This study aims to examine the association between weight control behaviors and current e-cigarette usage among middle and high school students in China. METHODS Based on the 2017 Zhejiang Youth Risk Behavior Survey, 17359 students were included and relevant data involving e-cigarette and weight control behaviors were collected via self-reported questionnaires. Logistic regression models were used to examine the associations between trying to control weight, specific weight control behaviors and current e-cigarette usage. Odds ratios (ORs) and their 95% confidence intervals (CIs) are reported. RESULTS Of the 17359 students, 374 (2.15%) were current e-cigarette users. No significant association was observed between trying to control weight and current e-cigarette usage (OR=1.01; 95% CI: 0.81–1.28). Significant associations were found between current e-cigarette usage and unhealthy weight control behaviors of eating less food, fewer calories (OR=1.74; 95% CI: 1.33–2.27), as well as taking laxatives (OR=3.34; 95% CI: 2.11–5.27), taking diet pills (OR=2.63; 95% CI: 1.72–4.02) and going without eating for 24 hours or more (OR=2.74; 95% CI: 1.86–4.04). CONCLUSIONS A positive association was found between unhealthy weight control behaviors and current e-cigarette usage in adolescents. Specific education programs on unhealthy weight control behaviors should be considered in adolescents.
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Affiliation(s)
- Meng Wang
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Hao Wang
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Ru-Ying Hu
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Wei-Wei Gong
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Jin Pan
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Min Yu
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
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