Weight Concerns, Weight Control Behaviors, and Smoking Initiation

Author:

Tomeo Catherine A.1,Field Alison E.1,Berkey Catherine S.12,Colditz Graham A.13,Frazier A. Lindsay14

Affiliation:

1. From the Channing Laboratory, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School; the Departments of

2. Health Policy and Management and

3. Epidemiology, Harvard School of Public Health; and the

4. Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.

Abstract

Objective. To examine the cross-sectional relationships between weight concerns, weight control behaviors, and initiation of tobacco use among youths. Study Design. Smoking status, weight concerns, and weight control behaviors were assessed in a cross-sectional sample of 16 862 children, 9 to 14 years of age, in 1996. Logistic regression was used to examine the relationship between weight concerns, weight control behaviors, and early stages of smoking initiation (precontemplation, contemplation, and experimentation). All analyses were adjusted for age, body mass index, and known predictors of initiation. Results. Approximately 9% of participants had experimented with cigarettes, and 6% were contemplating cigarette smoking. Contemplation of tobacco use was associated with misperception of being overweight (boys: odds ratio [OR], 1.65; 95% confidence interval [CI], 1.10–2.48), unhappiness with appearance (girls: OR, 2.05; 95% CI, 1.48–2.84; boys: OR, 1.60; 95% CI, 1.05–2.42), and a tendency to change eating patterns around peers (girls: OR, 2.87; 95% CI, 2.28–3.62; boys: OR, 1.83; 95% CI, 1.25–2.66). Experimentation with cigarettes was associated with daily exercise to control weight among boys (OR, 1.92; 95% CI, 1.07–3.43) and with monthly purging (OR, 2.54; 95% CI, 1.27–5.07) and daily dieting among girls (OR, 1.79; 95% CI, 1.09–2.96). Conclusions. Our findings suggest that, among both girls and boys, contemplation of smoking is positively related to weight concerns. Experimentation seems to be positively related to weight control behaviors. It is important for both pediatricians and comprehensive school health programs to address healthy methods of weight maintenance and to dispel the notion of tobacco use as a method of weight control.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference40 articles.

1. Tobacco use among high school students—United States, 1997.;Office on Smoking and Health and Division of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention;MMWR Morb Mortal Wkly Rep,1998

2. Stages of adolescent cigarette smoking acquisition: measurement and sample profiles.;Stern;Addict Behav,1987

3. Influence of tobacco marketing and exposure to smokers on adolescent susceptibility to smoking.;Evans;J Natl Cancer Inst,1995

4. Tobacco industry promotion of cigarettes and adolescent smoking.;Pierce;JAMA.,1998

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3