Meg H Zeller1, Jennifer Reiter-Purtill1, James L Peugh1, Yelena Wu2, Jennifer N Becnel1. 1. 1 Cincinnati Children's Hospital Medical Center , Division of Behavioral Medicine and Clinical Psychology, Cincinnati OH. 2. 2 University of Utah , Department of Family & Preventive Medicine, Division of Public Health, Salt Lake City, UT.
Abstract
BACKGROUND: Adolescents are long-standing tobacco prevention targets, given that smoking patterns typically originate before adulthood. Pediatric overweight/obesity remains at epidemic levels. Links between these two biobehavioral risks are not well understood, yet of keen public health and pediatric care relevance. The aims of the present study were to examine smoking behaviors and attitudes of overweight (OV), obese (OB), and severely obese (SO) adolescents, compared to healthy weight (HW), utilizing the nationally representative sample, Monitoring the Future. METHODS: Smoking behavior prevalence (ever, current, or age of initiation), perceived risk of harm, disapproval of others smoking, and peer smoking were determined for a pooled 2008-2009 sample of 19,678 10th graders (Mage=16.09±0.47 years) by CDC-defined BMI percentile-based categories within race/ethnic group (69.5% white, 14.5% African American, and 16.0% Hispanic). Logistic regression examined the impact of excess weight status on smoking behaviors and attitudes relative to HW. RESULTS: Relative to HW of same race/ethnicity, white or African American OV, OB, and SO had higher odds of recent smoking, with the highest prevalence among SO. For white youth, excess weight increased odds of ever smoking, early daily smoking (before grade 9), perceiving low risk of harm, and not disapproving of others smoking. Findings varied for African American or Hispanic youth. CONCLUSIONS: As we move toward fostering a tobacco-free generation, youth whose weight exceeds healthy guidelines are high-risk targets for tobacco prevention messaging and close monitoring of cigarette use, particularly those who are severely obese as well as white youth of excess weight, starting before adolescence.
BACKGROUND: Adolescents are long-standing tobacco prevention targets, given that smoking patterns typically originate before adulthood. Pediatric overweight/obesity remains at epidemic levels. Links between these two biobehavioral risks are not well understood, yet of keen public health and pediatric care relevance. The aims of the present study were to examine smoking behaviors and attitudes of overweight (OV), obese (OB), and severely obese (SO) adolescents, compared to healthy weight (HW), utilizing the nationally representative sample, Monitoring the Future. METHODS: Smoking behavior prevalence (ever, current, or age of initiation), perceived risk of harm, disapproval of others smoking, and peer smoking were determined for a pooled 2008-2009 sample of 19,678 10th graders (Mage=16.09±0.47 years) by CDC-defined BMI percentile-based categories within race/ethnic group (69.5% white, 14.5% African American, and 16.0% Hispanic). Logistic regression examined the impact of excess weight status on smoking behaviors and attitudes relative to HW. RESULTS: Relative to HW of same race/ethnicity, white or African American OV, OB, and SO had higher odds of recent smoking, with the highest prevalence among SO. For white youth, excess weight increased odds of ever smoking, early daily smoking (before grade 9), perceiving low risk of harm, and not disapproving of others smoking. Findings varied for African American or Hispanic youth. CONCLUSIONS: As we move toward fostering a tobacco-free generation, youth whose weight exceeds healthy guidelines are high-risk targets for tobacco prevention messaging and close monitoring of cigarette use, particularly those who are severely obese as well as white youth of excess weight, starting before adolescence.
Authors: Brian C Martinson; Gabriela VazquezBenitez; Carrie D Patnode; Mary O Hearst; Nancy E Sherwood; Emily D Parker; John Sirard; Keryn E Pasch; Leslie Lytle Journal: Ann Behav Med Date: 2011-10
Authors: Jerald G Bachman; Patrick M O'Malley; Lloyd D Johnston; John E Schulenberg; John M Wallace Journal: J Stud Alcohol Drugs Date: 2011-03 Impact factor: 2.582
Authors: Luc Biedermann; Karin Brülisauer; Jonas Zeitz; Pascal Frei; Michael Scharl; Stephan R Vavricka; Michael Fried; Martin J Loessner; Gerhard Rogler; Markus Schuppler Journal: Inflamm Bowel Dis Date: 2014-09 Impact factor: 5.325
Authors: Meg H Zeller; Katherine M Kidwell; Jennifer Reiter-Purtill; Todd M Jenkins; Marc P Michalsky; James E Mitchell; Anita P Courcoulas; Thomas H Inge Journal: Obesity (Silver Spring) Date: 2021-02-02 Impact factor: 5.002