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International Journal of Public Health

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01-11-2020 | Mood Disorders | Original article

Smoking as a weight control strategy of Serbian adolescents

Authors: Biljana Kilibarda, Jelena Gudelj Rakic, Sonja Mitov Scekic, Srmena Krstev

Published in: International Journal of Public Health | Issue 8/2020

Abstract

Objectives

The objective is to determine association of age, gender, BMI, body image (body satisfaction, body appearance), depression, unhealthy weight control behaviors with smoking among Serbian adolescents and specifically association of these variables with smoking for weight control among adolescent smokers.

Methods

This is a secondary analysis of data collected from 2763 students aged 13–15 years old (49.9% boys; 50.1% girls) obtained through cross-sectional Health Behavior in School-aged Children Survey conducted in Serbia in 2018 and analyzed using multivariable logistic regression.

Results

In Serbia, 12.9% adolescents 13–15 years old smoke and 6.6% smoke for weight control, while this practice was present among 48.8% of the smokers. Higher odds of smoking were found among adolescents who perceive themselves thin and good looking, while these two factors didn’t play role for the smoking for weight control among smokers. Depression and unhealthy weight control behavior other than smoking significantly predicted smoking and smoking for weight control. Gender was not associated with smoking in adolescents, but among adolescent smokers, boys had two times higher chance compared to girls to report smoking for weight control.

Conclusions

Findings call for incorporating and strengthening interventions for adolescents’ weight control management and mental health as part of smoking prevention and cessation programs.

Arrazola RA, Ahluwalia IB, Pun E et al (2017) Current tobacco smoking and desire to quit smoking among students aged 13–15 years - global youth tobacco survey, 61 countries, 2012–2015. MMWR Morb Mortal Wkly Rep 66(20):533–537. https://doi.org/10.15585/mmwr.mm6620a3CrossRefPubMedPubMedCentral

Boutelle K, Neumark-Sztainer D, Story M, Resnick M (2002) Weight control behaviors among obese, overweight, and nonoverweight adolescents. J Pediatr Psychol 27(6):531–540. https://doi.org/10.1093/jpepsy/27.6.531CrossRefPubMed

Bradley KL, Bagnell AL, Brannen CL (2010) Factorial validity of the center for epidemiological studies depression 10 in adolescents. Issues Mental Health Nursing 31(6):408–412. https://doi.org/10.3109/01612840903484105CrossRef

Brown CS, Kola-Palmer S, Dhingra K (2015) Gender differences and correlates of extreme dieting behaviours in US adolescents. J Health Psychol 20(5):569–579. https://doi.org/10.1177/1359105315573441CrossRefPubMed

Camp DE, Klesges RC, Relyea G (1993) The relationship between body weight concerns and adolescent smoking. Health Psychol 12(1):24–32. https://doi.org/10.1037//0278-6133.12.1.24CrossRefPubMed

Cavallo DA, Duhig AM, McKee S, Krishnan-Sarin S (2006) Gender and weight concerns in adolescent smokers. Addict Behav 31(11):2140–2146. https://doi.org/10.1016/j.addbeh.2006.02.021CrossRefPubMed

Charrier L, Berchialla P, Dalmasso P, Borraccino A, Lemma P, Cavallo F (2019) Cigarette smoking and multiple health risk behaviors: a latent class regression model to identify a profile of young adolescents. Risk Anal 39(8):1771–1782. https://doi.org/10.1111/risa.13297CrossRefPubMed

Cole TJ, Lobstein T (2012) Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatric Obesity 7(4):284–294. https://doi.org/10.1111/j.2047-6310.2012.00064.xCrossRefPubMed

Croll J, Neumark-Sztainer D, Story M, Ireland M (2002) Prevalence and risk and protective factors related to disordered eating behaviors among adolescents: relationship to gender and ethnicity. J Adolesc Health 31(2):166–175. https://doi.org/10.1016/s1054-139x(02)00368-3CrossRefPubMed

Currie C, Molcho M, Boyce W, Holstein B, Torsheim T, Richter M (2008) Researching health inequalities in adolescents: the development of the health behaviour in school-aged children (HBSC) family affluence scale. Soc Sci Med 66(6):1429–1436. https://doi.org/10.1016/j.socscimed.2007.11.024CrossRefPubMed

Daee A, Robinson P, Lawson M, Turpin JA, Gregory B, Tobias JD (2002) Psychologic and physiologic effects of dieting in adolescents. South Med J 95(9):1032–1041CrossRef

de Santana ML et al (2016) Risk factors for adopting extreme weight-control behaviors among public school adolescents in Salvador, Brazil: a case-control study. J Am Coll Nutr 35(2):113–117. https://doi.org/10.1080/07315724.2014.951903CrossRefPubMed

Dzielska A, Kelly C, Ojala K et al (2020) Weight reduction behaviors among european adolescents-changes from 2001/2002 to 2017/2018. J Adolesc Health 66(6S):S70–S80. https://doi.org/10.1016/j.jadohealth.2020.03.008CrossRefPubMed

Ellickson PL, Tucker JS, Klein DJ (2001) High-risk behaviors associated with early smoking: results from a 5-year follow-up. J Adolesc Health 28(6):465–473. https://doi.org/10.1016/s1054-139x(00)00202-0CrossRefPubMed

Felton J, Cole DA, Tilghman-Osborne C, Maxwell MA (2010) The relation of weight change to depressive symptoms in adolescence. Dev Psychopathol 22(1):205–216. https://doi.org/10.1017/S0954579409990356CrossRefPubMedPubMedCentral

Ferreira C, Trindade IA (2015) Body image-related cognitive fusion as a main mediational process between body-related experiences and women's quality of life. Eating Weight Disorders EWD 20(1):91–97. https://doi.org/10.1007/s40519-014-0155-yCrossRefPubMed

Fluharty M, Taylor AE, Grabski M, Munafò MR (2017) The association of cigarette smoking with depression and anxiety: a systematic review. Nicotine Tobacco Res 19(1):3–13. https://doi.org/10.1093/ntr/ntw140CrossRef

Forrest KY, Forrest AG (2008) Correlates of risky weight-contrl behaviors in adolescents. Am J Health Studies 23(1):16

Fulkerson JA, French SA (2003) Cigarette smoking for weight loss or control among adolescents: gender and racial/ethnic differences. J Adolesc Health 32(4):306–313. https://doi.org/10.1016/s1054-139x(02)00566-9CrossRefPubMed

Groth J, Kleka P (2018) Patterns of intentional faking in questionnaire-based study of psychopathy. Current Issues Personal Psychol 6(4):305–317CrossRef

Hazzard VM, Hahn SL, Sonneville KR (2017) Weight misperception and disordered weight control behaviors among U.S. high school students with overweight and obesity: associations and trends, 1999–2013. Eat Behav 26:189–195. https://doi.org/10.1016/j.eatbeh.2017.07.001CrossRefPubMed

Hong GW, Hong SM (2019) Relationships among body mass index, body image, and depression in Korean adults: Korea national health and nutrition examination survey 2014 and 2016. J Obesity Metabolic Syndrome 28(1):61–68. https://doi.org/10.7570/jomes.2019.28.1.61CrossRef

Inchley J CD, Cosma A Samdal O (2018) Health behaviour in school-aged children (HBSC) study protocol: background, methodology and mandatory items for the 2017/18 survey.

Inchley J, Currie D, Budisavljevic S, Torsheim T, Jåstad A, Cosma A et al (eds) (2020) Spotlight on adolescent health and well-being. Findings from the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey in Europe and Canada. International report, vol 2. Key data. WHO Regional Office for Europe, Copenhagen. Licence: CC BY-NC-SA 3.0 IGO

Jacobs M (2019) Adolescent smoking: the relationship between cigarette consumption and BMI. Addict Behav Rep 9:100153. https://doi.org/10.1016/j.abrep.2018.100153CrossRefPubMed

Kilibarda B, Vukovic D, Krstev S (2019) Prevalence and correlates of concurrent use of cigarettes, electronic cigarettes, and waterpipes among Serbian youth. Tobacco Induced Diseases 17:66. https://doi.org/10.18332/tid/111357CrossRefPubMedPubMedCentral

Klesges RC, Elliott VE, Robinson LA (1997) Chronic dieting and the belief that smoking controls body weight in a biracial, population-based adolescent sample. Tob Control 6(2):89–94. https://doi.org/10.1136/tc.6.2.89CrossRefPubMedPubMedCentral

Kopcakova J, Dankulincova VZ, Madarasova GA, van Dijk JP, Reijneveld SA (2014) Is being a boy and feeling fat a barrier for physical activity? The association between body image, gender and physical activity among adolescents. J Environ Res Public Health 11(11):11167–11176CrossRef

Krowchuk DP, Kreiter SR, Woods CR, Sinal SH, DuRant RH (1998) Problem dieting behaviors among young adolescents. Arch Pediatr Adolesc Med 152(9):884–888. https://doi.org/10.1001/archpedi.152.9.884CrossRefPubMed

Larson NI, Story M, Perry CL, Neumark-Sztainer D, Hannan PJ (2007) Are diet and physical activity patterns related to cigarette smoking in adolescents? Findings from project EAT. Preventing Chronic Disease 4(3):A51PubMedPubMedCentral

Lee WT et al (2015) Relationships between body image, body mass index, and smoking in Korean adolescents: results of a nationwide Korea youth risk behavior web-based survey. Asian Pac J Cancer Prev 16(15):6273–6278CrossRef

National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health (2012). Prevention tobacco use among youth and young adults: a report of the surgeon general. Centers for Disease Control and Prevention (US), Atlanta

NCD Risk Facor Collaboration (2017) Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 12.89 million children, adolescents, and adults. Lancet (London, England) 390(10113):2627–2642. https://doi.org/10.1016/s0140-6736(17)32129-3CrossRef

Neumark-Sztainer D, Story M, Dixon LB, Murray DM (1998) Adolescents engaging in unhealthy weight control behaviors: are they at risk for other health-compromising behaviors? Am J Public Health 88(6):952–955. https://doi.org/10.2105/ajph.88.6.952CrossRefPubMedPubMedCentral

Penzes M, Czegledi E, Balazs P, Foley KL (2012) Factors associated with tobacco smoking and the belief about weight control effect of smoking among Hungarian adolescents. Cent Eur J Public Health 20(1):11–17CrossRef

Roberts C et al (2009) The Health Behaviour in School-aged Children (HBSC) study: methodological developments and current tensions. Int J Public Health 54(Suppl 2):140–150. https://doi.org/10.1007/s00038-009-5405-9CrossRefPubMedPubMedCentral

Scardera S, Sacco S, Di Sante J, Booij L (2020) Body image-related cognitive fusion and disordered eating: the role of self-compassion and sad mood. Eating Weight Disorders Studies Anorexia Bulimia Obesity. https://doi.org/10.1007/s40519-020-00868-wCrossRef

Seo DC, Jiang N (2009) Associations between smoking and extreme dieting among adolescents. J Youth Adolesc 38(10):1364–1373. https://doi.org/10.1007/s10964-009-9421-0CrossRefPubMed

Silva SUD, Barufaldi LA, Andrade S, Santos MAS, Claro RM (2018) Nutritional status, body image, and their association with extreme weight control behaviors among Brazilian adolescents, National Adolescent Student Health Survey 2015. Braz J Epidemiol 21(11):e180011. https://doi.org/10.1590/1980-549720180011.supl.1CrossRef

Sim WY et al (2017) The relationship between smoking and unhealthy weight control behaviors among Korean adolescents: the tenth Korea youth risk behavior web-based survey, 2014. Korean J Family Med 38(1):28–33. https://doi.org/10.4082/kjfm.2017.38.1.28CrossRef

Strauss RS, Mir HM (2001) Smoking and weight loss attempts in overweight and normal-weight adolescents. Int J Obesity Related Metabolic Disorders J Int Assoc Study Obesity 25(9):1381–1385. https://doi.org/10.1038/sj.ijo.0801683CrossRef

Sutter ME, Nasim A, Veldheer S, Cobb CO (2016) Associations between unhealthy dieting behaviors and tobacco use among adolescents. J Eat Disord 4:39–39. https://doi.org/10.1186/s40337-016-0126-yCrossRefPubMedPubMedCentral

Szamreta EA, Qin B, Ohman-Strickland PA et al (2017) Associations of anthropometric, behavioral, and social factors on level of body esteem in peripubertal girls. J Dev Behav Pediatr 38(1):58–64. https://doi.org/10.1097/DBP.0000000000000360CrossRefPubMedPubMedCentral

Thomas K, Nilsson E, Festin K et al (2020) Associations of psychosocial factors with multiple health behaviors: a population-based study of middle-aged men and women. Int J Environ Res Public Health. https://doi.org/10.3390/ijerph17041239CrossRefPubMedPubMedCentral

Upadhyaya HP, Deas D, Brady KT, Kruesi M (2002) Cigarette smoking and psychiatric comorbidity in children and adolescents. J Am Acad Child Adolesc Psychiatry 41(11):1294–1305. https://doi.org/10.1097/00004583-200211000-00010CrossRefPubMed

Zullig KJ, Valois RF, Huebner ES, Oeltmann JE, Drane JW (2001) Relationship between perceived life satisfaction and adolescents' substance abuse. J Adoles Health 29(4):279–288. https://doi.org/10.1016/s1054-139x(01)00269-5CrossRef

Title: Smoking as a weight control strategy of Serbian adolescents
Authors: Biljana Kilibarda
Jelena Gudelj Rakic
Sonja Mitov Scekic
Srmena Krstev
Publication date: 01-11-2020
Publisher: Springer International Publishing
Keywords: Mood Disorders
Smoking and Nicotine Detoxification
Affective Disorder
Published in: International Journal of Public Health / Issue 8/2020
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-020-01469-1

At a glance: The STEP trials

Springer Medicine

Smoking as a weight control strategy of Serbian adolescents

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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