TY - JOUR
T1 - Smoking, Getting Drunk, and Engaging in Bulimic Behaviors
T2 - In Which Order Are the Behaviors Adopted?
AU - Field, Alison E.
AU - Austin, S. Bryn
AU - Frazier, A. Lindsay
AU - Gillman, Matthew W.
AU - Camargo, Carlos A.
AU - Colditz, Graham A.
N1 - Funding Information:
Funding was provided by research grants ( DK-46834, DK 46200, and CA50385-09 ) from the National Institutes of Health and the Kellogg Company . The authors thank Karen Corsano, Catherine Berkey, Gideon Aweh, and Gary Chase for their thoughtful comments, suggestions, and programming assistance.
PY - 2002/7
Y1 - 2002/7
N2 - Objective: To assess the relation between beginning to binge-eat or purge, beginning to smoke, and getting drunk for the first time. Method: Prospective study of 11,358 girls and boys, 10 to 15 years of age, in an ongoing cohort study who completed questionnaires in 1997 and 1998. The outcome measures were beginning to engage in bulimic behaviors, beginning to smoke, and getting drunk for the first time between 1997 and 1998. Results: During 1 year, 4.3% of girls and 3.6% of boys started smoking, 5.3% of girls and 4.8% of boys started getting drunk, and 2.4% of girls and 0.6% of boys started engaging in bulimic behaviors. Among the girls, weight concerns in 1997 were predictive of beginning to smoke (odds ratio [OR] = 2.2), get drunk (OR = 1.7), purge (OR = 3.8), and binge-eat (OR = 2.6). Adolescents who reported smoking in 1997 were more likely than nonsmokers to get drunk for the first time (girls: OR = 5.7; boys: OR = 7.1). The reverse association, getting drunk as a predictor of starting to smoke, was of lesser magnitude (OR = 2.3-2.6). Conclusions: The three unhealthy behaviors were associated prospectively with each other. The results suggest that prevention efforts should target weight concerns and multiple risk behaviors.
AB - Objective: To assess the relation between beginning to binge-eat or purge, beginning to smoke, and getting drunk for the first time. Method: Prospective study of 11,358 girls and boys, 10 to 15 years of age, in an ongoing cohort study who completed questionnaires in 1997 and 1998. The outcome measures were beginning to engage in bulimic behaviors, beginning to smoke, and getting drunk for the first time between 1997 and 1998. Results: During 1 year, 4.3% of girls and 3.6% of boys started smoking, 5.3% of girls and 4.8% of boys started getting drunk, and 2.4% of girls and 0.6% of boys started engaging in bulimic behaviors. Among the girls, weight concerns in 1997 were predictive of beginning to smoke (odds ratio [OR] = 2.2), get drunk (OR = 1.7), purge (OR = 3.8), and binge-eat (OR = 2.6). Adolescents who reported smoking in 1997 were more likely than nonsmokers to get drunk for the first time (girls: OR = 5.7; boys: OR = 7.1). The reverse association, getting drunk as a predictor of starting to smoke, was of lesser magnitude (OR = 2.3-2.6). Conclusions: The three unhealthy behaviors were associated prospectively with each other. The results suggest that prevention efforts should target weight concerns and multiple risk behaviors.
KW - Adolescents
KW - Alcohol
KW - Bulimic behaviors
KW - Smoking
UR - http://www.scopus.com/inward/record.url?scp=0036636429&partnerID=8YFLogxK
U2 - 10.1097/00004583-200207000-00018
DO - 10.1097/00004583-200207000-00018
M3 - Article
C2 - 12108810
AN - SCOPUS:0036636429
SN - 0890-8567
VL - 41
SP - 846
EP - 853
JO - Journal of the American Academy of Child and Adolescent Psychiatry
JF - Journal of the American Academy of Child and Adolescent Psychiatry
IS - 7
ER -