Adolescent Tobacco and Alcohol Use: The Influence of Body Image

Winter, Virginia Ramseyer; Kennedy, Andrea K.; O’Neill, Elizabeth A.

doi:10.1080/1067828x.2017.1279992

Cited by 18 publications

(20 citation statements)

References 35 publications

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“…It has been hypothesized that this inverse association may potentially result from avoidance of social events due to fear of victimization and thus being less likely to use substances relative to nonoverweight adolescents (Gearhardt et al, 2018). In contrast, other studies have found that being overweight or obese increases substance use (e.g., Ramseyer Winter, Kennedy, & O’Neill, 2017). As an alternative theory consistent with the interpersonal risk model of peer victimization and substance use (Hong et al, 2014), it has been suggested that overweight and obese youth engage in more frequent substance use as a result of connecting with deviant peers upon being socially marginalized (Lanza, Grella, & Chung, 2015).…”

Section: Role Of Gender and Weight Statusmentioning

confidence: 66%

Appearance-related teasing and substance use during early adolescence.

Klinck¹,

Vannucci²,

Fagle³

et al. 2020

Psychology of Addictive Behaviors

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Appearance-related teasing is a pervasive form of bullying during adolescence. Yet, the impact of appearance-related teasing on risk for alcohol and marijuana use is unknown. This study, therefore, examined the relationship between appearance-related teasing and the use of alcohol and marijuana in a sample of 1,344 students (52% female; 51% non-Hispanic White; ages 11-14 years, M ϭ 13.20, SD ϭ 0.65) from 5 public middle schools. Participants completed a survey that assessed demographic characteristics, weight status, depressive symptoms, general peer victimization, experiences of appearancerelated teasing perpetrated by family and peers, and substance use in the fall of 2016 (Time 1 [T1]) and spring of 2017 (T2). Findings at baseline (T1) indicated that more frequent appearance-related teasing was associated with higher concurrent levels of total alcohol consumption, binge drinking, and marijuana use (ps Ͻ .001). Longitudinally, more frequent appearance-related teasing at T1 predicted greater increases in total alcohol consumption (p Ͻ .01) and binge drinking frequency (p Ͻ .05) by T2 but was unrelated to changes in marijuana use (p Ͼ .05), adjusting for age, gender, race and ethnicity, perceived socioeconomic status, body mass index z scores, depressive symptoms, general peer victimization frequency, and substance use at T1. Moderation analyses generally suggested that the positive associations between appearance-related teasing and alcohol use measures were stronger among adolescents who were girls (vs. boys) and who were overweight or obese (vs. nonoverweight). These findings suggest that appearance-related teasing may play a role in the origins of alcohol use during early adolescence and emphasize the need to mitigate the effects of appearance-related teasing and prevent early substance use.

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Section: Role Of Gender and Weight Statusmentioning

confidence: 66%

Appearance-related teasing and substance use during early adolescence.

Klinck¹,

Vannucci²,

Fagle³

et al. 2020

Psychology of Addictive Behaviors

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show abstract

“…Regarding the higher likelihood of male tobacco users being dissatisfied with being overweight, Jiang et al (2014) obtained similar results in a large U.S. adolescent sample (n = 13.864; 12-18 years of age; OR: 3.6; 95% CI: 1.1-12.1). However, Ramseyer Winter et al, (2017) found that male adolescents dissatisfied due to thinness were also more likely (OR: 1.5; p < 0.001) to be exposed to tobacco compared to those who were satisfied with their body weight. A possible explanation for our results is that adolescent body dissatisfaction due to excess weight may be related to cigarette use, perhaps as a means weight control method (Cavallo et al, 2006;Fulkerson & French, 2003;Kilibarda et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…The answer "as I expect" was defined as "body weight satisfaction," and the answers of "a little above than I would like" and "much above than I would like" as "dissatisfied due to overweight." This classification method was previously used by other investigators (Duarte et al, 2020;Jampel et al, 2016;Jiang et al, 2014;Ramseyer Winter et al, 2017).…”

Section: Dependent Variable -Body Weight Dissatisfactionmentioning

confidence: 99%

Body Weight Dissatisfaction and Health Risk Behaviors in Adolescents

et al. 2022

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Body weight dissatisfaction has been described as a marker for various health diseases, given its direct association with social, physical, and emotional suffering. We investigated the association between body weight dissatisfaction and health risk behaviors in adolescents. This was a cross-sectional study conducted with 668 adolescents aged 14–19 years in the city of São José, southern Brazil. Body weight satisfaction/dissatisfaction was assessed using a questionnaire validated for the investigated population. Health risk behaviors included smoking, alcohol, illicit drugs, medication, non-prescription anabolic steroids, not using seatbelt, unsafe sexual behavior and not knowing how to deal with day-to-day stress. Among males, 66.1% were dissatisfied with their body weight (32.1% due to thinness and 34.0% due to overweight). Among females, 80.0% were dissatisfied with their body weight (24.5% due to thinness and 55.5% due to overweight). There were no significant differences regarding health risk behaviors according to body weight satisfaction/dissatisfaction and sex. Compared to males who were satisfied with their body weight, those who were dissatisfied due to being overweight were more likely to be using tobacco (OR: 2.9; 95% CI: 2.1–4.2), alcohol (OR: 1.7; 95% CI: 1.5–1.9) and anabolic steroids (OR: 2.7; 95% CI: 1.2–5.7). Compared to females who were satisfied with their body weight, those who were dissatisfied due to thinness were more likely to be consuming alcoholic beverages (OR: 1.6; 95% CI: 1.2–2.0) and less likely to be consuming illicit drugs (OR: 0.5; 95% CI: 0.3–0.8). Interventions aimed at health education regarding the non-adoption of risk behaviors such as alcohol and tobacco use, as well as the non-use of anabolic steroids, and favoring the maintenance of general health, may be important for adolescents with body dissatisfaction. These data suggest that health risk behaviors such as adolescent male use of tobacco, alcohol, and anabolic steroids and the use of alcohol and drugs by female adolescents can be related to body weight dissatisfaction.

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“…34 Given that the male adolescents who overestimated their weight tended to consume less alcohol, it is possible that they changed their drinking behaviors to prevent additional weight gain. 35 Studies have indicated that male adolescents are less likely to use tobacco for weight control than female adolescents, 36 which may partially account for the observed difference in smoking rates between male and female adolescent groups. Our study had several strengths, including its large sample size and that it considered body weight misperception rather than only body weight or body weight perception.…”

Section: Discussionmentioning

confidence: 99%