Perceived Overweight, BMI, and Risk for Suicide Attempts: Findings from the 2007 Youth Risk Behavior Survey

Swahn, Monica H.; Reynolds, Megan R.; Tice, Melissa A.B.; Miranda-Pierangeli, Maria Cecilia; Jones, Courtney; Jones, India R.

doi:10.1016/j.jadohealth.2009.03.006

Cited by 35 publications

(23 citation statements)

References 6 publications

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“…24,25 Finally, in regards to suicidal behavior, higher BMI and obesity status has been shown to place adolescents at heightened risk for suicidal ideation and attempts. 8,26,27 Taken together, these data suggest that obese adolescents present with both protective and risk factors when it comes to engagement in what might be considered normative adolescent risk-taking behaviors in comparison with their healthy-weight peers. Unfortunately, adolescents with extreme obesity, a subpopulation known to be at heightened medical and psychosocial risk, are not characterized in the existing literature.…”

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confidence: 78%

Risk-Taking Behaviors of Adolescents With Extreme Obesity: Normative or Not?

et al. 2011

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OBJECTIVE: Present first published data detailing high-risk behaviors of adolescent high school students (HSS) with extreme obesity (BMI ≥ 99th percentile for age and gender) compared with healthy weight peers (5th–84th percentile). METHODS: The 2007 Youth Risk Behavior Survey was used to compare HSS with extreme obesity (N = 410) and healthy weight peers (N = 8669) in their engagement in (1) tobacco use, (2) alcohol/other drug use, (3) high-risk sexual behaviors, and (4) suicidal behaviors. Logistic regression was used to calculate gender-stratified odds ratios (OR) and 95% confidence intervals (CI), controlling for age and race. RESULTS: HSS with extreme obesity were similar to healthy weight peers in the prevalence of most behaviors related to alcohol/drug use, high-risk sexual activities, and suicide, with the following exceptions: relative to healthy weight HSS, both male and female students with extreme obesity more frequently reported ever trying cigarettes (female students, adjusted OR: 2.0 [95% CI: 1.3–3.2]; male students, OR: 1.5 [CI: 1.2–2.0]). Compared with healthy weight female students, female students with extreme obesity had lower odds of ever having sex (OR: 0.5 [CI: 0.3–0.9]), but greater odds of drinking alcohol/using drugs before their last sexual encounter (OR: 4.6 [CI: 1.2–17.6]), currently smoking (OR: 2.3 [CI: 1.2–4.4]), and using smokeless tobacco (OR: 4.6 [CI: 1.2–17.2]). Compared with healthy weight male students, male students with extreme obesity had greater odds of smoking before age 13 (OR: 1.4 [CI: 1.0–2.0]). CONCLUSIONS: With few exceptions, HSS with extreme obesity engage in high-risk behaviors at rates comparable with healthy weight peers, sometimes in even more dangerous ways. Health care providers should assess risk-taking behaviors in this cohort.

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confidence: 78%

Risk-Taking Behaviors of Adolescents With Extreme Obesity: Normative or Not?

et al. 2011

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“…1-3,5,6,8,10,11,14,36-38 Other studies found adolescents with overestimated weight were more likely to engage in weight-related health risk behaviors (taking diet pills, fasting, or using laxatives/vomited to lose their weight, eating fewer calories, watching TV), and those students with underestimated weight were less likely to exercise or eat fewer calories. 34,39 Our results showed that those high school students who misperceived their weight were more likely to engage in all health risk behaviors compared to those who correctly perceived their weight.…”

Section: Discussionmentioning

confidence: 99%

“…12 Previous studies showed associations of weight misperception with several health-related factors in adolescents, including mental health (eg, depression, anxiety, suicide, stress, and psychosocial distress), dieting and physical inactivity. 4,6,8-10,13-15 However, little is known about associations of misperceived weight with health behaviors related to safety and violence (eg, drinking and driving, physical fighting, dating violence, seatbelt use, condom use) or substance use (eg, smoking, alcohol, illicit drugs). Furthermore, prior studies frequently dichotomize participants as accurate perceivers and inaccurate perceivers, 14 or categorize participants as those who underestimate, correctly estimate, or overestimate.…”

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confidence: 99%

Weight Misperception and Health Risk Behaviors in Youth: the 2011 US YRBS

2014

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Objectives To evaluate dose-response associations between misperceived weight and 32 health risk behaviors in a nationally representative sample of US adolescents. Methods Participants included 13,864 US high school students in the 2011 Youth Risk Behavior Survey. Comparing the degree of agreement between perceived and reported actual weight, weight misperception was determined as 5 categories. Multivariable-adjusted logistic regression analyses evaluated associations of weight misperception with 32 health risk behaviors. Results Both underestimated and overestimated weight were statistically significantly associated with all 32 health risk behaviors in a dose-response manner after adjustment for age, sex and race/ethnicity, where greater weight misperception was associated with higher engagement in health risk behaviors. Conclusions Understanding potential impacts of weight misperception on health risk behaviors could improve interventions that encourage healthy weight perception and attainment for adolescents.

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“…We selected risk factors associated with type of sexual intercourse or SROs based on current literature [2, 5, 10–15]. We included the following risk factors occurring during the past 12 months prior to the survey.…”

Section: Methodsmentioning

confidence: 99%

Type of sexual intercourse experience and suicidal ideation, plans, and attempts among youths: a cross-sectional study in South Korea

2016

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BackgroundDespite abundant theoretical evidence of higher rates of suicide among lesbian, gay, and bisexual (LGB) youths, little is known about the relationship between suicide and types of sexual intercourse experience in youths. This study examines the association between the type of intercourse experience and suicide risk outcomes (SROs: suicidal ideation, plans for suicide, suicidal attempts) from the Korea Youth Risk Behavior Web-based Survey.MethodsWe analyzed cross-sectional data from 146,621 students aged 12–17 years for the years 2012 and 2013. We defined lesbian, gay, or bisexual youth as youths who engaged in a type of sexual intercourse (same-sex or both-sex intercourse). A chi-square test and logistic regression analysis were used to evaluate the association between intercourse experience and SROs.ResultsThe results showed that the prevalence of suicidal ideation was higher among youths with same-sex intercourse experience (45.9% for females, 33.7% for males) than among youths with opposite-sex intercourse experience (42.2% for females, 23.8% for males) and those with no experience in intercourse (21.0% for females, 12.7% for males). After adjusting for revealed risk factors that were associated with suicide risks, among males, suicide risks based on intercourse experience seemed to increase in the following order: no experience in sexual intercourse, opposite-sex, same-sex, and then both-sexes sexual intercourse experience. Same- and both-sexes intercourse related SROs are strongly linked to violence (being physically assaulted, threatened, or bullied) and sexually transmitted diseases (STDs), including HIV infection. Those having no sexual intercourse experience showed the least probability of suicide risks among youths.ConclusionThe SROs of youths with same-sex or both-sex intercourse experience had strong associations with gender (males), violence, and STDs. Therefore, school educators must continue to advocate for and to implement LGB inclusive policies and programs in order to promote safe and supportive learning environments where all students are protected from health risk behaviors.

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Perceived Overweight, BMI, and Risk for Suicide Attempts: Findings from the 2007 Youth Risk Behavior Survey

Cited by 35 publications

References 6 publications

Risk-Taking Behaviors of Adolescents With Extreme Obesity: Normative or Not?

Risk-Taking Behaviors of Adolescents With Extreme Obesity: Normative or Not?

Weight Misperception and Health Risk Behaviors in Youth: the 2011 US YRBS

Type of sexual intercourse experience and suicidal ideation, plans, and attempts among youths: a cross-sectional study in South Korea

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