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Prevention Science

, Volume 17, Issue 4, pp 483–492 | Cite as

Associations Among Excess Weight Status and Tobacco, Alcohol, and Illicit Drug Use in a Large National Sample of Early Adolescent Youth

  • Meg H. Zeller
  • Jennifer Becnel
  • Jennifer Reiter-Purtill
  • James Peugh
  • Yelena P. Wu
Article

Abstract

Adolescent substance use and overweight/obesity each are public health priorities, with unique prevalences based on race/ethnicity. Whether these biobehavioral risks are linked in today’s youth is unknown, leaving critical gaps in prevention science. Utilizing a national epidemiological sample of 10th grade students (N = 19,678; M age = 16.09 years; 69.5 % White, 14.5 % Black, 16.0 % Hispanic; 2008–2009 Monitoring the Future), we examined adolescent substance use behaviors (current use, grade of first use, polysubstance use) for adolescents of overweight (OV), obese (OB), or severely obese (SO) status compared to adolescents of healthy weight (HW) for each race/ethnicity group. We also examined how engagement in smoking behaviors (current, early grade at first use) was linked to other substance use behaviors for youth of varying degrees of excess weight. Relative to HW youth, White youth of excess weight, particularly SO, had higher odds of early (<grade 9) substance use and use of some illicit substances (inhalants, cocaine, amphetamines) within the past year. Among White early smokers, OB and SO had higher odds of other substance use, whereas White OB and SO recent smokers had lower odds of other substance use. Few significant findings based on weight status were identified for Black or Hispanic youth. These findings suggest adolescent health risk behaviors co-occur uniquely for White youth, in particular those who are SO and by early adolescence. Understanding the downstream public health consequences and how risk pathways of excess weight, tobacco, and other substance use may uniquely unfold for each race/ethnicity group is imperative.

Keywords

Adolescence Obesity Substance use 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Funding

This paper uses data from the Monitoring the Future Study, which is supported by grants from the National Institute on Drug Abuse (R01DA001411, R01DA016575). Dr. Zeller’s effort was supported by grants from the National Institutes of Health (R01DA033415, 2R01DK080020). Dr. Becnel’s effort was supported by an NIH training grant (T32DK063929). Dr. Wu’s effort, in part, was also NIH supported (K07CA196985).

Research Involving Human Participants

The present manuscript involved secondary data analyses of de-identified data from a Monitoring the Future. Secondary analyses were approved by the Institutional Review Board with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent is not applicable.

References

  1. Bachman, J. G., Johnston, L. D., O’Malley, P. M., & Schulenberg, J. E. (2011a). The monitoring the Future project after thirty-seven years: Design and procedures. Ann Arbor, MI: Institute for Social Research.Google Scholar
  2. Bachman, J. G., O’Malley, P. M., Johnston, L. D., Schulenberg, J. E., & Wallace, J. M. (2011b). Racial/ethnic differences in the relationship between parental education and substance use among U.S. 8th-, 10th-, and 12th-grade students: Findings from the Monitoring the Future project. Journal of Studies on Alcohol and Drugs, 72, 279–285.CrossRefPubMedPubMedCentralGoogle Scholar
  3. Barlow, S. E., & the Expert Committee. (2007). Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: Summary report. Pediatrics, 120, S164–192.CrossRefPubMedGoogle Scholar
  4. Behrendt, S., Wittchen, H. U., Hofler, M., Lieb, R., & Beesdo, K. (2009). Transitions from first substance use to substance use disorders in adolescence: Is early onset associated with a rapid escalation? Drug and Alcohol Dependence, 99, 68–78.CrossRefPubMedGoogle Scholar
  5. Benjamini, Y. (2010). Discovering the false discovery rate. Journal of the Royal Statistical Society Series B-Statistical Methodology, 72, 405–416.CrossRefGoogle Scholar
  6. Brener, N. D., McManus, T., Galuska, D. A., Lowry, R., & Wechsler, H. (2003). Reliability and validity of self-reported height and weight among high school students. Journal of Adolescent Health, 32, 281–287.CrossRefPubMedGoogle Scholar
  7. Cawley, J., Markowitz, S., & Tauras, J. (2004). Lighting up and slimming down: The effects of body weight and cigarette prices on adolescent smoking initiation. Journal of Health Economics, 23, 293–311.CrossRefPubMedGoogle Scholar
  8. Chen, P., & Jacobson, K. C. (2012). Developmental trajectories of substance use from early adolescence to young adulthood: Gender and racial/ethnic differences. Journal of Adolescent Health, 50, 154–163.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Crosnoe, R. (2012). Obesity, family instability, and socioemotional health in adolescence. Economics and Human Biology, 10, 375–384.CrossRefPubMedGoogle Scholar
  10. Degenhardt, L., Chiu, W. T., Conway, K., Dierker, L., Glantz, M., Kalaydjian, A…, Kessler, R. C. (2009). Does the ‘gateway’ matter? Associations between the order of drug use initiation and the development of drug dependence in the National Comorbidity Study Replication. Psychological Medicine, 39, 157–167Google Scholar
  11. Degenhardt, L., Dierker, L., Chiu, W. T., Medina-Mora, M. E., Neumark, Y., Sampson, N…, Kessler, R. C. (2010). Evaluating the drug use “gateway” theory using cross-national data: consistency and associations of the order of initiation of drug use among participants in the WHO World Mental Health Surveys. Drug Alcohol Depend, 108, 84–97.Google Scholar
  12. Farhat, T., Iannotti, R. J., & Simons-Morton, B. G. (2010). Overweight, obesity, youth, and health-risk behaviors. American Journal of Preventive Medicine, 38, 258–267.CrossRefPubMedPubMedCentralGoogle Scholar
  13. Flegal, K. M., Wei, R., Ogden, C. L., Freedman, D. S., Johnson, C. L., & Curtin, L. R. (2009). Characterizing extreme values of body mass index-for-age by using the 2000 centers for disease control and prevention growth charts. American Journal of Clinical Nutrition, 90, 1314–1320.CrossRefPubMedGoogle Scholar
  14. Fonseca, H., Matos, M. G., Guerra, A., & Pedro, J. G. (2009). Are overweight adolescents at higher risk of engaging in unhealthy weight-control behaviours? Acta Paediatrica, 98, 847–852.CrossRefPubMedGoogle Scholar
  15. Griesler, P. C., & Kandel, D. B. (1998). Ethnic differences in correlates of adolescent cigarette smoking. Journal of Adolescent Health, 23, 167–180.CrossRefPubMedGoogle Scholar
  16. Healthy People 2020. Leading Health Indicators http://www.healthypeople.gov/2020/Leading-Health-Indicators Accessed January 20, 2016.
  17. Hu, M. C., Griesler, P. C., Schaffran, C., Wall, M. M., & Kandel, D. B. (2012). Trajectories of criteria of nicotine dependence from adolescence to early adulthood. Drug and Alcohol Dependence, 125, 283–289.CrossRefPubMedPubMedCentralGoogle Scholar
  18. Huang, D. Y., Lanza, H. I., Wright-Volel, K., & Anglin, M. D. (2013). Developmental trajectories of childhood obesity and risk behaviors in adolescence. Journal of Adolescence, 36, 139–148.CrossRefPubMedPubMedCentralGoogle Scholar
  19. Jessor, R., Turbin, M. S., Costa, F. M., Dong, Q., Zhang, H., & Wang, C. (2003). Adolescent problem behavior in China and the United States: A cross-national study of psychosocial protective factors. Journal of Research on Adolescence, 13, 329–360.CrossRefGoogle Scholar
  20. Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2009). Monitoring the Future national survey results on drug use, 1975–2008: Volume I, Secondary school students (NIH Publication No. 09–7402). Bethesda, MD: National Institute on Drug Abuse.Google Scholar
  21. Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2010). Monitoring the Future national survey results on drug use, 1975–2009: Volume I, Secondary school students (NIH Publication No. 10–7584). Bethesda, MD: National Institute on Drug Abuse.Google Scholar
  22. Johnston, L., O’Malley, P., Bachman, J., & Schulenberg, J. (2011). Monitoring the Future national results on adolescent drug use: Overview of key findings, 2010. Ann Arbor: Institute for Social Research, The University of Michigan.Google Scholar
  23. Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2013). Monitoring the Future national results of drug use: 2012 overview, key findings on adolescent drug use. Ann Arbor, MI: Institute for Social Research, The University of Michigan.Google Scholar
  24. Johnston, L. D., O’Malley, P. M., Miech, R. A., Bachman, J. G., & Schulenberg, J. E. (2015). Monitoring the Future national survey results on drug use: 1975–2014: Overview, key findings on adolescent drug use. Ann Arbor, MI: Institute for Social Research, University of Michigan.Google Scholar
  25. Kelly, A. B., O’Flaherty, M., Connor, J. P., Homel, R., Toumbourou, J. W., Patton, G. C., & Williams, J. (2011). The influence of parents, siblings and peers on pre and early teen smoking: A multilevel model. Drug and Alcohol Review, 30, 381–387. doi: 10.1111/j.1465-3362.2010.00231.x.CrossRefPubMedGoogle Scholar
  26. Kelly, A. S., Barlow, S. E., Rao, G., Inge, T. H., Hayman, L. L., Steinberger, J…, Council on Clinical Cardiology. (2013). Severe obesity in children and adolescents: identification, associated health risks, and treatment approaches: a scientific statement from the American Heart Association. Circulation, 128: 1689–1712.Google Scholar
  27. La Greca, A. M., Prinstein, M. J., & Fetter, M. D. (2001). Adolescent peer crowd affiliation: Linkages with health-risk behaviors and close friendships. Journal of Pediatric Psychology, 26, 131–143.CrossRefPubMedGoogle Scholar
  28. Martin, M. A., Frisco, M. L., Nau, C., & Burnett, K. (2012). Social stratification and adolescent overweight in the United States: How income and educational resources matter across families and schools. Social Science and Medicine, 74, 597–606.CrossRefPubMedPubMedCentralGoogle Scholar
  29. Merten, M. J. (2010). Weight status continuity and change from adolescence to young adulthood: Examining disease and health risk conditions. Obesity, 18, 1423–1428.CrossRefPubMedGoogle Scholar
  30. Miech, R. A., Johnston, L., O’Malley, P. M., Bachman, J. G., Schulenberg, J., & Patrick, M. E. (2015). Trends in use of marijuana and attitudes toward marijuana among youth before and after decriminalization: The case of California 2007–2013. The International Journal on Drug Policy, 26, 336–344.CrossRefPubMedPubMedCentralGoogle Scholar
  31. Modi, A. C., & Zeller, M. H. (2008). Validation of parent-proxy, obesity-specific quality of life measure: Sizing them up. Obesity, 16, 2624–2633.CrossRefPubMedPubMedCentralGoogle Scholar
  32. Moss, H. B., Chen, C. M., & Yi, H. Y. (2014). Early adolescent patterns of alcohol, cigarettes, and marijuana polysubstance use and young adult substance use outcomes in a nationally representative sample. Drug and Alcohol Dependence, 136, 51–62.CrossRefPubMedGoogle Scholar
  33. Muthén, L.K., & Muthén, B.O. (1998–2012). Mplus User's Guide. Seventh edition. Los Angeles, CA: Muthén & Muthén.Google Scholar
  34. Nelson, S. E., Van Ryzin, M. J., & Dishion, T. J. (2014). Alcohol, marijuana, and tobacco use trajectories from age 12 to 24 years: Demographic correlates and young adult substance use problems. Development and Psychopathology, 1–25.Google Scholar
  35. Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2014). Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA, 311, 806–814.CrossRefPubMedPubMedCentralGoogle Scholar
  36. O’Malley, P. M., Johnston, L. D., Bachman, J. G., Schulenberg, J. E., & Kumar, R. (2006). How substance use differs among American secondary schools. Prevention Science, 7, 409–420.CrossRefPubMedGoogle Scholar
  37. Padgett, J., & Biro, F. M. (2003). Different shapes in different cultures: Body dissatisfaction, overweight, and obesity in African-American and Caucasian females. Journal of Pediatric and Adolescent Gynecology, 16, 349–354.CrossRefPubMedGoogle Scholar
  38. Powell-Young, Y. M., Zabaleta, J., Velasco-Gonzalez, C., & Sothern, M. S. (2013). A cohort study evaluating the implications of biology, weight status and socioeconomic level on global self-esteem competence among female African-American adolescents. Journal of National Black Nurses Association, 24, 1–8.PubMedCentralGoogle Scholar
  39. Ratcliff, M. B., Jenkins, T. M., Reiter-Purtill, J., Noll, J. G., & Zeller, M. H. (2011). Risk-taking behaviors of adolescents with extreme obesity: Normative or not? Pediatrics, 127, 827–834.CrossRefPubMedPubMedCentralGoogle Scholar
  40. Schaefer, D. R., Haas, S. A., & Bishop, N. J. (2012). A dynamic model of US adolescents’ smoking and friendship networks. American Journal of Public Health, 102, e12–18.CrossRefPubMedPubMedCentralGoogle Scholar
  41. Seo, D. C., & Huang, Y. (2012). Systematic review of social network analysis in adolescent cigarette smoking behavior. Journal of School Health, 82, 21–27.CrossRefPubMedGoogle Scholar
  42. Skelton, J. A., Cook, S. R., Auinger, P., Klein, J. D., & Barlow, S. E. (2009). Prevalence and trends of severe obesity among US children and adolescents. Academic Pediatrics, 9, 322–329. doi: 10.1016/j.acap.2009.04.005.CrossRefPubMedPubMedCentralGoogle Scholar
  43. Skinner, A. C., & Skelton, J. A. (2014). Prevalence and trends in obesity and severe obesity among children in the United States, 1999–2012. JAMA Pediatrics, 168, 561–566.CrossRefPubMedGoogle Scholar
  44. Strauss, R. S., & Pollack, H. A. (2003). Social marginalization of overweight children. Archives of Pediatrics and Adolescent Medicine, 157, 746–752.CrossRefPubMedGoogle Scholar
  45. Umberson, D., Crosnoe, R., & Reczek, C. (2010). Social relationships and health behavior across the life course. Annual Review of Sociology, 36, 139–157.CrossRefPubMedPubMedCentralGoogle Scholar
  46. United States Department of Health and Human Services. (2012). Preventing tobacco use among youth and young adults: A report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office of Smoking and Health.Google Scholar
  47. Wallace, J. M., Jr., Bachman, J. G., O’Malley, P. M., Johnston, L. D., Schulenberg, J. E., & Cooper, S. M. (2002). Tobacco, alcohol, and illicit drug use: racial and ethnic differences among U.S. high school seniors, 1976–2000. Public Health Reports, 117, S67–75.PubMedPubMedCentralGoogle Scholar
  48. Wang, C. Y., Gortmaker, S., & Taveras, E. M. (2011). Trends and racial/ethnic disparities in severe obesity among US children and adolescents, 1976–2006. International Journal Pediatric Obesity, 6, 9.Google Scholar
  49. Wong, W. W., Mikhail, C., Ortiz, C. L., Lathan, D., Moore, L. A., Konzelmann, K. L., & Smith, E. O. (2014). Body weight has no impact on self-esteem of minority children living in inner city, low-income neighborhoods: A cross-sectional study. BMC Pediatrics, 14, 19.CrossRefPubMedPubMedCentralGoogle Scholar
  50. Zeller, M. H., Reiter-Purtill, J., Peugh, J., Wu, Y., & Becnel, J. (2015). Youth whose weight exceeds healthy guidelines are high-risk targets for tobacco prevention messaging and close monitoring of cigarette use. Childhood Obesity, 11, 406–414.PubMedGoogle Scholar

Copyright information

© Society for Prevention Research 2016

Authors and Affiliations

  • Meg H. Zeller
    • 1
    • 4
  • Jennifer Becnel
    • 2
  • Jennifer Reiter-Purtill
    • 1
  • James Peugh
    • 1
    • 4
  • Yelena P. Wu
    • 3
  1. 1.Division of Behavioral Medicine and Clinical PsychologyCincinnati Children’s Hospital Medical CenterCincinnatiUSA
  2. 2.Human Development and Family Studies, School of Human Environmental SciencesUniversity of ArkansasFayettevilleUSA
  3. 3.Department of Family & Preventive Medicine, Division of Public Health, Cancer Control and Population Sciences, Huntsman Cancer InstituteUniversity of UtahSalt Lake CityUSA
  4. 4.Department of PediatricsUniversity of College of MedicineCincinnatiUSA

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