Disordered eating and substance use in high-school students: Results from the Youth Risk Behavior Surveillance System

OBJECTIVE:: To examine the association between disordered eating (fasting, diet product use, and vomiting or laxative use) and use of 10 substances (cigarettes, alcohol, marijuana, cocaine, inhalants, heroin, methamphetamines, ecstasy, steroids, and hallucinogens) in a nationally representative adol...

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Bibliographic Details
Published in:The International journal of eating disorders 2008-07, Vol.41 (5), p.464-470
Main Authors: Pisetsky, Emily M, May Chao, Y, Dierker, Lisa C, May, Alexis M, Striegel-Moore, Ruth H
Format: Article
Language:English
Subjects:
abnormal behavior
Adolescent
adolescent nutrition
adolescents
Age Factors
alcohol abuse
Alcoholism - epidemiology
Alcoholism - psychology
binge eating disorder
binging
bulimia
bulimic behaviors
Comorbidity
Cross-Sectional Studies
dieting
disease surveillance
drug abuse
Drug use
Eating disorders
Feeding and Eating Disorders - diagnosis
Feeding and Eating Disorders - epidemiology
Feeding and Eating Disorders - psychology
Female
Health Behavior
high school students
Humans
Male
Marijuana Abuse - epidemiology
Marijuana Abuse - psychology
morbidity
Population Surveillance
Risk
risk factors
Secondary school students
Sex Factors
Smoking - epidemiology
Smoking - psychology
Street Drugs
Students - psychology
Students - statistics & numerical data
substance abuse
substance use
Substance-Related Disorders - diagnosis
Substance-Related Disorders - epidemiology
Substance-Related Disorders - psychology
Teenagers
United States
weight control
youth
Youth Risk Behavior Surveillance System
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Summary:OBJECTIVE:: To examine the association between disordered eating (fasting, diet product use, and vomiting or laxative use) and use of 10 substances (cigarettes, alcohol, marijuana, cocaine, inhalants, heroin, methamphetamines, ecstasy, steroids, and hallucinogens) in a nationally representative adolescent sample. METHOD:: Participants were 13,917 U.S. high-school students participating in the 2005 Youth Risk Behavior Surveillance System. RESULTS:: Disordered eating was significantly associated with the use of each substance. Using effect size estimates that take base rates into consideration, for female students, associations between substance use and disordered eating were weak for all but three forms of substance use: current smoking, binge drinking, and inhalants. Among male students, strong (marijuana, steroids, and inhalants) or moderate effects (all other substances) were observed. CONCLUSION:: Future research needs to focus on inhalant use and methamphetamine use in males. Increased medical attention should be directed toward adolescents who practice disordered eating behaviors because they are also at elevated risk for using cigarettes, alcohol, inhalants, methamphetamines, and steroids. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008
ISSN:0276-3478
1098-108X
DOI:10.1002/eat.20520