The association between overweight and illegal drug consumption in adolescents: is there an underlying influence of the sociocultural environment?

<h4>Background</h4>The aims of the study were to: a) Examine the distribution of gender-stratified body mass index (BMI), eating attitudes and use of addictive substances, under the hypothesis of a confluent prevalence of weight abnormalities, eating disorders and substance abuse. b) Dem...

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Autores principales: Francesca Denoth, Valeria Siciliano, Patricia Iozzo, Loredana Fortunato, Sabrina Molinaro
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Publicado: Public Library of Science (PLoS) 2011
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spelling oai:doaj.org-article:72e452dd45b544aeb6646801e9b242a72021-11-18T07:34:12ZThe association between overweight and illegal drug consumption in adolescents: is there an underlying influence of the sociocultural environment?1932-620310.1371/journal.pone.0027358https://doaj.org/article/72e452dd45b544aeb6646801e9b242a72011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22110632/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The aims of the study were to: a) Examine the distribution of gender-stratified body mass index (BMI), eating attitudes and use of addictive substances, under the hypothesis of a confluent prevalence of weight abnormalities, eating disorders and substance abuse. b) Demonstrate the extent to which family, peer-related and psychosocial factors are common elements in categories of compulsive behaviour.<h4>Methodology/principal findings</h4>In the present cross-sectional study, data were collected through self reported questionnaires administered to a large sample of 33,185 15-19 years old adolescents (ESPAD®Italia), divided into weight categories based on the BMI percentile distribution. Multinomial analyses were adopted to address the influence of social, family, leisure time factors, Eating Attitude Test (EAT26) on the association between weight categories and drug use. Recent drugs use was more frequent in overweight and underweight adolescents (p<0.05), especially in females. An EAT26 score ≥20 was more common in overweight adolescents. Multinomial analysis abolished the relationship between overweight and the use of most drugs, implicating self-esteem, parents' educational level, and friendships as mediators of the association. Within the overweight category, adolescents reporting recent drug use, showed greater frequency of having drug-abusing friends (∼80%), and severe problems with parents and school (∼30%) compared to overweight adolescents without recent drug use.<h4>Conclusion</h4>The frequent association of overweight and substance use and the presence of common underlying social factors, highlights the need for an interdisciplinary approach involving individual-focused treatment models as well as public health, social and environmental changes to reduce food- and substances-related problems.Francesca DenothValeria SicilianoPatricia IozzoLoredana FortunatoSabrina MolinaroPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 11, p e27358 (2011)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Francesca Denoth
Valeria Siciliano
Patricia Iozzo
Loredana Fortunato
Sabrina Molinaro
The association between overweight and illegal drug consumption in adolescents: is there an underlying influence of the sociocultural environment?
description <h4>Background</h4>The aims of the study were to: a) Examine the distribution of gender-stratified body mass index (BMI), eating attitudes and use of addictive substances, under the hypothesis of a confluent prevalence of weight abnormalities, eating disorders and substance abuse. b) Demonstrate the extent to which family, peer-related and psychosocial factors are common elements in categories of compulsive behaviour.<h4>Methodology/principal findings</h4>In the present cross-sectional study, data were collected through self reported questionnaires administered to a large sample of 33,185 15-19 years old adolescents (ESPAD®Italia), divided into weight categories based on the BMI percentile distribution. Multinomial analyses were adopted to address the influence of social, family, leisure time factors, Eating Attitude Test (EAT26) on the association between weight categories and drug use. Recent drugs use was more frequent in overweight and underweight adolescents (p<0.05), especially in females. An EAT26 score ≥20 was more common in overweight adolescents. Multinomial analysis abolished the relationship between overweight and the use of most drugs, implicating self-esteem, parents' educational level, and friendships as mediators of the association. Within the overweight category, adolescents reporting recent drug use, showed greater frequency of having drug-abusing friends (∼80%), and severe problems with parents and school (∼30%) compared to overweight adolescents without recent drug use.<h4>Conclusion</h4>The frequent association of overweight and substance use and the presence of common underlying social factors, highlights the need for an interdisciplinary approach involving individual-focused treatment models as well as public health, social and environmental changes to reduce food- and substances-related problems.
format article
author Francesca Denoth
Valeria Siciliano
Patricia Iozzo
Loredana Fortunato
Sabrina Molinaro
author_facet Francesca Denoth
Valeria Siciliano
Patricia Iozzo
Loredana Fortunato
Sabrina Molinaro
author_sort Francesca Denoth
title The association between overweight and illegal drug consumption in adolescents: is there an underlying influence of the sociocultural environment?
title_short The association between overweight and illegal drug consumption in adolescents: is there an underlying influence of the sociocultural environment?
title_full The association between overweight and illegal drug consumption in adolescents: is there an underlying influence of the sociocultural environment?
title_fullStr The association between overweight and illegal drug consumption in adolescents: is there an underlying influence of the sociocultural environment?
title_full_unstemmed The association between overweight and illegal drug consumption in adolescents: is there an underlying influence of the sociocultural environment?
title_sort association between overweight and illegal drug consumption in adolescents: is there an underlying influence of the sociocultural environment?
publisher Public Library of Science (PLoS)
publishDate 2011
url https://doaj.org/article/72e452dd45b544aeb6646801e9b242a7
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