Differential Associations between Weight Status (Obesity, Overweight, and Underweight) and Substance Use in Young Adulthood.
Differential Associations between Weight Status (Obesity, Overweight, and Underweight) and Substance Use in Young Adulthood.
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DOI：
10.1080/10826084.2022.2107670
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发表时间：
2022
影响因子：
2
通讯作者：
Motlagh, Gabriella
中科院分区：
文献类型：
--
作者：
Lanza, H. Isabella;Orozco, Monica;Motlagh, Gabriella
以往的证据表明，在青年时期，肥胖与烟草/尼古丁、大麻和酒精的使用同时存在，但这种关系是否延伸到尼古丁或大麻电子烟尚不明确。此外，物质使用与特定体重状况类别（肥胖、超重、体重过轻）之间的差异关系尚未得到评估。本研究评估了青年时期不同体重状况类别下烟草/尼古丁、大麻和酒精的使用流行率。
对一所公立城市大学的1322名青年（18 - 29岁；20.5±2.3岁；63%为女性；42%为西班牙裔/拉丁裔，30%为亚裔美国人/亚洲人，18%为高加索裔/白人，7%为多种族混血，2%为非裔美国人/黑人）在2021年春季和秋季的健康风险行为进行了调查。
多项逻辑回归模型根据基线体重状况（肥胖、超重、体重过轻；参照组：健康体重）评估了六个月随访期间物质使用的流行率（从不使用、曾经使用但过去30天未使用、过去30天使用）。肥胖预示着过去30天使用尼古丁电子烟的几率较低（调整优势比[95%置信区间]=0.27[0.08 - 0.92]）。超重预示着曾经使用可燃大麻的几率较高（调整优势比[95%置信区间]=1.58[1.08 - 2.30]）以及过去30天酗酒的几率较高（调整优势比[95%置信区间]=1.79[1.12 - 2.85]）。体重过轻与曾经使用大麻电子烟的几率较低（调整优势比[95%置信区间]=0.35[0.12 - 0.99]）以及使用可燃大麻的几率较低（调整优势比[95%置信区间]=0.38[0.16 - 0.87]）相关。
肥胖和超重与烟草/尼古丁、大麻和酒精使用之间的差异关系表明，在评估较高体重状况与物质使用之间的关系时需要更具针对性。似乎超重的青年可能比肥胖的青年面临更高的物质使用风险。更加努力地考虑多种体重状况群体，而不仅仅是肥胖群体，可能对针对弱势群体的烟草/尼古丁预防和干预工作具有重要意义。
Past evidence suggests obesity co-occurs with tobacco/nicotine, cannabis, and alcohol use in young adulthood, but whether this relationship extends to nicotine or cannabis vaping is unclear. Furthermore, differential relationships between substance use and specific weight status categories (obesity, overweight, underweight) have not been assessed. The current study assessed prevalence of tobacco/nicotine, cannabis, and alcohol use by weight status categories in young adulthood. 1,322 young adults (18–29 years; 20.5±2.3 years; 63% female; 42% Hispanic/Latino/a/x, 30% Asian-American/Asian, 18% Caucasian/White, 7% Multiracial, and 2% African-American/Black) from a public, urban university were surveyed on their health-risk behaviors in the spring and fall of 2021. Multinomial logistic regression models assessed six-month follow-up substance use prevalence (never, lifetime but no past 30-day use, past 30-day use) by baseline weight status (obese, overweight, underweight; reference: healthy weight). Obesity predicted lower odds of past 30-day nicotine vaping (aOR[95% CI]=.27[.08-.92]). Overweight predicted higher odds of lifetime combustible cannabis (aOR[95% CI]=1.58[1.08–2.30]) and past 30-day binge drinking (aOR[95% CI]=1.79[1.12–2.85]). Underweight was associated with lower odds of lifetime cannabis vaping (aOR[95% CI]=.35[.12-.99]) and combustible cannabis (aOR[95% CI]=.38[.16-.87]). Differential relationships between obesity and overweight on tobacco/nicotine, cannabis, and alcohol use suggest greater specificity is needed when evaluating relationships between higher weight status and substance use. It appears that overweight young adults may be at higher risk of substance use than obese young adults. Greater efforts to consider multiple weight status groups, not just obese, may have significant implications for tobacco/nicotine prevention and intervention efforts targeting vulnerable populations.
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影响因子：
4.7
作者：
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通讯作者：
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通讯作者：
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作者：
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