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Smoking as a weight control strategy of Serbian adolescents

Author

Listed:
  • Biljana Kilibarda

    (Institute of Public Health of Serbia “Dr Milan Jovanovic Batut”)

  • Jelena Gudelj Rakic

    (Institute of Public Health of Serbia “Dr Milan Jovanovic Batut”)

  • Sonja Mitov Scekic

    (Independent Consultant)

  • Srmena Krstev

    (Association “Health Mission”)

Abstract

Objectives The objective is to determine association of age, gender, BMI, body image (body satisfaction, body appearance), depression, unhealthy weight control behaviors with smoking among Serbian adolescents and specifically association of these variables with smoking for weight control among adolescent smokers. Methods This is a secondary analysis of data collected from 2763 students aged 13–15 years old (49.9% boys; 50.1% girls) obtained through cross-sectional Health Behavior in School-aged Children Survey conducted in Serbia in 2018 and analyzed using multivariable logistic regression. Results In Serbia, 12.9% adolescents 13–15 years old smoke and 6.6% smoke for weight control, while this practice was present among 48.8% of the smokers. Higher odds of smoking were found among adolescents who perceive themselves thin and good looking, while these two factors didn’t play role for the smoking for weight control among smokers. Depression and unhealthy weight control behavior other than smoking significantly predicted smoking and smoking for weight control. Gender was not associated with smoking in adolescents, but among adolescent smokers, boys had two times higher chance compared to girls to report smoking for weight control. Conclusions Findings call for incorporating and strengthening interventions for adolescents’ weight control management and mental health as part of smoking prevention and cessation programs.

Suggested Citation

  • Biljana Kilibarda & Jelena Gudelj Rakic & Sonja Mitov Scekic & Srmena Krstev, 2020. "Smoking as a weight control strategy of Serbian adolescents," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(8), pages 1319-1329, November.
  • Handle: RePEc:spr:ijphth:v:65:y:2020:i:8:d:10.1007_s00038-020-01469-1
    DOI: 10.1007/s00038-020-01469-1
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    References listed on IDEAS

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    1. Lorena Charrier & Paola Berchialla & Paola Dalmasso & Alberto Borraccino & Patrizia Lemma & Franco Cavallo, 2019. "Cigarette Smoking and Multiple Health Risk Behaviors: A Latent Class Regression Model to Identify a Profile of Young Adolescents," Risk Analysis, John Wiley & Sons, vol. 39(8), pages 1771-1782, August.
    2. Currie, Candace & Molcho, Michal & Boyce, William & Holstein, Bjørn & Torsheim, Torbjørn & Richter, Matthias, 2008. "Researching health inequalities in adolescents: The development of the Health Behaviour in School-Aged Children (HBSC) Family Affluence Scale," Social Science & Medicine, Elsevier, vol. 66(6), pages 1429-1436, March.
    3. Neumark-Sztainer, D. & Story, M. & Dixon, L.B. & Murray, D.M., 1998. "Adolescents engaging in unhealthy weight control behaviors: Are they at risk for other health-comprising behaviors?," American Journal of Public Health, American Public Health Association, vol. 88(6), pages 952-955.
    4. Chris Roberts & J. Freeman & O. Samdal & C. Schnohr & M. Looze & S. Nic Gabhainn & R. Iannotti & M. Rasmussen, 2009. "The Health Behaviour in School-aged Children (HBSC) study: methodological developments and current tensions," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(2), pages 140-150, September.
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