Alcohol Use and Disordered Eating in a US Sample of Heterosexual and Sexual Minority Adolescents

Jerel P. Calzo; Blair C. Turner; Rachel Marro; Gregory L. Phillips

doi:10.1016/j.jaac.2018.09.437

Alcohol Use and Disordered Eating in a US Sample of Heterosexual and Sexual Minority Adolescents

Jerel P. Calzo^*, Blair C. Turner, Rachel Marro, Gregory L. Phillips

^*Corresponding author for this work

Medical Social Sciences

Research output: Contribution to journal › Article › peer-review

16 Scopus citations

Abstract

Objective: To expand knowledge of co-occurring alcohol use and disordered eating behaviors (DEB) among sexual minority (ie, nonheterosexual) youth. Method: Using pooled 2009 to 2015 US Youth Risk Behavior Surveys (322,687 students; 7.3% lesbian, gay, bisexual), multivariable logistic regression models examined the following: (1) associations of age of onset of drinking and past month binge drinking with past year DEB (fasting, diet pill use, purging, steroid use); and (2) effect modification by sexual orientation. Results: Alcohol use and sexual minority identity were independently associated with elevated odds for diet pill use and purging among female adolescents, and with fasting and steroid use among male adolescents. Odds of fasting increased with greater frequency of monthly binge drinking among heterosexual adolescent female youth, and odds of diet pill use increased with greater frequency of monthly binge drinking among heterosexual adolescent male youth. DEB prevalence was particularly pronounced among adolescents who binge drank and who were not sure of their sexual orientation identity. Among male adolescents not sure of their sexual orientation identity, those who binge drank more than 1 day in the past month had 8.63 to 23.62 times the odds of using diet pills relative to those who did not binge drink, and 13.37 to 26.42 times the odds of purging relative to those who did not binge drink. Conclusion: More research is needed on psychosocial factors underlying alcohol use and DEB in youth of all sexual orientations.

Original language	English (US)
Pages (from-to)	200-210
Number of pages	11
Journal	Journal of the American Academy of Child and Adolescent Psychiatry
Volume	58
Issue number	2
DOIs	https://doi.org/10.1016/j.jaac.2018.09.437
State	Published - Feb 2019

Funding

The Youth Risk Behavior Surveys are funded by the Centers for Disease Control and Prevention ( CDC ). Dr. Calzo was supported by K01DA034753 from the National Institute on Drug Abuse of the National Institutes of Health ( NIH ). Dr. Phillips, Ms. Turner, and Ms. Marro were supported by R01AA024409 from the National Institute on Alcohol Abuse and Alcoholism of NIH . The content is solely the responsibility of the authors and does not necessarily represent the official views of CDC or NIH. The Youth Risk Behavior Surveys are funded by the Centers for Disease Control and Prevention (CDC). Dr. Calzo was supported by K01DA034753 from the National Institute on Drug Abuse of the National Institutes of Health (NIH). Dr. Phillips, Ms. Turner, and Ms. Marro were supported by R01AA024409 from the National Institute on Alcohol Abuse and Alcoholism of NIH. The content is solely the responsibility of the authors and does not necessarily represent the official views of CDC or NIH.

Keywords

adolescence
binge drinking
eating disorders
sexual minorities

ASJC Scopus subject areas

Psychiatry and Mental health
Developmental and Educational Psychology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jaac.2018.09.437

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@article{bed0d392b3814f05a868d46b064aa39d,

title = "Alcohol Use and Disordered Eating in a US Sample of Heterosexual and Sexual Minority Adolescents",

abstract = "Objective: To expand knowledge of co-occurring alcohol use and disordered eating behaviors (DEB) among sexual minority (ie, nonheterosexual) youth. Method: Using pooled 2009 to 2015 US Youth Risk Behavior Surveys (322,687 students; 7.3% lesbian, gay, bisexual), multivariable logistic regression models examined the following: (1) associations of age of onset of drinking and past month binge drinking with past year DEB (fasting, diet pill use, purging, steroid use); and (2) effect modification by sexual orientation. Results: Alcohol use and sexual minority identity were independently associated with elevated odds for diet pill use and purging among female adolescents, and with fasting and steroid use among male adolescents. Odds of fasting increased with greater frequency of monthly binge drinking among heterosexual adolescent female youth, and odds of diet pill use increased with greater frequency of monthly binge drinking among heterosexual adolescent male youth. DEB prevalence was particularly pronounced among adolescents who binge drank and who were not sure of their sexual orientation identity. Among male adolescents not sure of their sexual orientation identity, those who binge drank more than 1 day in the past month had 8.63 to 23.62 times the odds of using diet pills relative to those who did not binge drink, and 13.37 to 26.42 times the odds of purging relative to those who did not binge drink. Conclusion: More research is needed on psychosocial factors underlying alcohol use and DEB in youth of all sexual orientations.",

keywords = "adolescence, binge drinking, eating disorders, sexual minorities",

author = "Calzo, {Jerel P.} and Turner, {Blair C.} and Rachel Marro and Phillips, {Gregory L.}",

note = "Funding Information: The Youth Risk Behavior Surveys are funded by the Centers for Disease Control and Prevention ( CDC ). Dr. Calzo was supported by K01DA034753 from the National Institute on Drug Abuse of the National Institutes of Health ( NIH ). Dr. Phillips, Ms. Turner, and Ms. Marro were supported by R01AA024409 from the National Institute on Alcohol Abuse and Alcoholism of NIH . The content is solely the responsibility of the authors and does not necessarily represent the official views of CDC or NIH. Funding Information: The Youth Risk Behavior Surveys are funded by the Centers for Disease Control and Prevention (CDC). Dr. Calzo was supported by K01DA034753 from the National Institute on Drug Abuse of the National Institutes of Health (NIH). Dr. Phillips, Ms. Turner, and Ms. Marro were supported by R01AA024409 from the National Institute on Alcohol Abuse and Alcoholism of NIH. The content is solely the responsibility of the authors and does not necessarily represent the official views of CDC or NIH. Publisher Copyright: {\textcopyright} 2018 American Academy of Child and Adolescent Psychiatry",

year = "2019",

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doi = "10.1016/j.jaac.2018.09.437",

language = "English (US)",

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AU - Calzo, Jerel P.

AU - Turner, Blair C.

AU - Marro, Rachel

AU - Phillips, Gregory L.

N1 - Funding Information: The Youth Risk Behavior Surveys are funded by the Centers for Disease Control and Prevention ( CDC ). Dr. Calzo was supported by K01DA034753 from the National Institute on Drug Abuse of the National Institutes of Health ( NIH ). Dr. Phillips, Ms. Turner, and Ms. Marro were supported by R01AA024409 from the National Institute on Alcohol Abuse and Alcoholism of NIH . The content is solely the responsibility of the authors and does not necessarily represent the official views of CDC or NIH. Funding Information: The Youth Risk Behavior Surveys are funded by the Centers for Disease Control and Prevention (CDC). Dr. Calzo was supported by K01DA034753 from the National Institute on Drug Abuse of the National Institutes of Health (NIH). Dr. Phillips, Ms. Turner, and Ms. Marro were supported by R01AA024409 from the National Institute on Alcohol Abuse and Alcoholism of NIH. The content is solely the responsibility of the authors and does not necessarily represent the official views of CDC or NIH. Publisher Copyright: © 2018 American Academy of Child and Adolescent Psychiatry

PY - 2019/2

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N2 - Objective: To expand knowledge of co-occurring alcohol use and disordered eating behaviors (DEB) among sexual minority (ie, nonheterosexual) youth. Method: Using pooled 2009 to 2015 US Youth Risk Behavior Surveys (322,687 students; 7.3% lesbian, gay, bisexual), multivariable logistic regression models examined the following: (1) associations of age of onset of drinking and past month binge drinking with past year DEB (fasting, diet pill use, purging, steroid use); and (2) effect modification by sexual orientation. Results: Alcohol use and sexual minority identity were independently associated with elevated odds for diet pill use and purging among female adolescents, and with fasting and steroid use among male adolescents. Odds of fasting increased with greater frequency of monthly binge drinking among heterosexual adolescent female youth, and odds of diet pill use increased with greater frequency of monthly binge drinking among heterosexual adolescent male youth. DEB prevalence was particularly pronounced among adolescents who binge drank and who were not sure of their sexual orientation identity. Among male adolescents not sure of their sexual orientation identity, those who binge drank more than 1 day in the past month had 8.63 to 23.62 times the odds of using diet pills relative to those who did not binge drink, and 13.37 to 26.42 times the odds of purging relative to those who did not binge drink. Conclusion: More research is needed on psychosocial factors underlying alcohol use and DEB in youth of all sexual orientations.

AB - Objective: To expand knowledge of co-occurring alcohol use and disordered eating behaviors (DEB) among sexual minority (ie, nonheterosexual) youth. Method: Using pooled 2009 to 2015 US Youth Risk Behavior Surveys (322,687 students; 7.3% lesbian, gay, bisexual), multivariable logistic regression models examined the following: (1) associations of age of onset of drinking and past month binge drinking with past year DEB (fasting, diet pill use, purging, steroid use); and (2) effect modification by sexual orientation. Results: Alcohol use and sexual minority identity were independently associated with elevated odds for diet pill use and purging among female adolescents, and with fasting and steroid use among male adolescents. Odds of fasting increased with greater frequency of monthly binge drinking among heterosexual adolescent female youth, and odds of diet pill use increased with greater frequency of monthly binge drinking among heterosexual adolescent male youth. DEB prevalence was particularly pronounced among adolescents who binge drank and who were not sure of their sexual orientation identity. Among male adolescents not sure of their sexual orientation identity, those who binge drank more than 1 day in the past month had 8.63 to 23.62 times the odds of using diet pills relative to those who did not binge drink, and 13.37 to 26.42 times the odds of purging relative to those who did not binge drink. Conclusion: More research is needed on psychosocial factors underlying alcohol use and DEB in youth of all sexual orientations.

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KW - eating disorders

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Alcohol Use and Disordered Eating in a US Sample of Heterosexual and Sexual Minority Adolescents

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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