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

Jerel P. Calzo*, Blair C. Turner, Rachel Marro, Gregory Lee Phillips ii

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

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 languageEnglish (US)
Pages (from-to)200-210
Number of pages11
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume58
Issue number2
DOIs
StatePublished - Feb 1 2019

Fingerprint

Heterosexuality
Eating
Alcohols
Feeding Behavior
Binge Drinking
Sexual Behavior
Diet
Fasting
Sexual Minorities
Logistic Models
Steroids
Risk-Taking
Age of Onset
Drinking
Odds Ratio
Students
Psychology

Keywords

  • adolescence
  • binge drinking
  • eating disorders
  • sexual minorities

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Cite this

@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 ii}, {Gregory Lee}",
year = "2019",
month = "2",
day = "1",
doi = "10.1016/j.jaac.2018.09.437",
language = "English (US)",
volume = "58",
pages = "200--210",
journal = "Journal of the American Academy of Child and Adolescent Psychiatry",
issn = "0890-8567",
publisher = "Elsevier Limited",
number = "2",

}

Alcohol Use and Disordered Eating in a US Sample of Heterosexual and Sexual Minority Adolescents. / Calzo, Jerel P.; Turner, Blair C.; Marro, Rachel; Phillips ii, Gregory Lee.

In: Journal of the American Academy of Child and Adolescent Psychiatry, Vol. 58, No. 2, 01.02.2019, p. 200-210.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Alcohol Use and Disordered Eating in a US Sample of Heterosexual and Sexual Minority Adolescents

AU - Calzo, Jerel P.

AU - Turner, Blair C.

AU - Marro, Rachel

AU - Phillips ii, Gregory Lee

PY - 2019/2/1

Y1 - 2019/2/1

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.

KW - adolescence

KW - binge drinking

KW - eating disorders

KW - sexual minorities

UR - http://www.scopus.com/inward/record.url?scp=85061039932&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85061039932&partnerID=8YFLogxK

U2 - 10.1016/j.jaac.2018.09.437

DO - 10.1016/j.jaac.2018.09.437

M3 - Article

VL - 58

SP - 200

EP - 210

JO - Journal of the American Academy of Child and Adolescent Psychiatry

JF - Journal of the American Academy of Child and Adolescent Psychiatry

SN - 0890-8567

IS - 2

ER -