title: Substance use and weight loss tactics among middle school youth.
abstract: OBJECTIVE
  Diet pills (DP) and vomiting or laxative (VL) use as weight loss tactics are associated with substance use in older adolescent populations. This study examined the association of weight loss tactics and substance use among middle school students.
  
  
  METHODS
  A Youth Risk Behavior Survey was administered to 6,957 middle school students in eastern North Carolina. Multiple logistic regression examined substance use as predictors of DP and VL use.
  
  
  RESULTS
  DP and VL use was reported by 6.0% and 7.1% of students, respectively, with each reported more frequently by females and White students. Regression analysis demonstrated alcohol, cigarette, or marijuana use as predictors for individual race/gender groups whereas steroid use was a predictor for all race/gender groups. We found a clustering effect of alcohol and cigarette use with both DP and VL use.
  
  
  CONCLUSIONS
  Substance use is associated with weight loss tactics as early as middle school. More research in the areas of clustering of behaviors and age at onset is needed.
authors.affiliation: Department of Family Medicine, Brody School of Medicine at East Carolina University, Greenville, North Carolina 27858, USA. garryj@mail.ecu.edu
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Garry
authors.forename: Susan L
authors.initials: SL
authors.lastname: Morrissey
authors.forename: Lauren M
authors.initials: LM
authors.lastname: Whetstone
mesh_terms: D000293:Adolescent; D019440:Anti-Obesity Agents / Q000008:administration & dosage*; D002400:Cathartics / Q000008:administration & dosage*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D013334:Students / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014839:Vomiting; D015431:Weight Loss
chemical_list: D019440:Anti-Obesity Agents; D002400:Cathartics