title: Associations of body mass index with sexual risk-taking and injection drug use among US high school students.
abstract: The purpose of this study was to determine if body mass index (BMI) is associated with behaviors that may increase risk for HIV and other sexually transmitted diseases (STDs) among US high school students. We analyzed nationally representative data from the 2005-2011 national Youth Risk Behavior Surveys (YRBS) to examine associations of BMI categories with sexual risk behaviors and injection drug use among sexually active high school students, using sex-stratified logistic regression models. Controlling for race/ethnicity and grade, among female and male students, both underweight (BMI < 5th percentile) and obesity (BMI ≥ 95th percentile) were associated with decreased odds of being currently sexually active (i.e., having had sexual intercourse during the past 3 months). However, among sexually active female students, obese females were more likely than normal weight females to have had 4 or more sex partners (odds ratio, OR = 1.59), not used a condom at last sexual intercourse (OR = 1.30), and injected illegal drugs (OR = 1.98). Among sexually active male students, overweight (85th percentile ≤ BMI < 95th percentile) was associated with not using a condom at last sexual intercourse (OR = 1.19) and obesity was associated with injection drug use (OR = 1.42). Among sexually active students, overweight and obesity may be indicators of increased risk for HIV and other STDs.
authors.affiliation: Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Lowry
authors.affiliation: Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
authors.forename: Leah
authors.initials: L
authors.lastname: Robin
authors.affiliation: Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Kann
authors.affiliation: Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Galuska
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D040343:Behavioral Risk Factor Surveillance System; D015992:Body Mass Index; D005260:Female; D006801:Humans; D008297:Male; D050177:Overweight / Q000523:psychology; D012309:Risk-Taking; D012649:Self Concept; D012725:Sexual Behavior / Q000523:psychology*; D012928:Social Desirability; D013334:Students / Q000523:psychology; D015819:Substance Abuse, Intravenous / Q000453:epidemiology / Q000523:psychology*; D013851:Thinness / Q000523:psychology; D014481:United States / Q000453:epidemiology
references.citation: Int Rev Psychiatry. 2012 Jun;24(3):241-6
references.pmid: 22724645
references.citation: Am J Public Health. 2008 Jan;98(1):155-61
references.pmid: 18048793
references.citation: J Adolesc Health. 2014 Jan;54(1):100-8
references.pmid: 24035267
references.citation: MMWR Morb Mortal Wkly Rep. 2012 Nov 30;61(47):971-6
references.pmid: 23190571
references.citation: Pediatrics. 1999 Jun;103(6 Pt 1):1175-82
references.pmid: 10353925
references.citation: MMWR Surveill Summ. 2010 Jun 4;59(5):1-142
references.pmid: 20520591
references.citation: Perspect Psychiatr Care. 2010 Jan;46(1):56-64
references.pmid: 20051079
references.citation: J Adolesc Health. 2012 Jun;50(6):621-6
references.pmid: 22626490
references.citation: Yonsei Med J. 2010 Jan;51(1):18-26
references.pmid: 20046509
references.citation: Obes Rev. 2011 May;12(5):e159-72
references.pmid: 21401850
references.citation: Econ Hum Biol. 2014 Jan;12:140-52
references.pmid: 24361085
references.citation: Obes Rev. 2004 Aug;5(3):129-35
references.pmid: 15245381
references.citation: Int J Obes (Lond). 2012 Apr;36(4):535-41
references.pmid: 22124455
references.citation: Arch Pediatr Adolesc Med. 2005 Jun;159(6):513-9
references.pmid: 15939848
references.citation: Pediatrics. 2000 Jan;105(1):e15
references.pmid: 10617752
references.citation: Dev Psychol. 1999 May;35(3):721-36
references.pmid: 10380863
references.citation: Matern Child Health J. 2000 Jun;4(2):125-34
references.pmid: 10994581
references.citation: Pediatrics. 2011 May;127(5):827-34
references.pmid: 21518723
references.citation: Br J Psychiatry. 2010 Jul;197(1):20-7
references.pmid: 20592429
references.citation: MMWR Surveill Summ. 2008 Jun 6;57(4):1-131
references.pmid: 18528314
references.citation: J Adolesc Health. 2010 Oct;47(4):389-98
references.pmid: 20864009
references.citation: Pediatrics. 1998 Mar;101(3 Pt 2):518-25
references.pmid: 12224658
references.citation: J Am Coll Health. 2005 Sep-Oct;54(2):95-101
references.pmid: 16255321
references.citation: Obes Res. 2002 May;10(5):386-93
references.pmid: 12006638
references.citation: JAMA Pediatr. 2014 Jun;168(6):561-6
references.pmid: 24710576
references.citation: JAMA. 2010 Jan 20;303(3):242-9
references.pmid: 20071470
references.citation: MMWR Surveill Summ. 2012 Jun 8;61(4):1-162
references.pmid: 22673000
references.citation: Pediatrics. 2006 Jul;118(1):189-200
references.pmid: 16818565
references.citation: Cad Saude Publica. 2012 Feb;28(2):305-12
references.pmid: 22331156
references.citation: J Adolesc Health. 2012 Jul;51(1):18-24
references.pmid: 22727072
references.citation: Obesity (Silver Spring). 2008 Apr;16(4):755-62
references.pmid: 18379560
references.citation: Am J Public Health. 2001 May;91(5):753-60
references.pmid: 11344883
references.citation: MMWR Recomm Rep. 2011 Sep 16;60(RR-5):1-76
references.pmid: 21918496
references.citation: Obes Res. 2001 Jan;9(1):32-42
references.pmid: 11346665
references.citation: Sex Transm Infect. 2005 Jun;81(3):259-61
references.pmid: 15923298
references.citation: JAMA. 2012 Feb 1;307(5):483-90
references.pmid: 22253364
references.citation: Sex Transm Dis. 2013 Mar;40(3):187-93
references.pmid: 23403598
references.citation: Pediatrics. 2002 Nov;110(5):903-10
references.pmid: 12415028
references.citation: Pediatrics. 2009 Nov;124(5):e913-20
references.pmid: 19841106
references.citation: Child Abuse Negl. 2012 Feb;36(2):84-94
references.pmid: 22398304
references.citation: J Adolesc Health. 2002 Oct;31(4):336-42
references.pmid: 12359379
references.citation: MMWR Recomm Rep. 2013 Mar 1;62(RR-1):1-20
references.pmid: 23446553
references.citation: Clin Psychol Rev. 2009 Nov;29(7):647-57
references.pmid: 19733950
references.citation: AIDS Behav. 2012 Aug;16(6):1699-707
references.pmid: 21932093
references.citation: MMWR Surveill Summ. 2006 Jun 9;55(5):1-108
references.pmid: 16760893
references.citation: Pediatrics. 2007 Dec;120 Suppl 4:S164-92
references.pmid: 18055651
references.citation: Arch Pediatr Adolesc Med. 2003 Aug;157(8):746-52
references.pmid: 12912779