title: Unhealthy Weight Management Practices and Non-medical Use of Prescription Drugs.
abstract: BACKGROUND
  Non-medical use of prescription drugs (NMUPD) has reached epidemic proportions in the U.S. With approximately one in five high school students engaging in NMUPD, it is important to understand behavioral correlates.
  
  
  METHODS
  Data were combined from the 2011 and 2013 cycles of the Youth Risk Behavior Survey, a nationally representative, cross-sectional survey. After restricting the analytic sample to students who reported a weight loss goal of either staying the same weight or losing weight, logistic regression models were used to estimate adjusted prevalence ratios and 95% CIs for associations between unhealthy weight management practices (UWMPs) and lifetime NMUPD. Individual UWMPs-fasting; taking diet pills, powders, or liquids without a doctor's advice; and vomiting or taking laxatives-and total number of UWMPs were examined. Data were analyzed in 2016.
  
  
  RESULTS
  UWMPs were more prevalent among female students (21.1% vs 10.7% for fasting; 7.5% vs 5.2% for taking diet pills, powders, or liquids; and 7.6% vs 3.2% for vomiting or taking laxatives). Significant associations between individual UWMPs and NMUPD and between the number of UWMPs and NMUPD were observed.
  
  
  CONCLUSIONS
  UWMPs were associated with NMUPD. Health educators in the school setting, as well as other health professionals who provide services to an adolescent population, can focus on healthy weight management strategies, and other substance-specific messages.
  
  
  CONCLUSIONS
  The association between UWMPs and NMUPD may reflect a constellation of problem behaviors exhibited among some adolescents.
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, Georgia. Electronic address: hhc9@cdc.gov.
authors.forename: Heather B
authors.initials: HB
authors.lastname: Clayton
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, Georgia; U.S Public Health Service Commissioned Corps, Rockville, Maryland.
authors.forename: Zewditu
authors.initials: Z
authors.lastname: Demissie
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, Georgia.
authors.forename: Richard
authors.initials: R
authors.lastname: Lowry
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, Georgia; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Lundeen
authors.affiliation: U.S Public Health Service Commissioned Corps, Rockville, Maryland; Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Andrea J
authors.initials: AJ
authors.lastname: Sharma
authors.affiliation: Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Michele K
authors.initials: MK
authors.lastname: Bohm
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000502:physiology*; D019440:Anti-Obesity Agents / Q000009:adverse effects; D015992:Body Mass Index; D000068959:Body Weight Maintenance / Q000187:drug effects*; D003430:Cross-Sectional Studies; D005215:Fasting / Q000009:adverse effects / Q000523:psychology; D005260:Female; D006801:Humans; D054368:Laxatives / Q000009:adverse effects; D008297:Male; D063487:Prescription Drug Misuse / Q000517:prevention & control / Q000523:psychology* / Q000706:statistics & numerical data; D015995:Prevalence; D012309:Risk-Taking; D057566:Self Report; D012737:Sex Factors; D013334:Students / Q000523:psychology*; D014839:Vomiting / Q000523:psychology; D015431:Weight Loss / Q000187:drug effects*
chemical_list: D019440:Anti-Obesity Agents; D054368:Laxatives