Associations of Body Mass Index with Sexual Risk-Taking and Injection Drug Use among US High School Students

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 Sur...

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Vydáno v:	Journal of Obesity Ročník 2014; číslo 2014; s. bk1 - 10
Hlavní autoři:	Galuska, Deborah A., Kann, Laura, Robin, Leah, Lowry, Richard
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Cairo, Egypt Hindawi Limiteds 01.01.2014 Hindawi Publishing Corporation John Wiley & Sons, Inc Wiley
Témata:	Adolescent Adolescent Behavior - psychology Analysis Behavioral Risk Factor Surveillance System Body Mass Index Complications and side effects Drug use Female Health aspects High school students HIV infection Humans Male Obesity in adolescence Overweight - psychology Risk factors Risk-Taking Self Concept Sexual behavior Sexual Behavior - psychology Sexually transmitted diseases Social Desirability Students - psychology Substance Abuse, Intravenous - epidemiology Substance Abuse, Intravenous - psychology Thinness - psychology United States - epidemiology United States
ISSN:	2090-0708, 2090-0716, 2090-0716
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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.
AbstractList	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. 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 [greater than or equal to] 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 [less than or equal to] 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. 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.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.
Audience	Academic
Author	Lowry, Richard Kann, Laura Robin, Leah Galuska, Deborah A.
AuthorAffiliation	1 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 2 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
AuthorAffiliation_xml	– name: 1 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 – name: 2 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
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CitedBy_id	crossref_primary_10_1007_s11121_021_01220_z crossref_primary_10_1016_j_bpobgyn_2014_10_005 crossref_primary_10_1007_s10964_020_01192_3 crossref_primary_10_1111_josh_12512 crossref_primary_10_1177_0044118X20968389 crossref_primary_10_1363_48e11416 crossref_primary_10_1002_hsr2_71281 crossref_primary_10_1080_17450128_2016_1268741 crossref_primary_10_1111_cch_12940 crossref_primary_10_1177_0272684X16668023 crossref_primary_10_1177_0272684X16685255 crossref_primary_10_1007_s43545_021_00084_y crossref_primary_10_1038_nrgastro_2015_146 crossref_primary_10_1136_bmjsrh_2019_OOC crossref_primary_10_1111_ijpo_12155 crossref_primary_10_1007_s40137_019_0232_2 crossref_primary_10_1016_j_copsyc_2015_03_021
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Copyright	Copyright © 2014 Richard Lowry et al. COPYRIGHT 2014 John Wiley & Sons, Inc. Copyright © 2014 Richard Lowry et al. 2014
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SubjectTerms	Adolescent Adolescent Behavior - psychology Analysis Behavioral Risk Factor Surveillance System Body Mass Index Complications and side effects Drug use Female Health aspects High school students HIV infection Humans Male Obesity in adolescence Overweight - psychology Risk factors Risk-Taking Self Concept Sexual behavior Sexual Behavior - psychology Sexually transmitted diseases Social Desirability Students - psychology Substance Abuse, Intravenous - epidemiology Substance Abuse, Intravenous - psychology Thinness - psychology United States - epidemiology
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Title	Associations of Body Mass Index with Sexual Risk-Taking and Injection Drug Use among US High School Students
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