Smoking as a weight control strategy of Serbian adolescents
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ORIGINAL ARTICLE
Smoking as a weight control strategy of Serbian adolescents Biljana Kilibarda1 • Jelena Gudelj Rakic1 • Sonja Mitov Scekic2 • Srmena Krstev3 Received: 30 April 2020 / Revised: 21 August 2020 / Accepted: 25 August 2020 Swiss School of Public Health (SSPH+) 2020
Abstract Objectives The objective is to determine association of age, gender, BMI, body image (body satisfaction, body appearance), depression, unhealthy weight control behaviors with smoking among Serbian adolescents and specifically association of these variables with smoking for weight control among adolescent smokers. Methods This is a secondary analysis of data collected from 2763 students aged 13–15 years old (49.9% boys; 50.1% girls) obtained through cross-sectional Health Behavior in School-aged Children Survey conducted in Serbia in 2018 and analyzed using multivariable logistic regression. Results In Serbia, 12.9% adolescents 13–15 years old smoke and 6.6% smoke for weight control, while this practice was present among 48.8% of the smokers. Higher odds of smoking were found among adolescents who perceive themselves thin and good looking, while these two factors didn’t play role for the smoking for weight control among smokers. Depression and unhealthy weight control behavior other than smoking significantly predicted smoking and smoking for weight control. Gender was not associated with smoking in adolescents, but among adolescent smokers, boys had two times higher chance compared to girls to report smoking for weight control. Conclusions Findings call for incorporating and strengthening interventions for adolescents’ weight control management and mental health as part of smoking prevention and cessation programs. Keywords Smoking Adolescents Weight control behavior
Introduction Adolescence is a period when many risk behaviors are established including smoking (National Center for Chronic Disease Prevention and Health Promotion 2012)
This article is part of the special issue ‘‘Adolescent health in Central and Eastern Europe’’. & Biljana Kilibarda [email protected] Jelena Gudelj Rakic [email protected] Sonja Mitov Scekic [email protected] Srmena Krstev [email protected] 1
Institute of Public Health of Serbia ‘‘Dr Milan Jovanovic Batut’’, 5 Dr Subotica Street, Belgrade, Serbia
2
Independent Consultant, Belgrade, Serbia
3
Association ‘‘Health Mission’’, Belgrade, Serbia
and unhealthy dietary practices (Hazzard et al. 2017). Worldwide more than 340 million (18%) children and adolescents between 5 and 19 years of age are either overweight or obese (NCD Risk Factor Collaboration 2017) and approximately 10% of 13–15 years old adolescents smoke with significant differences between counties (Arrazola et al. 2017). High prevalence of these unhealthy behaviors represents a serious public health challenge and underline the necessity for continuous implementation of evidence-based interventions. Co-occurrence of various risk factors which is repeatedly found i
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