Factors associated with extreme weight loss behaviors among adolescents of Northeastern Brazil: a hierarchical approach.

Autor: Ramos AE; Escola de Nutrição, Universidade Federal da Bahia. Av. Araújo Pinho 32, Canela. 40110-150 Salvador BA Brasil. anaelisa_alegrete@hotmail.com., Silva KBBD; Escola de Nutrição, Universidade Federal da Bahia. Av. Araújo Pinho 32, Canela. 40110-150 Salvador BA Brasil. anaelisa_alegrete@hotmail.com., Queiroz VAO; Escola de Nutrição, Universidade Federal da Bahia. Av. Araújo Pinho 32, Canela. 40110-150 Salvador BA Brasil. anaelisa_alegrete@hotmail.com., Brito E; Departamento de Estatística, Universidade Federal da Bahia. Salvador BA Brasil., Costa CASD; Centro de Ciências da Saúde, Universidade Federal do Recôncavo da Bahia. Santo Antônio de Jesus BA Brasil., Santana MLP; Escola de Nutrição, Universidade Federal da Bahia. Av. Araújo Pinho 32, Canela. 40110-150 Salvador BA Brasil. anaelisa_alegrete@hotmail.com.
Jazyk: angličtina
Zdroj: Ciencia & saude coletiva [Cien Saude Colet] 2023 Sep; Vol. 28 (9), pp. 2677-2688. Date of Electronic Publication: 2023 Jan 27.
DOI: 10.1590/1413-81232023289.15672022
Abstrakt: The objective of this article is to identify the prevalence and evaluate the factors associated with extreme weight loss behaviors among adolescents of Northeastern Brazil. Cross-sectional study with 2,439 adolescents from Sample 2 (2015) of the National School-based Health Survey. Extreme weight loss behaviors, such as self-induced vomiting, laxative use and use of medicines or formulas (outcome) and independent variables were evaluated using a self-administered electronic questionnaire. The statistical analysis was performed following a hierarchical conceptual model. The prevalence of extreme weight loss behaviors in the sample was 12.1%. Among the factors that showed significant association with the outcome, we emphasize the administration model of the private school (PR = 0.62; CI = 0.46-0.84), bullying related to body appearance and for other reasons (PR = 1.62; CI = 1.19-2.20), forced sexual intercourse (PR = 2.65; CI = 1.90-3.69), insomnia (PR = 1.84; CI = 1.43-2.37), and be perceived as fat or very fat (PR = 1.90; CI = 1.50-2.42). Moderate prevalence of extreme weight loss behaviors was identified among adolescents. Socioeconomic factors, exposure to violence, mental health, and body image were associated with the adoption of these behaviors.
Databáze: MEDLINE