PEDIATRICS Vol. 99 No. 4 April 1997, pp. e8 (doi:10.1542/peds.99.4.e8)
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PEDIATRICS Vol. 99 No. 4 April 1997, p. e8
Copyright ©1997 by the American Academy of Pediatrics

ELECTRONIC ARTICLE:
Psychosocial and Behavioral Correlates of Dieting and Purging in Native American Adolescents

Received Jul 31, 1996; accepted Oct 11, 1996.

Mary Story*, Simone A. French*, Dianne Neumark-Sztainer*, Blake DownesDagger , Michael D. Resnick§, par , and Robert W. Blumpar

From the Divisions of * Epidemiology and § Health Management and Policy, School of Public Health, Dagger  Office of Information Technology, and par  Division of General Pediatrics and Adolescent Health, University of Minnesota, Minneapolis.

Objective.  This study examined the relationship of psychosocial factors and health behaviors to frequent dieting and purging behaviors in Native American adolescent boys and girls.

Design.  School-based health survey.

Setting and Participants.  A total sample of 13 454 Native American youth in grades 7 through 12 living on or near reservations from eight Indian Health Service areas completed a self-report, school-based health questionnaire.

Results.  Almost half (48.3%) of the girls and one third (30.5%) of the boys had dieted in the past year. More than one fourth (28%) of the girls and 21% of the boys reported purging behavior of some type. Dieting frequency and purging status were associated with negative psychosocial factors and health risk behaviors. Dieting frequency in girls was associated with weight dissatisfaction, concerns about being overweight, high emotional stress, binge eating, alcohol use, tobacco use, suicide ideation and attempts, delinquent behaviors, and physical and sexual abuse. Purging status was positively and independently associated with negative psychosocial and health behavior risk factors. There were fewer significant relationships in boys.

Conclusions.  Findings from this study suggest that dieting and purging are associated with similar psychosocial factors and health-compromising behaviors in Native American and white youth. Implications for future research and prevention programs are discussed. Native American youth, dieting, purging, psychosocial factors, health behaviors.


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