Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2010 Jun;26(6):281-9. doi: 10.1016/S1607-551X(10)70041-3.
The aim of this study was to analyze the association between substance use and body mass index (BMI) among adolescents in Southern Taiwan. A total of 10,259 adolescent students aged 11-19 years were selected by stratified random sampling for proportional representation of districts, schools and grades in Southern Taiwan, and completed the questionnaires. The body weight, body height, experience of substance use and sociodemographic characteristics including sex, age, residential background and paternal/maternal educational levels were collected. The association between substance use and BMI, and the moderating effects of sociodemographic characteristics were examined. After adjusting for sociodemographic characteristics, BMI was higher for adolescents who smoke cigarettes or drink alcohol than for those who do not regularly smoke or drink. Chewing betel nuts and using illicit drugs were not significantly associated with BMI. Paternal education level had a moderating effect on the association between smoking and BMI. Smoking, alcohol drinking, and low paternal education level were associated with higher BMI among adolescents. Thus, healthcare professionals should pay more attention to the weight-related problems among these adolescents.
本研究旨在分析台湾南部青少年物质使用与体重指数（BMI）之间的关联。通过分层随机抽样，选择了来自台湾南部地区、学校和年级的 10259 名 11-19 岁的青少年学生，以代表各地区、学校和年级的比例，并完成了问卷调查。收集了青少年的体重、身高、物质使用经历以及社会人口学特征（性别、年龄、居住背景和父母受教育程度）。研究了物质使用与 BMI 的关联，以及社会人口学特征的调节作用。在调整了社会人口学特征后，与不规律吸烟或饮酒的青少年相比，吸烟或饮酒的青少年 BMI 更高。嚼槟榔和使用非法药物与 BMI 无显著关联。父亲的教育水平对吸烟与 BMI 之间的关联有调节作用。吸烟、饮酒和父亲受教育程度低与青少年 BMI 较高有关。因此，医疗保健专业人员应更加关注这些青少年的体重相关问题。
