背景:肥胖与局部和饮酒有关;然而,人们对这两个因素的相互作用如何增加青少年肥胖的风险知之甚少。
目的:本研究调查了美国农村和城市地区青少年饮酒与肥胖之间的关系。
方法:数据来自全国药物使用和健康调查(2015-2019年;n=39,489)的12-17岁美国青少年样本。肥胖随着年龄的增长而退化,性别,种族/民族,收入,吸烟,局部性,和酒精的使用,用相互作用术语来检查局部性x酒精使用。绘制预测概率以评估相互作用。
结果:与城市地区的青少年相比,来自农村地区的人群肥胖的几率高1.35倍(95%CI1.25,1.47).预测概率表明,饮酒水平较低的农村青少年肥胖的概率较高,在过去的12个月里喝了大约40杯。
结论:研究结果表明,在饮酒和肥胖的交叉点上,城乡差异可能取决于使用频率,但是来自农村地区的青少年可能面临更大的风险。
BACKGROUND: Obesity is associated with locality and alcohol use; however, less is known about how the interaction of these two factors may compound the risk of obesity among adolescents.
OBJECTIVE: This study examines the relationship between alcohol use and obesity among adolescents from rural and urban areas in the United States.
METHODS: Data came from a sample of American adolescents aged 12-17 years from the National Survey on Drug Use and Health (2015-2019; n = 39,489). Obesity was regressed on age, sex, race/ethnicity, income, cigarette smoking, locality, and alcohol use, with an interaction term to examine locality x alcohol use. Predicted probabilities were plotted to assess the interaction.
RESULTS: Compared to adolescents from urban areas, those from rural areas had 1.35 times higher odds of being obese (95% CI 1.25, 1.47). Predicted probabilities indicated that the probability of being obese was higher for rural adolescents at lower levels of drinking, up to about 40 drinks in the past 12 months.
CONCLUSIONS: Findings suggest rural-urban differences at the intersection of alcohol use and obesity could depend on the frequency of use, but overall adolescents from rural areas may be more at risk.