• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of amjphAmerican Journal of Public Health Web SiteAmerican Public Health Association Web SiteSubmissionsSubscriptionsAbout Us
Am J Public Health. 1994 November; 84(11): 1818–1820.
PMCID: PMC1615224

Weight concerns, dieting behavior, and smoking initiation among adolescents: a prospective study.


Students (n = 1705) in grades 7 through 10 were surveyed at baseline and 1 year later about their weight concerns, dieting behaviors, and smoking behavior. Three of six weight concerns and dieting behaviors assessed at baseline were prospectively related to smoking initiation in girls (trying to lose weight, eating disorder symptoms, constant thoughts about weight). Four of six weight concerns and dieting behaviors were cross-sectionally related to current smoking at baseline in girls (trying to lose weight, eating disorder symptoms, fear of weight gain, desire to be thin). Weight concerns and dieting behaviors were largely unrelated to current smoking in boys. Implications for smoking prevention efforts are discussed.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (945K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Charlton A. Smoking and weight control in teenagers. Public Health. 1984 Sep;98(5):277–281. [PubMed]
  • Feldman W, Hodgson C, Corber S. Relationship between higher prevalence of smoking and weight concern amongst adolescent girls. Can J Public Health. 1985 May-Jun;76(3):205–206. [PubMed]
  • French SA, Jeffery RW, Pirie PL, McBride CM. Do weight concerns hinder smoking cessation efforts? Addict Behav. 1992;17(3):219–226. [PubMed]
  • Camp DE, Klesges RC, Relyea G. The relationship between body weight concerns and adolescent smoking. Health Psychol. 1993 Jan;12(1):24–32. [PubMed]
  • Klesges RC, Brown K, Pascale RW, Murphy M, Williams E, Cigrang JA. Factors associated with participation, attrition, and outcome in a smoking cessation program at the workplace. Health Psychol. 1988;7(6):575–589. [PubMed]
  • Leon GR, Fulkerson JA, Perry CL, Cudeck R. Personality and behavioral vulnerabilities associated with risk status for eating disorders in adolescent girls. J Abnorm Psychol. 1993 Aug;102(3):438–444. [PubMed]
  • Heatherton TF, Herman CP, Polivy J, King GA, McGree ST. The (mis)measurement of restraint: an analysis of conceptual and psychometric issues. J Abnorm Psychol. 1988 Feb;97(1):19–28. [PubMed]
  • Pechacek TF, Murray DM, Luepker RV, Mittelmark MB, Johnson CA, Shutz JM. Measurement of adolescent smoking behavior: rationale and methods. J Behav Med. 1984 Mar;7(1):123–140. [PubMed]
  • Perry CL, Kelder SH, Murray DM, Klepp KI. Communitywide smoking prevention: long-term outcomes of the Minnesota Heart Health Program and the Class of 1989 Study. Am J Public Health. 1992 Sep;82(9):1210–1216. [PMC free article] [PubMed]
  • Gritz ER, Crane LA. Use of diet pills and amphetamines to lose weight among smoking and nonsmoking high school seniors. Health Psychol. 1991;10(5):330–335. [PubMed]
  • Donovan JE, Jessor R. Structure of problem behavior in adolescence and young adulthood. J Consult Clin Psychol. 1985 Dec;53(6):890–904. [PubMed]
  • Donovan JE, Jessor R, Costa FM. Adolescent health behavior and conventionality-unconventionality: an extension of problem-behavior theory. Health Psychol. 1991;10(1):52–61. [PubMed]
  • Killen JD, Taylor CB, Telch MJ, Robinson TN, Maron DJ, Saylor KE. Depressive symptoms and substance use among adolescent binge eaters and purgers: a defined population study. Am J Public Health. 1987 Dec;77(12):1539–1541. [PMC free article] [PubMed]
  • Striegel-Moore RH, Silberstein LR, Rodin J. Toward an understanding of risk factors for bulimia. Am Psychol. 1986 Mar;41(3):246–263. [PubMed]
  • French SA, Jeffery RW. Consequences of dieting to lose weight: effects on physical and mental health. Health Psychol. 1994 May;13(3):195–212. [PubMed]
  • Polivy J, Herman CP. Diagnosis and treatment of normal eating. J Consult Clin Psychol. 1987 Oct;55(5):635–644. [PubMed]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association


Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...


  • Cited in Books
    Cited in Books
    PubMed Central articles cited in books
  • PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...