Extreme Weight Loss Behaviors in Racially Diverse Urban Adolescents

Abstract Purpose Extreme weight loss behaviors (EWLBs) pose a serious health risk to adolescents. Studies suggest a link between EWLBs and other health-compromising behaviors. Extending these findings, this study examines correlates of EWLB in a predominantly minority adolescent population. Methods A secondary analysis of EWLB data from adolescents in an inner city pediatric emergency department was conducted. The sample (n = 3,876) included 60% African-American, 20% Hispanic, 16% Caucasian, and 4% Asian-Pacific Islander individuals. Comparative analyses and multivariate logistic regressions were applied. Results Fifteen percent of the sample endorsed use of EWLBs; endorsement did not differ between minority and Caucasian groups, or among minority subgroups. EWLB correlates included female gender, hopelessness, abuse history, current smoking, and alcohol use. Conclusions Endorsement of EWLBs is not different between minority and Caucasian adolescents surveyed in an emergency department. Identified correlates are potential targets for prevention and early intervention.