PSYCHOSOCIAL AND BEHAVIORAL-CORRELATES OF DIETING AND PURGING IN NATIVE-AMERICAN ADOLESCENTS

Objective. This study examined the relationship of psychosocial factor s and health behaviors to frequent dieting and purging behaviors in Na tive American adolescent boys and girls. Design. School-based health s urvey. Setting and Participants. A total sample of 13 454 Native Ameri can youth in grades 7 through 12 living on or near reservations from e ight Indian Health Service areas completed a self-report, school-based health questionnaire. Results. Almost half (48.3%) of the girls and o ne third (30.5%) of the boys had dieted in the past year. More than on e fourth (28%) of the girls and 21% of the boys reported purging behav ior 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, concer ns about being overweight, high emotional stress, binge eating, alcoho l use, tobacco use, suicide ideation and attempts, delinquent behavior s, and physical and sexual abuse. Purging status was positively and in dependently associated with negative psychosocial and health behavior risk factors. There were fewer significant relationships in boys. Conc lusions. 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.