Adolescent binge/purge and weight loss behaviors: Associations with developmental assets

Purpose: To study associations between binge/purge and weight loss behavior s and "developmental assets" among adolescent girls and boys. Methods: The Search Institute's Profile of Student Life: Attitudes and Beha viors self-report questionnaire was administered to 48,264 girls and 47,131 boys in grades 6 through 12 at schools in 213 cities or towns across the U nited States. The 156-item questionnaire measured 40 "developmental assets, " or protective factors associated with successful adolescent development. Developmental assets were examined using multiple logistic regression among students who reported binge/purge behaviors, weight loss behavior, both, o r neither. Results: Developmental assets related to positive identity were the stronge st discriminators of binge/purge and weight loss behaviors in both girls an d boys. Girls who reported binge/purge and weight loss behaviors were about half as likely to report feeling a sense of purpose [odds ratio (OR) = 0.4 5, 95% confidence interval (CI) = 0.40, 0.50] and high self-esteem (OR = 0. 55, 95% CI = 0.49, 0.61), compared with girls not reporting either of these behaviors. Among boys the ORs were: sense of purpose OR = 0.53 (95% CI = 0 .46, 0.61) and self-esteem OR = 0.76 (95% CI = 0.65, 0.88). Assets related to values about abstinence from alcohol, drugs, or sex ("restraint") were a lso significant correlates. Girls and boys who reported these values were l ess likely to report binge/purge and weight loss behaviors, compared with t hose who did not report these values (girls: OR = 0.56, 95% CI = 0.50, 0.63 ; boys: OR = 0.83, 95% CI = 0.70, 0.97). Conclusions: Internal assets such as self-esteem, sense of purpose, and val ues related to abstinence from alcohol and sex appear to be protective agai nst unhealthy eating behaviors and may reflect a general resilience that bu ffers against a broad range of health risk behaviors. (C) Society for Adole scent Medicine, 2001.