{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T20:04:14Z","timestamp":1770149054129,"version":"3.49.0"},"reference-count":67,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,5,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE:<\/jats:title>\n                  <jats:p>Present first published data detailing high-risk behaviors of adolescent high school students (HSS) with extreme obesity (BMI \u2265 99th percentile for age and gender) compared with healthy weight peers (5th\u201384th percentile).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>The 2007 Youth Risk Behavior Survey was used to compare HSS with extreme obesity (N = 410) and healthy weight peers (N = 8669) in their engagement in (1) tobacco use, (2) alcohol\/other drug use, (3) high-risk sexual behaviors, and (4) suicidal behaviors. Logistic regression was used to calculate gender-stratified odds ratios (OR) and 95% confidence intervals (CI), controlling for age and race.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>HSS with extreme obesity were similar to healthy weight peers in the prevalence of most behaviors related to alcohol\/drug use, high-risk sexual activities, and suicide, with the following exceptions: relative to healthy weight HSS, both male and female students with extreme obesity more frequently reported ever trying cigarettes (female students, adjusted OR: 2.0 [95% CI: 1.3\u20133.2]; male students, OR: 1.5 [CI: 1.2\u20132.0]). Compared with healthy weight female students, female students with extreme obesity had lower odds of ever having sex (OR: 0.5 [CI: 0.3\u20130.9]), but greater odds of drinking alcohol\/using drugs before their last sexual encounter (OR: 4.6 [CI: 1.2\u201317.6]), currently smoking (OR: 2.3 [CI: 1.2\u20134.4]), and using smokeless tobacco (OR: 4.6 [CI: 1.2\u201317.2]). Compared with healthy weight male students, male students with extreme obesity had greater odds of smoking before age 13 (OR: 1.4 [CI: 1.0\u20132.0]).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>With few exceptions, HSS with extreme obesity engage in high-risk behaviors at rates comparable with healthy weight peers, sometimes in even more dangerous ways. Health care providers should assess risk-taking behaviors in this cohort.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2010-2742","type":"journal-article","created":{"date-parts":[[2011,4,26]],"date-time":"2011-04-26T02:29:48Z","timestamp":1303784988000},"page":"827-834","source":"Crossref","is-referenced-by-count":61,"title":["Risk-Taking Behaviors of Adolescents With Extreme Obesity: Normative or Not?"],"prefix":"10.1542","volume":"127","author":[{"given":"Megan Benoit","family":"Ratcliff","sequence":"first","affiliation":[{"name":"Divisions of General and Community Pediatrics,"},{"name":"Behavioral Medicine and Clinical Psychology, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd M.","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Pediatric and Thoracic Surgery, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, 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