Publication: High carbonated soft drink intake is associated with health risk behavior and poor mental health among school-going adolescents in six southeast Asian countries
Issued Date
2020-01-01
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ISSN
16604601
16617827
16617827
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2-s2.0-85077256724
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Mahidol University
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SCOPUS
Bibliographic Citation
International Journal of Environmental Research and Public Health. Vol.17, No.1 (2020)
Suggested Citation
Supa Pengpid, Karl Peltzer High carbonated soft drink intake is associated with health risk behavior and poor mental health among school-going adolescents in six southeast Asian countries. International Journal of Environmental Research and Public Health. Vol.17, No.1 (2020). doi:10.3390/ijerph17010132 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/49609
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Title
High carbonated soft drink intake is associated with health risk behavior and poor mental health among school-going adolescents in six southeast Asian countries
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Abstract
© 2019 by the authors. Licensee MDPI, Basel, Switzerland. Carbonated soft drink (CSD) intake has been associated with various risk behaviors in adolescents in high-income countries, but there is lack of evidence of this association in cross-nationally representative samples of school adolescents in low-and middle-income countries. This study aimed to assess the association between CSD intake, health risk behavior, and poor mental health behavior among school-going adolescents in six Southeast Asian countries. Cross-sectional national “Global School-Based Student Health Survey (GSHS)” data from 36173 school-going adolescents from Bangladesh, Indonesia, Laos, Philippines, Thailand, and Timor-Leste were analyzed. Results indicate that across all six Southeast Asian countries, in the past 30 days 23.9% of study participants had consumed no CSD, 38.8% had consumed CSD <once/day, 19.9% once a day and 17.5% ≥ two times/day. In the final adjusted logistic regression model CSD intake was associated with increased odds of having been attacked, having sustained an injury, being in a physical fight, being bullied, school truancy, tobacco use, alcohol use, and lifetime drunkenness. In addition, the consumption of CSD ≥two times/day was associated with increased odds of ever used cannabis and ever used amphetamine. Higher intake of CSD was positively associated with a history of loneliness, anxiety, suicide ideation, suicide planning, and suicide attempts. CSD intake in low-and middle-income countries is associated with several health risk behaviors and poor mental health that are similar to those observed in high-income countries.