Weight gain attempts are common among adolescents, yet a paucity of research has explored these behaviors among adults, particularly in relation to substance use behaviors. To address this gap in the literature, pooled data from the 2018 and 2019 International Food Policy Study (N = 42,108) were analyzed. The association of weight gain attempts in the past 12 months with four important and relatively common substance use behaviors (alcohol use, binge-drinking, cigarette smoking, marijuana use) was examined using multiple modified Poisson regression analyses that adjusted for theoretically relevant covariates. Among men and women, weight gain attempts were associated with a higher likelihood of cigarette smoking in the past 30 days, marijuana use in the past 12 months, and binge-drinking one or more times per month in the past 12 months among men only. Among women, weight gain attempts were associated with a lower likelihood of alcohol use one or more times per month in the past 12 months. Our findings contribute to the literature demonstrating that substance use behaviors are more prevalent among adults who report weight gain attempts in a large international sample.

体重增加尝试在青少年中很常见，但很少有研究探索成年人的这些行为，特别是与物质使用行为有关的行为。为了解决文献中的这一空白，汇总了 2018 年和 2019 年国际粮食政策研究 ( N = 42,108) 进行了分析。过去 12 个月的体重增加尝试与四种重要且相对常见的物质使用行为（酒精使用、暴饮暴食、吸烟、大麻使用）之间的关联使用多个修正的泊松回归分析进行了检查，该分析调整了理论上相关的协变量。在男性和女性中，体重增加尝试与过去 30 天内吸烟、过去 12 个月吸食大麻以及过去 12 个月每月暴饮暴食一次或多次的可能性较高有关。在女性中，体重增加尝试与过去 12 个月内每月饮酒一次或多次的可能性较低有关。