Participation In Risk Behaviors Research Articles

Mental health and risk behaviors among secondary school students: A study on ethnic minorities

Mental health disorders are highly correlated with risk behaviors. The objective of the present study is to examine the relationship between risk behaviors and mental health among school-going students with a focus on ethnic minorities. The National Health and Morbidity Survey (NHMS) 2017 (n=8230) was used for analyses. It was a nationwide survey conducted in Malaysia. The dependent variables were measured by three risk behaviors (cigarette smoking, alcohol drinking and use of illicit drugs). Probit regressions were utilized to examine the effect of mental health on the probability of smoking, drinking and using illicit drugs. Demographic and lifestyle factors were used as the control variables. Truancy was identified as a mediating variable. Anxiety, depression and suicidal ideation affected cigarette smoking, alcohol drinking and use of illicit drugs through mediation of truancy. After controlling for demographic and lifestyle factors, students with anxiety, depression and suicidal ideation were more likely to smoke, drink and use illicit drugs compared with their peers without any mental health disorders. Furthermore, the likelihood of consuming cigarettes, alcohol and illicit drugs was found to be higher among students who played truant than those who did not. Mental health plays an important role in determining participation in risk behaviors among ethnic minority students in Malaysia. Public health administrators and schools have to be aware that students who suffer from mental health disorders are likely to indulge in risk behaviors.

Complex trauma and its relation to hope and hopelessness among young people in KwaZulu-Natal, South Africa

ABSTRACT Informed by an existing hope scale, we explored the roles of hope, happiness, and life satisfaction in adolescent risk behaviours in rural KwaZulu-Natal, South Africa, a setting with high HIV prevalence. In 2016 data were collected from two resource-limited communities using in-depth interviews, group discussions and lifeline-drawings with 53 young people (aged 15 to 17 years). Applying both deductive and inductive approaches, thematic analysis was used to analyse the data. Young people felt that there was nothing to do in their communities and no way out of their adverse situations. They experienced trauma of loss due to HIV-related deaths, and lack of support and guidance which they wanted if they were to be more hopeful. Continual and extended exposure to adverse experiences such as community violence and economic hardship had a negative impact on young people’s lives and increased participation in risk behaviours. To develop HIV prevention and resilience interventions in such communities, there is a need to take account of the context of young people’s lives. Rather than ignoring the structural causes of the infection, risk factors should be contextualised as a key component of any attempts to change behaviours. Resource and power inequalities should be addressed rather than developing individualised interventions which may inadvertently increase social inequalities.

Risk behaviors among adolescents participating youth movements - The role of social norms and support

Abstract Background Risk behaviors such as smoking, alcohol consumption, and drug use are prevalent among adolescents worldwide, and are a major concern due to their harmful effects. Scientific literature presents no agreement as to whether belonging to a youth movement is a risk factor or a protective factor for risk behaviors. The current analysis aimed at evaluating the role of participating in youth movements (i.e., protective or risk factor) in substance use among Israeli adolescents. Methods Based on the 2015 Health Behavior in School-aged Children Survey (HBSC), The current analysis included 2197 participants aged 16-18, who answered the questions addressing participating in youth movements and questions regarding their risk behaviors. Results Overall, 17% of respondents reported smoking cigarettes, 39% consuming alcohol, 14% getting drunk, and 6% using drugs in the past 30 days. Of those respondents, 27% were members or guides in youth movements. Multiple logistic regression analysis showed that members of youth movements were significantly more at risk for drug use (OR = 3.54, 95%CI: 1.41, 8.90), and guiding was significantly associated with higher risk for alcohol consumption (OR = 1.90, 95%CI: 1.24, 2.91) and drunkenness (OR = 2.39, 95%CI: 1.50, 3.81) among 16-year-old respondents. No association was found between participation in youth movements and risk behaviors among 17-18year-olds. Family support was found to be a protective factor for cigarette smoking (OR = 0.83, 95%CI: 0.72, 0.97) and drug use (OR = 0.70, 95%CI: 0.58, 0.86) among 16-year-olds. Social norms were associated with all four risk behaviors among all age groups, showing, as expected, that the greater the social pressure, the higher the risk for participation in risk behaviors. Conclusions Social and family influence play an important role in the prevention of risk behaviors among adolescents. Youth movement settings should be monitored to ensure they do not become a supportive environment for risk behaviors. Key messages Social and family influence are important in preventing risk behavior in adolescents. Youth movements should be monitored to ensure they do not become a supportive environment for risk behavior.

Construcción y Validación del Cuestionario de Percepción de Riesgos y Beneficios de la Exposición a Reproductores Personales de Música Para Adolescentes

Evidence has been found of an association between participation in risk behaviors and the perception of their risks and benefits. The use of personal music players (PMPs) is one of the most common non-occupational noise activities, especially among the young. The aim of the study was to develop a questionnaire to assess the positive consequences (benefits) perceived by adolescents and the negative consequences (risks) of listening to music on these devices. The construction and validation process occurred in 3 phases: item pool development; establishment of content validity; and estimation of construct validity, criterion-related validity, and internal consistency, with an accidental sample of 694 adolescents from 2 schools of Cordoba, Argentina. The results of the exploratory and confirmatory factor analyses revealed a 2-dimensional factorial structure. Together, both factors correctly classified 64.6% and 74% of adolescents with high and low exposure to music through PMPs. This questionnaire can be used to detect adolescents with risky listening and to develop strategies to promote protective behavior.

An Investigation of Youth Assets and Physical Activity and BMI Using a Longitudinal Cohort Design.

Substantial research has demonstrated that assets (eg, family communication, school connectedness) protect youth from participation in numerous risk behaviors. However, very few studies have explored the relationship between assets and positive health behaviors. This study investigated prospective associations among assets and physical activity (PA) and body mass index (BMI). Longitudinal design with 5 waves of data collected annually over a 4-year period. Community-based setting with participants recruited via door-to-door canvasing of homes located in stratified (by race and income) randomly selected census tracts and blocks. Participants were 1111 youth (baseline mean age = 14.3 years [SD = 1.6]; 53% female; 40.6% white, 28.6% Hispanic, 24.4% black, 6.4% other) and their parents. Weekly participation in PA, BMI, and 14 youth assets representing multiple levels of influence (individual, family, and community). Generalized linear mixed models assessed associations among the assets and PA and BMI over the 5 waves of data. There was a significant and graded relationship between assets and weekly participation in PA. For example, at the community-asset level, PA minutes were higher among youth with 2 assets ( P = .006), 3 assets ( P = .0006), and 4 to 5 assets ( P < .0001) compared to youth with 0 to 1 assets. No effects were found for BMI. Asset-based health promotion programs for youth may promote positive health behaviors and prevent participation in risk behaviors.

Measuring Resilience in the Adolescent Population: A Succinct Tool for Outpatient Adolescent Health

To create a valid tool to measure adolescent resilience, and to determine if this tool correlates with current participation in risk behaviors and prior adverse childhood events. One hundred adolescents were recruited from primary care clinics in New Jersey for this cross-sectional study. A "7Cs tool" was developed to measure resilience using the 7Cs model of resilience. All participants completed the 7Cs tool, the Adverse Childhood Events Survey, and the Health Survey for Adolescents to identify current risk behaviors. Demographic and background data were also collected. To assess the validity of the 7Cs tool, Cronbach alpha, principal factor analysis, Spearman coefficients, and sensitivity analyses were conducted. The χ2 test and ORs were used to determine if any relationships exist between resilience and prior adverse childhood events and risk taking behaviors. Participants ranged from 13 to 21 years old (65% female). Internal consistency was established using Cronbach alpha (0.7). Lower resilience correlated with higher adverse childhood events (P = .008) and Health Survey for Adolescents scores (P < .001). Lower resilience was associated with increased problems in school (OR 2.6; P = .021), drug use (OR 4.0; P = .004), violent behavior (OR 3.7; P = .002), recent depression (OR 5.0; P < .001), and suicidality (OR 4.1; P = .009). Higher resilience was associated with participation in exercise (P = .001) and activities (P = .01). The 7Cs tool is an internally validated tool that may be used to screen adolescent resilience and guide pediatricians' counseling against risk behaviors. Further studies will evaluate resilience-building interventions based on results from this study.

The Use of Five Repetition Sit to Stand Test (FRSTST) to Assess Fall Risk in the Assisted Living Population

ABSTRACT. Aims: The purpose of this study is to determine whether the Five Repetition Sit to Stand Test (FRSTST) cutoff score for fall prediction in community-dwelling older adults (>15 s) is valid for predicting falls in individuals living in an assisted-living facility. Methods: Eighteen subjects (78–95 years old ±4.4 years) performed the FRSTST and were followed over a 12-month period. The incidence of falls was collected from facility incident reports after 3, 6, and 12 months. Results: The 6-month receiver operating curve (ROC) analysis revealed that a time of greater than 23.8 seconds demonstrated 85.71% sensitivity and 90.91% specificity (p = 0.0033) using a chi-square test. Age, weight, height, body mass index, length of stay at the facility, and Mini-Mental State Exam score were analyzed and found not predictive of falls at 3, 6, and 12 months. Conclusion: The FRSTST can be used semianually in this setting to predict falls using a score of 23.8 s, which is higher than the score for community-dwelling older adults adults. Possible explanations include lower physical and cognitive capabilities, access to 24-hour care, supervision of medications, less participation in risk behaviors, and environmental modifications. Clinical judgment and additional objective measures should be used in addition to this measure for a thorough assessment of fall risk.

Measuring Adolescent Prosocial and Health Risk Behavior in Schools: Initial Development of a Screening Measure

Risk behavior in adolescence is widely researched and is an important focus for researchers, federal and state agencies, and schools; however, goals differ across these settings and as such the measurement strategies must also differ. Schools require more frequent and efficient measures that better align with educational goals of increasing positive behaviors. The Prosocial and Health Adolescent Risk Behavior Scale was developed to meet this need. Participants were 682, 9th through 12th grade students (53 % female; 57 % White), from three midwestern high schools. Reliability and preliminary validity analyses resulted in a brief 20 item scale that measures both prosocial and health risk behavior participation. This scale has the potential to move adolescent risk behavior research and measurement forward through its unique conceptualization of risk behavior and its potential use across both research and applied settings.

Early relationships of adolescents

The purpose of the study was to examine the relationship between attachment behavior, substance use, and sexual activity among adolescents in romantic relationships. Concepts from attachment theory have been proposed to explain adolescent risk behavior; however, research on adolescent attachment rarely assesses both members of the couple. A total of 21 adolescent couples (aged 15–18 years) were assessed on self-report and observed measures of romantic attachment, substance use, and sexual activity. Attachment anxiety was related to one’s own risk behavior. Self-reported attachment avoidance was also related to one’s own and his/her partner’s observed attachment behaviors. Given these results, risk prevention/intervention programs targeted toward adolescents may benefit from assessing attachment representations of adolescents, which may be related to participation in risk behavior.

Participation in Church or Religious Groups and its Association with Health: A National Study of Young Canadians

The purpose of this study was to determine how participation of young Canadians in a church or religious group correlated with holistic health indicators. Health was viewed in terms of risk and protective behaviors, outward looking prosocial behaviors, and measures of internal feelings, with the composite picture of health connecting to the Hebrew concept of shalom. A separate analysis of sports-involved children was used as a comparator. Children involved in religious groups reported lower participation in risk behaviors, higher prosocial behaviors, but poorer levels of the more holistic measures of health. Sports-connected youth reported more positive holistic measures of health and some increases in overt risk-taking. Our findings raise theological and practical issues regarding how the church understands itself and lives out its mission. They suggest an emphasis on teaching about behaviors and morality rather than an understanding of shalom that is grounded in the Incarnation and in the deeply integrative nature of the Christian life.

Health-risk behaviors among a sample of US pre-adolescents: Types, frequency, and predictive factors

BackgroundChildren as young as 10 years old report curiosity and participation in health-risk behaviors, yet most studies focus upon adolescent samples. ObjectiveTo document the types and frequencies of health risk behavior among pre-adolescents and to examine the child, family, and environment factors that predict them. MethodA sample of 297 pre-adolescents (mean age=10.5, SD=0.6) from two Midwestern US cities and their parents (child–parent dyads) provided data about demographic characteristics, health risk behavior participation, child self-esteem, child pubertal development, child and adult perception of their neighborhood, and parent monitoring. Their participation was at intake to a 5-year clustered randomized controlled trial. ResultsPre-adolescents participated in an average of 3.7 health-risk behaviors (SD=2.0), primarily those that lead to unintentional (helmet and seatbelt use) and intentional (feeling unsafe, having something stolen, and physical fighting) injury. Factors predictive of unintentional injury risk behavior were self-esteem, pubertal development, parent monitoring, and parent perception of the neighborhood environment. Boys were 1.8 times less likely than girls to use helmets and seatbelts. Pre-adolescents whose parents were not partnered were 2.8 times more likely than pre-adolescents whose parents were partnered to report intentional risk behavior. RecommendationsThese data demonstrate trends that cannot be ignored. We recommend, focused specifically upon boys and non-partnered families that (a) developmentally appropriate, appealing prevention messages be developed and delivered for parents and pre-adolescents and community interventions targeting both parent and pre-adolescent together be provided to help them establish and monitor behavioral expectations and (b) organized nursing endorse policy in the US and globally that assures adequate family environments for children.

Emotional Intelligence as a Predictor of Adolescent Risk Behavior Participation and Perception

Emotional Intelligence as a Predictor of Adolescent Risk Behavior Participation and Perception

Trends in Human Immunodeficiency Virus– and Sexually Transmitted Disease–Related Risk Behaviors Among U.S. High School Students, 1991–2009

People who engage in unprotected sexual intercourse or use injection drugs are at increased risk for HIV infection and sexually transmitted diseases (STDs). Monitoring changes in behaviors over time can provide information about the effectiveness of new policies and programs. To measure trends in HIV- and STD-related risk behaviors among high school students in the U.S. during 1991-2009. Nationally representative data from the 1991-2009 biennial national Youth Risk Behavior Surveys were analyzed to describe trends in HIV- and STD-related risk behaviors. For each cross-sectional national survey, students completed anonymous, self-administered questionnaires assessing risk behavior participation. This study was approved by the CDC IRB, and parental permission was obtained. To assess the significance of time trends for each behavior, logistic regression analyses were conducted that controlled for gender, grade, and race/ethnicity and simultaneously assessed linear and quadratic effects. Data were analyzed in 2010. During 1991-2009, decreases were observed in the percentage of U.S. high school students who ever had sexual intercourse, had multiple sex partners, and who were currently sexually active. The prevalence of condom use increased during 1991-2003 and then leveled off during 2003-2009. However, these changes in risk behaviors were not observed in some gender and racial/ethnic subgroups. Additional efforts to reduce HIV- and STD-related risk behaviors, particularly among black and Hispanic students, must be implemented to decrease rates of HIV infection and STDs.

Gender Differences in Adolescent Marijuana Use and Associated Psychosocial Characteristics

Marijuana use in adolescents is associated with many adverse outcomes, including neurobiological and health consequences. Despite this, little is known about gender differences in the correlates of adolescent marijuana use. This study attempted to fill this gap by examining gender differences in the correlates of lifetime and past 30-day marijuana use. Data from a cross-sectional statewide survey of adolescent risk behavior participation in Connecticut were analyzed using χ and hierarchical logistic regression methodologies to examine the demographic, psychosocial, and risk behavior correlates of adolescent marijuana use. Gender-by-trait interactions were tested with hierarchical logistic regression. Of the 4523 participants (51.8% females, 75.8% white), 40.4% endorsed lifetime marijuana use and 24.5% endorsed past 30-day marijuana use. Risk behavior participation, particularly other substance use, had the most robust associations with lifetime and past 30-day adolescent marijuana use; participation in extracurricular activities seemed protective. Gender interactions were observed for African American, Asian, or other race and participation in extracurricular activities; in these 3 cases, males had a greater likelihood of use. They were also observed for having a job (lifetime use only), with females having elevated odds, and past 30-day cigarette smoking (past 30-day use only), with males having elevated odds. Finally, there was preliminary evidence of a faster transition from initiation of marijuana use to regular use in females, when compared with males. These results indicate important gender differences in the correlates of marijuana use in adolescents, and these findings may facilitate the development of gender-informed prevention and early intervention programs for adolescent marijuana use.

Dimensions of acculturation: associations with health risk behaviors among college students from immigrant families.

In the present study, we examined a bidimensional model of acculturation (which includes both heritage and U.S. practices, values, and identifications) in relation to hazardous alcohol use, illicit drug use, unsafe sexual behavior, and impaired driving. A sample of 3,251 first- and second-generation immigrant students from 30 U.S. colleges and universities completed measures of behavioral acculturation; cultural values (individualism, collectivism, and self-construal); ethnic and U.S. identity; and patterns of alcohol and drug use, engagement in potentially unsafe sexual activities, and driving while (or riding with a driver who was) intoxicated. Results indicate that heritage practices and collectivist values were generally protective against health risk behaviors, with collectivist values most strongly and consistently protective. Nonetheless, heritage identifications were positively associated with sexual risk taking for Hispanics. U.S. practices, values, and identifications were not consistently related to risk behavior participation. Results are discussed in terms of bidimensional approaches to acculturation, the immigrant paradox, and implications for counseling practice.

Being young and feeling blue in Taiwan: examining adolescent depressive mood and online and offline activities

This study investigates the relationship between Taiwanese adolescents’ depressive mood and their self-reported online and offline activities. The results indicate that adolescents who reported higher depressive mood were more likely to use the internet to make friends and express feelings compared to those who were lower in depressive mood. Teens higher in depressive mood reported to have fewer individuals in their immediate social network to speak with, either online or offline, when feeling blue. Hierarchical linear regression analysis shows that adolescents higher in depressive mood reported to engage in more online activities in the areas of communication, entertainment and information seeking. Further, a positive relationship between depressive mood and participation in risk behaviors is identified. These findings shed light on earlier studies that focus predominantly on US internet users, suggesting that the role that the internet plays for youths with depressive mood may vary by cultural context.

Weapon Carrying Prevention

Positive youth involvement with any adult—not just parents—may be protective against adolescent participation in risk behaviors. This cross-sectional study examines the association between adult involvement and weapon carrying among predominantly low-income African American and Hispanic urban high school students. Adult involvement was measured using a 6-item scale that assessed frequency of student participation in activities with an adult; weapon carrying was measured using questions from the Youth Risk Behavior Survey. Almost 20% of high school students reported carrying a weapon at least once during the past month. In the adjusted model, adult involvement was protective against student participation in weapon carrying. School absenteeism caused by safety concerns, threats at school, and substance use were also associated with weapon carrying. Interventions that aim to increase the amount of time youth spend with adults may be beneficial for the prevention of weapon carrying behaviors. Future longitudinal studies are needed to confirm the temporal association between variables.

Associations of Health Risk Behaviors With School Absenteeism. Does Having Permission for the Absence Make a Difference?

Nearly 10% of students enrolled in US public schools are absent daily. Although previous research has shown associations of school absenteeism with participation in risk behaviors, it is unclear if these associations vary by whether the absence was excused. The purpose of this study was to examine the associations of health risk behaviors with being absent from school with and without permission among high school students. During spring 2004, questionnaires similar to the Youth Risk Behavior Survey questionnaire were completed by 4517 ninth- and eleventh-grade students. Responses to items assessing frequency of school absences during the past 30 days for any reason and without permission were combined to create a variable coded as absent on: 0 days; > or =1 day, all with permission (WP); and > or =1 day, at least 1 day without permission (WOP). Logistic regression analyses controlling for gender, grade, and race/ethnicity examined the association of risk behaviors with absenteeism. Controlling for demographic variables, compared to students who were absent 0 days, students who were absent WP had significantly higher odds of engaging in 25 of 55 risk behaviors examined and students who were absent WOP had significantly higher odds of engaging in 43 of the 55 behaviors. Students who were absent WOP also had approximately twice the odds of engaging in risk behaviors compared to students who were absent WP. School absenteeism, with and without permission, is associated with risk behaviors. Schools should recognize absenteeism for any reason as a warning sign for a variety of risk behaviors.

Children’s behavioral patterns, the Five-Factor model of personality, and risk behaviors

Although relations between children’s personality and health behaviors have been identified, previous research has relied primarily on survey assessments. The present study used behavioral observations to examine children’s ( n = 94, mean age = 10.07 years) behavioral patterns in relation to their participation in risk behaviors 1 year later. Results contribute to previous reports linking specific personality traits to children’s likelihood of participation in risky behaviors. Specifically, girls’ participation in risky behavior was related to the expression of behavioral patterns associated with neuroticism, introversion, and disagreeableness, while boys participation in risk behaviors was related to behavioral patterns associated with extraversion and disagreeableness. Findings are discussed in terms of their potential for contributing to health promotion efforts aimed at identifying children most at risk for adopting unhealthy behaviors.

Will I Be Alive in 2005? Adolescent Level of Involvement in Risk Behaviors and Belief in Near-Future Death

We examined the association between a belief in one's future mortality and various risk-taking behaviors among urban black adolescents. In particular, we investigated whether adolescents with higher levels of participation in various risk behaviors were more likely to believe in their future death as compared with adolescents with lesser levels of risk-taking behavior. Data obtained from April 1994 to March 1997 were analyzed for a total of 2694 adolescents, aged 12 to 21 years. The odds of believing that one would die within the next 2 years were calculated for various levels of participation in risk behaviors involving alcohol, drugs, and criminal or violent acts. A total of 160 adolescents (7.1% of all boys and 5.4% of all girls) reported that they believed that they would die within the next 2 years. The adjusted odds of future death belief among adolescents who both actively engaged in and knew others who participated in all of the various risk behaviors, relative to adolescents who neither personally engaged in nor knew others who participated in any of the risk behaviors, was 3.22 (95% confidence interval [CI]: 2.01-5.17) vs 1.14 (95% CI: 0.67-1.95) for drug use and drug selling, 2.01 (95% CI: 1.38-2.92) vs 0.8 (95% CI: 0.39-1.62) for combined alcohol and drug use, and 5.60 (95% CI: 2.03-15.47) vs 1.61 (95% CI: 1.08-2.42) for violent physical behavior. In addition, residence in a foster home was significantly associated with death belief after adjustment for all other variables. There is a significant relationship between certain risk behaviors and belief in near-future death. Moreover, higher levels of involvement in risk behaviors were associated with a stronger likelihood of belief in near-future mortality. Identification of adolescents who engage in certain risky behaviors, combined with a recognition of the degree to which the adolescent participates in the particular behavior(s), may be used to facilitate more rapid intervention among youths who either believe in their imminent demise or engage in behaviors that increase the likelihood of their untimely death.