Adolescent Risk Behaviors Research Articles

Parenting Patterns and Adolescent Self-Efficacy in Prevention of HIV/AIDS Risky Behavior

The parenting style given by parents is inappropriate, it will have an impact on the occurrence of HIV/AIDS risky behavior in adolescents. One of the main factors causing risky behavior in adolescents is the low level of self-efficacy in staying away from risky behavior. This study aimed to analyze the relationship between parenting style and self-efficacy in preventing HIV/AIDS risk behavior in adolescents. The design in this study is a descriptive correlation with a cross-sectional approach. The sampling technique used in this study was proportionate stratified random sampling. Respondents in this study were teenagers at Darus Sholihin Puger Jember Vocational School, many as 84 respondents. Parenting style was measured using a parenting style questionnaire. Self-efficacy was measured using the Self-Efficacy Questionnaire for Prevention of HIV/AIDS Risky Behavior. The analysis in this study used the Chi-square test. The parenting style that is widely applied to adolescents is democratic parenting, and the majority have self-efficacy while preventing HIV/AIDS risky behavior. There is a significant relationship between parenting style and self-efficacy in preventing HIV/AIDS risky behavior with a p-value of 0.026. Health services can educate parents about the importance of parenting to increase self-efficacy in adolescents, especially in terms of preventing HIV/AIDS risky behavior.

Exploring associations of adverse childhood experiences with patterns of 11 health risk behaviors in Chinese adolescents: focus on gender differences

PurposeAdolescents exposed to adverse childhood experiences (ACEs) are at increased risk for health-compromising behaviors. However, few studies have investigated how ACEs correlate with patterns of health risk behaviors (HRBs) during adolescence, a crucial developmental period. The aim was to extend the current knowledge about the relationship between ACEs and HRB patterns among adolescents, and to explore gender differences.MethodsA multi-centered population-based survey was conducted in 24 middle schools in three provinces across China between 2020 and 2021. A total of 16,853 adolescents effectively completed anonymous questionnaires covering exposure to eight ACE categories and 11 HRBs. Clusters were identified using latent class analysis. Logistic regression models were utilized to test the association between them.ResultsThere were four classes of HRB patterns: “Low all” (58.35%), “Unhealthy lifestyle” (18.23%), “Self-harm” (18.42%), and “High all” (5.0%). There were significant differences between HRB patterns in terms of the different numbers and types of ACEs in three logistic regression models. Specifically, compared to “Low all,” different types of ACEs were positively associated with the three other HRB patterns, and there were significant trends toward increase in the three latent classes of HRBs with higher ACEs. In general, females with ACEs had a higher risk of “High all” except sexual abuse than males.ConclusionOur study comprehensively considers the association between ACEs and aggregation categories of HRBs. The results support efforts to improve clinical healthcare, and future work may explore protective factors based on individual, family, and peer education to mitigate the negative trajectory of ACEs.

Changes in emotion-related EEG components and brain lateralization response to negative emotions in adolescents with nonsuicidal self-injury: An ERP study

Nonsuicidal self-injury (NSSI) is a serious risk behavior in adolescents and is a high risk factor for suicide, while negative emotions can lead to increased NSSI behaviors. In this study, we investigated the altered behavioral performance and neural reactivity of adolescents with NSSI by using a two-choice oddball paradigm when exposed to negative emotional stimuli, and analyzed the brain lateralization effect. Our data indicated that adolescents with NSSI exhibit more pronounced N250, P300, and LPP components during negative emotional face stimulation, as evidenced by a smaller N250 wave amplitude, larger P300 wave amplitude, steeper LPP waveform, and faster fallback baseline; and the presence of brain lateralization responses in both the N250 component and the LPP component. These results suggested that adolescents with NSSI showed significant alterations in cognitive EEG components associated with emotional processing during negative emotional face stimulation, particularly in EEG components representing inhibitory control, and there was a lateralization effect on emotional processing in the brain, with different processing stages and different dominance of the left and right brain.

Cluster Analysis of Sleep Time and Adolescent Health Risk Behaviors.

Adolescents are prone to multiple health risk behaviors. These might lead to insufficient sleep, which is inconducive to adolescent growth. Therefore, this study explored the impact of a cluster of adolescent health risk behaviors on sleep time, providing a reference for designing relevant intervention measures. From November to December 2019, a stratified cluster sampling method was used to sample middle and high schools in 4 functional districts of Chongqing, China. A total of 8546 participants were selected for a questionnaire survey. Two-step clustering helped identify the health risk behavior clusters. Multivariate logistic regression models helped examine the association between the different clusters and sleep time. The rate of insufficient sleep was 65.8%. Three types of clusters were identified, namely (1) high-risk (poor) cluster (17.3%), (2) low physical activity (medium) cluster (55.1%), and (3) low-risk (good) cluster (27.6%). The high-risk and low physical activity clusters showed that the adjusted OR values of 1.471 (1.266-1.710) and 1.174 (1.052-1.310) were significantly associated with insufficient sleep (P < .001). Adolescent health risk behaviors were clustered, and different clusters had different sleep time. Schools authorities and healthcare practitioners should formulate effective intervention measures according to the characteristics of different clusters to promote healthy growth among adolescents.

Adolescent sexual risk behaviors and participation in structured leisure activities (SLA): Role of socio-demographic characteristics and school-related behaviors

Adolescence is the transitional period between childhood and adulthood during which many physical, cognitive, social and emotional changes take place, characterized by an increasing interest in romantic and sexual relationships. During adolescence, young people enter into their first sexual partnerships. This may involve behaviors referred to as sexual risk behaviors. The aim of this study was to gain insight into the prevalence of sexual risk behaviors and to determine whether socio-demographic characteristics and school-related behaviors contribute to sexual risk behaviors among adolescents, independent of participation in SLA. The study was conducted from April to June 2021 in Croatia. The sample consisted only of students who reported having had sexual intercourse (N=702; 28.6%). Participants were between 14 and 21 years (46.3% female). Logistic analyses were conducted. The results of this study showed that socio-demographic characteristics make only a limited contribution to the sexual risk behaviors studied. However, it is evident that school-related behaviors are associated with sexual risk behaviors among adolescents, with slight differences depending on their participation in SLA. That is, better grades are a protective factor for sexual risk behavior for both those who do not participate in SLA and those who do, while intentionally skipping school is a risk factor for sexual risk behavior only for those who do participate in SLA. Even though the results show that some school-related behaviors are predictors of sexual risk behavior, it is not enough to implement preventive interventions only in school or leisure settings. It is important to intervene in all areas that influence adolescent development, because a comprehensive preventive approach that addresses all areas can have a greater impact on adolescent development. Therefore, it is necessary to plan comprehensive, evidence-based interventions targeting individuals and their environments, including SLA, to prevent sexual risk behaviors among adolescents.

Prevalence of adolescent risk behaviors at 11 and 15 years of age: data from the 2004 Pelotas birth cohort.

The objective of this study was to investigate the prevalence of the following risk behaviors: experimentation with cigarettes, electronic cigarettes, alcohol, substances, delinquent behavior, and sex at age 15, stratified by sex and socioeconomic position. We also investigated the prevalence of cigarette and alcohol experimentation at age 11 and the persistence and cumulative incidence of these behaviors between 11 and 15 years of age. In this cohort study, we included 3,491 11-year-olds and 1,949 15-year-olds from the 2004 Pelotas Birth Cohort. All outcomes were identified via confidential questionnaires and were analyzed as binary variables. At age 11, there was a higher prevalence of cigarette experimentation among boys. At age 15, there was a higher prevalence of experimentation with alcohol, cigarettes, and substances among girls; experimentation with cigarettes and sex were more prevalent among those in a low socioeconomic position. We found a high cumulative incidence of alcohol experimentation, as well as persistent alcohol experimentation, in both boys and girls. Further research should clarify causal paths of the high prevalence of risk behaviors during adolescence and its increase among girls.

Childhood Trauma as a Risk Factor for High Risk Behaviors in Adolescents with Borderline Personality Disorder.

Objective: Childhood trauma is associated with many major short-term and lifelong consequences, such as deterioration of mental health, higher frequency of affective dysregulation, changes in consciousness and attention, personality disorders, etc. Therefore, this study aims to examine childhood trauma as a possible factor in the incidence of high risk behaviors in adolescents with borderline personality disorder (BPD). Method : 120 individuals aged 12-18 years were selected based on purposive sampling and included in the research group (including 60 BPD adolescents and 60 non-BPD adolescents). After receiving ethical approval from official institutions, data was collected from the participants through demographic, childhood trauma, sexual addiction screening, eating attitudes, RAFFT, and suicidal behavior questionnaires. The collected data was analyzed using chi-square test, independent t-test, prevalence, odds ratio and correlation analyses using the SPSS V21.0 software. Results: All adolescents with BPD had experienced some forms of psychotraumatic events in childhood. The BPD group experienced more traumatic events than the non-BPD group (P < 0.05). After controlling for gender, age and years of education, all differences remained significant. Furthermore, statistically significant correlations were found between the scores of the emotional abuse and eating disorders scales in the group of girls with BPD (r = 0.788, P < 0.01). Moderate correlations were discovered between emotional abuse and suicidal behaviors in boys with BPD (r = 0.641, P < 0.01). Moreover, it was found that the most significant factors in the formation of addictive behaviors among adolescents with BPD were emotional abuse (r = 0.527) and emotional neglect (r = 0.513, P < 0.05). Conclusion: These findings reinforce the role of childhood trauma in the formation of BPD symptoms during adolescence. Successful detection of the earliest risk factors in the form of childhood trauma and its different forms can provide specific high risk behavior targets for early intervention.

Attitudes and risky sexual behavior among youth in Kampala, Uganda: Empirical analyses of risk factors by gender.

This study sought to examine gender differences and the influence of peer and parental perceptions on sexual risk behaviors among an at-risk sample of youth living in Kampala, Uganda. Using the cross-sectional Kampala Youth Survey (2014) based in Kampala, Uganda (n = 1134), bivariate and multivariable logistic regressions were conducted to determine the odds of sexual risk behaviors based on peer and parental influence variables and gender. The perceptions of peer, adult, and parental opinions on sexual activity were significantly associated with varying levels across all risky sexual behaviors explored. When indexed and adjusted for other variables, females compared to males were at increased odds of participating in 3-4 risky sexual behaviors (OR: 0.63, 95% CI: 0.44, 0.90) and 5-6 risky sexual behaviors (OR: 0.38, 95% CI: 0.21, 0.68) compared to zero risky sexual behaviors. Adolescent sexual risk behaviors are subject to peer and parental influence and vary between genders. This study emphasizes the importance of peer influences in adolescent sexual risk behaviors. Many of these youth are orphans, which may explain the lack of association between parental influences and sexual risk behavior. School-based and community-based interventions may be effective at preventing risky sexual behaviors for this vulnerable population.

Perceived causes of change in Nigerian adolescent sexual risk behaviour - Results from semi-structured mobile instant messaging interviews.

The study explores the perceived causes of change in sexual risk behaviour among Nigerian adolescents over the past years. By embedding the results into a theoretical context, the study aims to further develop interventions targeting adolescent sexual health. To do so, 23 semi-structured interviews are conducted through the mobile-instant-messaging tool WhatsApp. The interview sample consists of both female and male adolescents and adults from different regions in Nigeria. The interviews are conducted as simultaneous chats and analysed based on the qualitative content analysis approach. Respondents perceive a multitude of different factors as causes of change in sexual risk behaviour among Nigerian adolescents. They can be categorised into (1) individual factors, (2) structural factors, and (3) socio-cultural factors. Interrelations between the different factors can partly be observed. The other factors are mostly modifiable and can therefore contribute to reducing adolescent SRB.

The intersection of neighborhood and race in urban adolescent health risk behaviors.

Racial variability in associations of neighborhood socioeconomic disadvantage and neighborhood disorder with adolescent health risk behaviors remains under-researched, which this study examined over 1 year among racially diverse adolescents. High school students (N = 345; 18% Asian, 44% Black, 16% Multiracial, 22% White) completed surveys assessing neighborhood socioeconomic disadvantage and neighborhood disorder, and health risk behaviors (lifetime alcohol, cannabis, and cigarette use, number of sexual partners) at baseline (Year 1) and 1-year follow-up (Year 2). Asian, Black, and Multiracial adolescents were more likely to endorse health risk behaviors in Year 2 compared to White adolescents living in similarly disadvantaged neighborhoods at Year 1. Associations of neighborhood disorder with health risk behavior did not differ by race. Neighborhood socioeconomic disadvantage (but not neighborhood disorder) may predispose Asian, Black, and Multiracial adolescents to health risk behaviors. Findings may inform interventions to address racial disparities in adolescent health risk behaviors.

Age as a Curvilinear Moderator for Parental Solicitation and Adolescent Risk Behavior

Age as a Curvilinear Moderator for Parental Solicitation and Adolescent Risk Behavior

Factors Associated with Early Sexual Activity in Adolescents Residing in an Urban Area of Northeastern Mexico Who Use WhatsApp or Facebook.

Early sexual activity has been associated with unplanned pregnancy and sexually transmitted infections. In recent decades, the prevalence of early sexual activity and social media use has increased. However, the relationship between these variables has been little studied. Consequently, we examined the relationships of some factors present in the family and personal environment with early sexual activity in adolescents who use and do not use the WhatsApp and Facebook platforms. Through a cross-sectional study, data from 1328 adolescents aged 13 to 19years were analyzed. Data collection was carried out using a self-administered questionnaire. Of the total participants, 35.7% reported early sexual activity, and 37.7% reported using social networks such as WhatsApp and Facebook. The mean age of onset of sexual activity was 15.59 ± 1.56years. Multivariate logistic regression analysis showed significant associations of not studying (adjusted OR 4.70; CI 95% 1.31-16.78), consuming alcohol (adjusted OR 3.71; CI 95% 2.44-5.65) and having parents who consumed alcoholic beverages in the home (adjusted OR 1.48; 95% CI 1.03-2.12) with ESA. In the family and personal environment, some factors favored early sexual activity in young people who used the WhatsApp and Facebook applications. This information should be used by authorities in the health and education sectors to strengthen preventive programs targeting health risk habits and behaviors in adolescents.

Adolescents' own views on their risk behaviors, and the potential effects of being labeled as risk-takers: A commentary and review.

Adolescents are stereotypically viewed as risk-takers ("stereotypical risk-takers") in science, mainstream media, fictional literature and in everyday life. However, increasing research suggests that adolescents do not always engage in "heightened" risk-taking, and adolescents' own perspectives (motives) on risk-taking are largely neglected in research. Hence, this paper is a commentary and review with two aims. First, taking a cross-national perspective, we discuss the definition of adolescence and risk behavior. We argue that much of the research on what drives adolescent risk behavior (e.g., substance use) focuses on the harms that this behavior promotes rather than on the need to explore and grow into adulthood. Thereafter we summarize the dominant approach to studying motives behind substance use, which has mostly considered young adults, and which has typically not focused on adolescents' own self-generated motives. The few empirical studies (including one of our qualitative studies) on adolescents' own motivations for engaging in risk behavior (i.e., cannabis use, alcohol use, and tobacco smoking) show that the most frequently mentioned motives by adolescents were being cool/tough, enjoyment, belonging, having fun and experimenting and coping. Interestingly, the "cool/tough identity" motive is virtually overlooked in research on adolescent risk-taking. The above-mentioned motives, however, generally support newer theories, such as the Developmental Neuro-Ecological Risk-taking Model (DNERM) and the Life-span Wisdom Model that suggest that adolescents' motivations to engage in risk-taking include experimentation, identity development, explorative behavior, and sensation seeking, all of which run counter to the stereotype of adolescents engaging in risk-taking due to "storm and stress." Hence, we also briefly consider additional recent attempts to study positive forms of risk taking. Second, extrapolating from sociological/criminological theories on labeling, we suggest that caution is warranted when (inaccurately) labeling adolescents as the "stereotypical risk-takers," because this can instigate a risk-taking identity in adolescents and/or motivate them to associate with risk-taking peers, which could in turn lead to maladaptive forms of risk-taking. Empirical research testing these hypotheses is needed. To conclude we argue that research on adolescent risk-taking could further benefit from considering adolescent's own motivations, which is also in line with the participatory approach advocated by international children's rights standards.

Body Weight Dissatisfaction and Health Risk Behaviors in Adolescents.

Body weight dissatisfaction has been described as a marker for various health diseases, given its direct association with social, physical, and emotional suffering. We investigated the association between body weight dissatisfaction and health risk behaviors in adolescents. This was a cross-sectional study conducted with 668 adolescents aged 14-19years in the city of São José, southern Brazil. Body weight satisfaction/dissatisfaction was assessed using a questionnaire validated for the investigated population. Health risk behaviors included smoking, alcohol, illicit drugs, medication, non-prescription anabolic steroids, not using seatbelt, unsafe sexual behavior and not knowing how to deal with day-to-day stress. Among males, 66.1% were dissatisfied with their body weight (32.1% due to thinness and 34.0% due to overweight). Among females, 80.0% were dissatisfied with their body weight (24.5% due to thinness and 55.5% due to overweight). There were no significant differences regarding health risk behaviors according to body weight satisfaction/dissatisfaction and sex. Compared to males who were satisfied with their body weight, those who were dissatisfied due to being overweight were more likely to be using tobacco (OR: 2.9; 95% CI: 2.1-4.2), alcohol (OR: 1.7; 95% CI: 1.5-1.9) and anabolic steroids (OR: 2.7; 95% CI: 1.2-5.7). Compared to females who were satisfied with their body weight, those who were dissatisfied due to thinness were more likely to be consuming alcoholic beverages (OR: 1.6; 95% CI: 1.2-2.0) and less likely to be consuming illicit drugs (OR: 0.5; 95% CI: 0.3-0.8). Interventions aimed at health education regarding the non-adoption of risk behaviors such as alcohol and tobacco use, as well as the non-use of anabolic steroids, and favoring the maintenance of general health, may be important for adolescents with body dissatisfaction. These data suggest that health risk behaviors such as adolescent male use of tobacco, alcohol, and anabolic steroids and the use of alcohol and drugs by female adolescents can be related to body weight dissatisfaction.

Trends of risk behaviors in adolescents: a 10-year study in a representative sample of Tuscany, Italy

Abstract Background The aim of the study was to evaluate the trends of prevalence of several health risk behaviors (HRBs) and health conditions over a 10-years period in a representative sample of adolescents of Tuscany Region, Italy. Methods The study had a repeated cross-sectional design, data from the last four survey waves of EDIT surveillance (2008-2018) were used. EDIT surveillance investigates HRBs in a representative sample of students attending the upper secondary schools of Tuscany. Prevalence of 17 HRBs and health conditions were considered and analyzed by age, sex, and socioeconomic status (SES). Results A total of 21.943 students were surveyed from 2008 to 2018. Declining trends in the participation in smoking, cocaine use, driving under the influence of alcohol and drugs, and problem gambling were observed, while alcohol abuse and at-risk sexual behaviors remained unchanged or increased during the study period. During the most recent survey males resulted more frequently involved in most of the HRBs, while females more frequently reported physical inactivity, regular smoking and not using a condom. Female participation in smoking and alcohol abuse behaviors, fruit and vegetables consumption, and bullying worsened over the study period. Smoking, poor dietary habits, physical inactivity, high distress level, and obesity were more frequently observed in low SES students than in high SES students. Conclusions In conclusion findings showed various different tendencies in adolescent participation in HRBs over the course of the last decade; concerning trends in at-risk sexual behaviors and alcohol consumption and females’ risk-taking behavior on the rise require careful monitoring and intervention. Key messages • Distinct tendencies according to sex, socio-economic condition and specific health risk behavior were observed in adolescent participation in health risk behaviors over the course of the last decade. • Health promotion and prevention interventions tailored on specific health risk behaviors and population groups are needed.

4.C. Workshop: Promoting health without borders: cross-border public health policy in the Euregio Meuse-Rhine

Abstract For more than 20 years, different public health institutions in the German-Belgian-Dutch border triangle have been involved in cross-border public health activities. The partners in the Euregio Meuse-Rhine (EMR), as this area is called, have jointly implemented studies on COVID-19 and on adolescent risk behaviour. They have established joint health reporting for various purposes and implemented prevention measures together. The special problems in the border regions during the Corona pandemic have once again impressively shown how important cross-border cooperation is - also for cross-border public health policy. In the health sector, orientation towards municipal, state and federal borders does not lead to the desired results. The results of the Euregional COVID 19 study of 2021 show that in this way a ‘borderless’ life - and partly also cross-border health care - cannot be adequately served. In fact, in the everyday life of a border community, there is hardly any difference between a district border and a national border. In the EMR, this is exemplary for the entire European Union, with its many national or local responsibilities. For infectious diseases, lifestyle risks, environmental toxins or climate risks, borders have no meaning. For health, however, they do. Cross-border policy and politics is the appropriate response to real European conditions. The workshop will show the possibilities and results of cross-border policy on the basis of 3 examples from the long-standing cooperation of public health actors from the Euregio Meuse-Rhine. Finally, we will present these factors and put them up for discussion. From these and other activities, the factors that enable or hinder policy along borders can be deduced. We will present these factors, classify their significance and present the possibility of generalisation for cross-border work for discussion. Key messages • Cross-border policy and coordination are the appropriate responses to the current realities in the European Union. • National differences in culture, administration and policy can be obstacles to cooperation; but are usually inspiration for new approaches and input for best practice.

Predicting Adolescent Intervention Non-responsiveness for Precision HIV Prevention Using Machine Learning

Interventions to teach protective behaviors may be differentially effective within an adolescent population. Identifying the characteristics of youth who are less likely to respond to an intervention can guide program modifications to improve its effectiveness. Using comprehensive longitudinal data on adolescent risk behaviors, perceptions, sensation-seeking, peer and family influence, and neighborhood risk factors from 2564 grade 10–12 students in The Bahamas, this study employs machine learning approaches (support vector machines, logistic regression, decision tree, and random forest) to identify important predictors of non-responsiveness for precision prevention. We used 80% of the data to train the models and the rest for model testing. Among different machine learning algorithms, the random forest model using longitudinal data and the Boruta feature selection approach predicted intervention non-responsiveness best, achieving sensitivity of 85.4%, specificity of 78.4% and AUROC of 0.93 on the training data, and sensitivity of 84.3%, specificity of 67.1%, and AUROC of 0.85 on the test data. Key predictors include self-efficacy, perceived response cost, parent monitoring, vulnerability, response efficacy, HIV/AIDS knowledge, communication about condom use, and severity of HIV/STI. Machine learning can yield powerful predictive models to identify adolescents who are unlikely to respond to an intervention. Such models can guide the development of alternative strategies that may be more effective with intervention non-responders.

The Role of Family Health in Mediating the Association between Smartphone Use and Health Risk Behaviors among Chinese Adolescent Students: A National Cross-Sectional Study.

The direct impact of smartphones on health risk behaviors of adolescent students has been verified. However, the mediating mechanisms that underly this relationship remain largely unknown. Therefore, the aim of the study is to explore the role of family health in mediating the relationship between the frequency of smartphone use and adolescent students’ health risk behaviors. A questionnaire was used to collect cross-sectional data from 693 adolescent students aged 12–18 in China and a structural equation model was analyzed. Among the nine health risk behaviors, the most frequent health risk behaviors in Chinese adolescent students were non-compliance walking behaviors (M=Mean; SD = Standard deviation) (M ± SD) (2.78 ± 1.747), eating unhygienic food (M ± SD) (2.23 ± 1.299), being subjected to physical violence (M ± SD) (2.19 ± 0.645), and leaving home (M ± SD) (2.13 ± 0.557). The SEM results showed that the adolescent students’ smartphone use had a positive impact on delaying the age of first alcohol consumption (β = 0.167, CI:0.067 0.287) and a negative impact on the non-compliance walking behaviors (β = 0.176, CI:0.011 0.266). Family health plays an indirect-only mediated role (the proportions of indirect-only mediated roles are 11.2%, 12.4%, and 11.5%) in the relationship between smartphone use and adolescent students’ partial health risk behaviors: (CI: −0.042 −0.002), (CI: −0.049 −0.005), and (CI: −0.043 −0.002). These findings provided a theoretical and practical basis for better interventions in adolescent health risk behaviors.

High risk behaviour in adolescents

Background: High-risk behaviours are a set of behaviours which pose an increased risk of physical, social or emotional problems to an individual and society at large. These behaviours manifest as violence, substance use, risky sexual behaviour, suicide, and eating disorders. Adolescence is the age group that has the highest propensity for detrimental impact by the adverse consequences of such high risk behaviours. The available literature in related fields bears extensive information regarding the factors leading to high risk behaviours in adolescents. In spite of these in depth studies and well explored facts, there is a lack in required interventions at a grassroots level to contain this issue. The aim of this article is to review the literature in this area and provide comprehensive insights pertaining to the factors contributing to high risk behaviour in adolescents. It also looks at suggesting a way forward. It provides comprehensive insights pertaining to the factors contributing to high risk behaviour in adolescents. It concludes, high risk behaviour in adolescents is not a phenomenon that can be attributed to a single factor. It is an interplay of various factors that determine, influence and make adolescents more susceptible to risk taking.

Factors Influencing the Prevention of HIV Risk Behavior in Adolescents in Bukittinggi, Indonesia

The increasing number of HIV in adolescents is caused by risky behavior carried out by adolescents. In this study, HIV risk behavior in adolescents was seen from two factors: free sex behavior and drug consumption. Heterosexual behavior contributed 19.6% and injecting drug consumption by 0.9% as the cause of HIV in Indonesia. This study determined factors associated with the prevention of HIV risk behavior in Bukittinggi, West Sumatra, Indonesia. 362 students in grades X and IX from 5 public high schools in Bukittinggi participated in this study. From September 2020 to February 2021, a cross-sectional study with this research design was conducted. The information was gathered using a questionnaire that followed the Indonesian Health Demographic Survey Instrument's instructions (IDHS). Then, the data were analyzed by bivariate analysis using Chi-Squere test and multivariate analysis using logistic regression. This study found that HIV risk behavior in the risky category was 17.96%, the low level of knowledge was found to be 48.90%, the low attitude was 32.87%, bad peers was 24.03%, and poor parental communication was found to be 64.09%. According to the results of the bivariate analysis, knowledge and peers were connected with a p-value of 0.000 and an OR of 3.68, which meant that peers who were unreliable had 3.68-times greater likelihood of engaging in risky behavior. According to the results of the multivariate study, knowledge, peer influence, and parental communication all had an R2 value of 0.11%, which indicated that they could anticipate 11% of HIV risk behaviors. The lack of knowledge and poor peers provided the opportunities for HIV risk behavior in adolescents in Bukittinggi.