Youth Health Risk Behavior Research Articles

Development of a youth survey to measure risk behaviors, attitudes and assets: examining multiple influences.

Currently, most surveys assessing adolescent health concerns focus primarily on risk behaviors and negative influences rather than positive influences such as assets. The purpose of this paper is to describe the development and validation of the Adolescent Health Attitude and Behavior Survey (AHABS). This instrument was developed to measure the prevalence of youth health risk behaviors, attitudes towards adolescent sexual behavior and youth assets in a statewide evaluation effort. The questionnaire was completed by 4368 public high school students in Grades 9-12. Content validity was established through an extensive review of literature, a group process and factor analyses. Reliability was established through Cronbach's alpha coefficients. Factor loadings ranged from 0.48 to 0.84 for scales measuring attitudes towards adolescent sexual behavior and alpha coefficients ranged from 0.61 to 0.81. Factor loadings ranged from 0.34 to 0.90 for scales measuring youth assets and alpha coefficients ranged from 0.69 to 0.85. Because of several limitations (e.g. construct validity was not measured), additional development work is needed. Therefore, the AHABS is still in a developing, but promising, state. Additional psychometric work will provide program practitioners and evaluators with a psychometrically sound tool to measure behaviors, attitudes and assets.

Providing affordable family housing and reducing residential segregation by income: A systematic review

Overview The inadequate supply of affordable housing for low-income families and the increasing spatial segregation of some households by income, race, ethnicity, or social class into unsafe neighborhoods are among the most prevalent community health concerns related to family housing. When affordable housing is not available to low-income households, family resources needed for food, medical or dental care, and other necessities are diverted to housing costs. Two housing programs intended to provide affordable housing and, concurrently, reduce the residential segregation of low-income families into unsafe neighborhoods of concentrated poverty, are reviewed: the creation of mixed-income housing developments and the Department of Housing and Urban Development (HUD) Section 8 Rental Voucher Program. The effectiveness of mixed-income housing developments could not be ascertained by this systematic review because of a lack of comparative research. Scientific evidence was sufficient to conclude that rental voucher programs improve household safety as measured by reduced exposure to crimes against person and property and decreased neighborhood social disorder. Effectiveness of rental voucher programs on youth health risk behaviors, mental health status, and physical health status could not be determined because too few studies of adequate design and execution reported these outcomes.

Drinking Practices and Other Health-Related Behaviors Among Adolescents of São Paulo City, Brazil

Purpose. (a) detect possible demographic and behavioral differences among young episodic heavy drinkers and other young drinkers; (b) investigate the association of youth drinking patterns with other health-compromising behaviors. Methods. The data presented are part of a health behavior survey, which used a modified version of the Youth Health Risk Behavior Survey (YHRBS) questionnaire. Students from public (n = 993) and private schools (n = 815), from 7th to 11th grades were investigated in São Paulo city. Multivariate logistic regression analyses were employed to investigate the association among different drinking practices and the various health-compromising behaviors, controlling for age group, gender, and school system. Odds Ratios (OR) and their 95% Confidence Intervals (CI) were calculated. Episodic Heavy Drinking was defined as having five or more drinks in a 2-hour interval, at least once in the last 30 days. Results. Episodic Heavy Drinkers (EHDs) tend to be older and males and prefer to drink with friends at commercial facilities instead of drinking with their relatives at home. EHDs also reported higher percentages of adverse consequences, such as physical fights, accidents, and school absenteism after drinking. EHDs are more likely to engage in other high-risk behaviors. In the public schools, they were more likely to carry guns (OR = 17.0; CI = 3.9–74.8), get involved in physical fights (OR = 8.9; CI = 4.4–18.0), attempt suicide (OR = 4.2; CI = 2.0–8.7), and use inhalants (OR = 2.7; CI = 1.3–5.7) than abstainers. They are also more likely to use marijuana (OR = 4.7; CI = 2.2–9.9) and smoke cigarettes (OR = 5.3; CI = 2.7–10.4) than moderate drinkers. The results were similar for private schools, with even higher ratios of inhalant use (OR =15.2; CI = 6.2–37.1), when EHDs were compared with abstainers and cigarette (OR = 64.5; CI = 8.6–481.0) and marijuana use (OR = 6.5; CI = 4.3–9.7), when EHDs were compared with moderate drinkers. Conclusions. EHDs display different drinking habits than other adolescents who drink. Also, they are at increased risk for a range of health-compromising behaviors, when compared with both abstainers and moderate drinkers.

The impact of school-organized sport activities on the priority youth health-risk behaviors

PURPOSE: To evaluate the impact of school-organized sport activities on the priority youth health-risk behaviors.METHODS: Data were taken from The 1997 National School-based Youth Risk Behavior Survey. Measures of prevalence rates in six categories of priority health-risk behaviors defined by Centers for Disease Control and Prevention were performed between participants and non-participants in school-organized sport activities. Then multiple logistic regression analyses were used to assess the association between participation in school-organized sport activities and the priority health-risk behaviors.RESULTS: Overall, 49.5% of students nationwide participated in school-organized sport activities in 1997. The major behavioral factors that proved statistically significant in predicting participation in school-organized activities in the logistic regression model were non-use of seatbelt, non-use of helmet, and use of chewing tobacco. Behavioral factors that were inversely related to participation in school-organized activities were smoking cigarettes, using different kinds of drugs, using condoms, carrying weapons, eating vegetables, and attempting suicide.CONCLUSIONS: Based on the nationally representative data, participation in school-organized sport activities was positively associated with many desirable health behaviors. However, a challenge for us will be not only to promote youth participation in school-organized sport activities, but also to address some co-existing behavioral problems that may lead to non-intentional injury and use of chewing tobacco.

Health risk behaviors in urban youth

Health risk behaviors in urban youth