A common assumption about school-aged children is that they are basically healthy. However, recent evidence suggests that children under the age of 5 years are healthier than those between 5-17 years (Federal Interagency Forum on Child and Family Statistics, 2003). Health behaviors (i.e., health-promoting and health-risk behaviors) of school-age children and early adolescents originate at the intersection of genetic, environmental, and social variables. Some behaviors can protect and promote healthy bodies, quality social relationships, mastery of life's tasks, meaning and purpose in life, and resilience to stress and change (Institute of Medicine, 2001). However, not all children engage in healthpromoting behaviors and, by the time they reach adolescence, their health behaviors are often better described as health-risk behaviors including poor nutrition, lack of physical activity, smoking, drinking alcohol and using non-prescribed drugs, having unprotected sex, and carrying weapons or fighting (Brindis, Park, Ozer, & Irwin, 2002). In their review of national data sets, researchers at the National Adolescent Health Information Center (Ozer, Park, Paul, Brindis, & Irwin, 2003) provided ample evidence that health-risk behaviors increase from grades 8-12 and in the lower grades, such behaviors are highest among Hispanics.Researchers have shown that health-risk behaviors tend to increase with age (Cartland & Ruch-Ross, 2006) and are related to male gender (Wu, Rose, & Bancroft, 2006), ethnicity (Ozer et al., 2003), and family structure (Brener & Collins, 1998;Rouse, Ingersoll, & Orr, 1998). Several health-risk behaviors that vary by ethnicity and gender have been identified in school-age children and early adolescents, including disordered eating and aggression in young Hispanic females (McLaughlin, Hilt, & Nolen-Hoeksema, 2007). At present, very little is known about the development of health behaviors in children and early adolescents, particularly among the growing population of Hispanics. Therefore, the purpose of this study was to describe the health behaviors, both health-promoting and health-risking, of school-age children and how they differ by grade level, gender and ethnicity. A second purpose was to determine how health behaviors are related to factors that may either promote or impede health. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
NIH Public AccessAuthor Manuscript J Pediatr Nurs. Author manuscript; available in PMC 2011 June 1.
Conceptual Framework and Related Literature Resilience FrameworkA youth resilience framework (Rew & Horner, 2003) guided the ...