Objectives
“What do you want to be when you grow up?” is a simple, commonly asked question that may provide insight into adolescent wellbeing. Career aspirations may reflect an adolescent’s sense of identity, hope for the future, and self-efficacy, all of which are critical to identifying at-risk youth and intervening on risky behaviors. However, there are no studies testing whether career aspirations are associated with adolescent emotional and health behavior outcomes.
Methods
We analyzed cross-sectional surveys of 929 9th–12th grade low-income minority adolescents in Los Angeles assessing career aspirations and its association with hopelessness, self-efficacy, substance use, violence, and risky sexual activity. We used Department of Labor statistics to categorize career aspirations by amount of education required, income, and prestige. Generalized estimating equations accounted for socio-demographics, school type, academic performance, and clustering at the school level.
Results
Grades, standardized test scores, and health behaviors varied by career type. Adolescents with higher career aspirations, measured by career-related education, income, and prestige, reported less hopelessness and more self-efficacy. After adjusting for confounders, aspirations requiring high levels of education were associated with decreased odds of alcohol use, at-school substance use, and risky sexual activity, and higher prestige scores were associated with decreased odds of other drug use.
Conclusions
Career aspirations may be a marker for adolescent health and wellbeing. Adults might consider asking a teen what they want to be when they grow up to gain insight into their levels of hopelessness and self-efficacy and provide context for counseling on healthy behavior change.