Risk behaviours among early adolescents: risk and protective factors

Wang, Ruey‐Hsia; Hsu, Hsiu Yueh; Lin, Shiou‐Fu; Chêng, Chu-yüan; Lee, Shu Li

doi:10.1111/j.1365-2648.2009.05159.x

Cited by 40 publications

(44 citation statements)

References 36 publications

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“…This finding is consistent with that of Juszczak and Sadler (1999) that high self-esteem was inversely related to health-risk behavior participation among youth. Other investigators have documented that older adolescents with low self-esteem report greater number of health-risk behaviors (Wang, et al, 2009). Pre-adolescents with low self-esteem may experiment with behaviors to fit in, maintain their status with a peer group, or try to stand out with their lack or seatbelt or helmet use (Chen, Thompson, & Morrison-Beedy, 2010; Whitaker & Miller, 2000).…”

Section: Discussionmentioning

confidence: 99%

“…Typically children from two-parent families participate in fewer health risk behaviors than those from single parent or blended families (Wang, Hsu, Lin, Cheng, & Lee, 2009). Change in partner status (Hayatbakhsh, Najman, Bor, O'Callaghan, & Williams, 2009) and harmony in the relationship also constitute important predictors (Anderson, Storfer-Isser, Taylor, Rosen, & Redline, 2009).…”

Section: Background and Literature Reviewmentioning

confidence: 99%

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

Riesch

Kedrowski

Brown

et al. 2013

International Journal of Nursing Studies

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Background Children as young as 10 years old report curiosity and participation in health-risk behaviors, yet most studies focus upon adolescent samples. Objective To document the types and frequencies of health risk behavior among pre-adolescents and to examine the child, family, and environment factors that predict them. Method A 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. Results Pre-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. Recommendations These 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.

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Section: Discussionmentioning

confidence: 99%

Section: Background and Literature Reviewmentioning

confidence: 99%

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

Riesch

Kedrowski

Brown

et al. 2013

International Journal of Nursing Studies

View full text Add to dashboard Cite

show abstract

“…Adolescents are usually required to engage in schoolwork under their parents’ strict supervision. On the other hand, the competitive academic-oriented environment may protect against adverse social influences,16 19 28 resulting in a lower prevalence of sexual behaviours (3.2–14%) and use of tobacco (5–15%), illicit drugs (0.6–1%) and alcohol (6.6–15.6%) among Taiwanese adolescents as compared to their Western counterparts 11 16 28 29. Contrary to previous observations that vocational high school students are less engaged in academic achievement and hence exposed to more health compromising behaviours, in our survey their ratings of health needs are lower than those of their general high school peers.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with adolescents' perspectives on health needs and preference for health information sources in Taiwan

Tsai

Chou

Lin

et al. 2012

Archives of Disease in Childhood

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To achieve continuous care from childhood through adolescence to adulthood, paediatricians should understand adolescents' diverse views of health needs and preferred sources of health information. Several demographic variables were shown to influence their health needs, reflecting the East Asian cultural context. Anticipatory guidance on body image, dietary health and academic stress should be emphasised while caring for these adolescents. We therefore advocate the development and effective delivery of culturally relevant adolescent-friendly health services.

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“…Family environments and relationships can be a source of protection or risk for adolescents’ emotional and behavioral health, including engagement in high-risk sexual behavior (Dimbuene & Defo, 2011; Puffer et al, 2011; Wang, Hsu, Lin, Cheng, & Lee, 2010; Biddlecom, Awusabo-Asare, & Bankole, 2009; Pequegnat & Bell, 2012; Van Campen & Romero, 2012). Though family interactions are complex, positive caregiver-child communication, parental involvement, monitoring, and authoritative parenting—a balance of warmth and structure (Baumrind, 1966)—often emerge as protective factors.…”

mentioning

confidence: 99%

A church-based intervention for families to promote mental health and prevent HIV among adolescents in rural Kenya: Results of a randomized trial.

Puffer¹,

Green²,

Sikkema³

et al. 2016

Journal of Consulting and Clinical Psychology

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Objective To evaluate a family- and church-based intervention for adolescents and caregivers in rural Kenya to improve family relationships, reduce HIV risk, and promote mental health. Method The intervention was developed using community-based participatory methods and focused on strengthening family communication. Modules addressed economic, relationship, and HIV-related topics using evidence-based behavioral strategies alongside culturally-grounded content. A stepped wedge cluster randomized trial was conducted with 124 families (237 adolescents ages 10 to 16; 203 caregivers) from four churches. Participants completed interviewer-administered surveys over 5 rounds. Primary outcomes included family communication, HIV risk knowledge, self-efficacy, and beliefs. Secondary outcomes included parenting, social support, mental health, and adolescent sexual behavior. We estimated intent-to-treat effects via ordinary least squares regression with clustered standard errors. Results Relative to controls, the intervention group reported better family communication across domains at 1- and 3-months post-intervention and higher self-efficacy for risk reduction skills and HIV-related knowledge at 1-month post-intervention. Sexually active youth in the intervention reported fewer high-risk behaviors at 1-month post-intervention, including unprotected sex or multiple partners. Male caregivers in the intervention reported higher parental involvement at both time points, and youth reported more social support from male caregivers at 3-months post-intervention. No effects on secondary outcomes of parenting, social support, and mental health were detected. Conclusions This intervention holds promise for strengthening positive family processes to protect against negative future outcomes for adolescents. Implementation with religious congregations may be a promising strategy for improving sustainability and scalability of interventions in low-resource settings.

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Risk behaviours among early adolescents: risk and protective factors

Cited by 40 publications

References 36 publications

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

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

Factors associated with adolescents' perspectives on health needs and preference for health information sources in Taiwan

A church-based intervention for families to promote mental health and prevent HIV among adolescents in rural Kenya: Results of a randomized trial.

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