The impact of community risks and resources on adolescent risky behavior and health care expenditures

A diathesis-stress model of engagement in risky behaviors in Chinese adolescents

“…The co-occurrence of multiple types of risky behaviors is particularly worrisome as it increases the likelihood of negative long-term consequences (e.g., drug dependency, legal troubles, and unplanned pregnancy) as well as predicts poorer psychosocial functioning throughout adulthood (Bardone, Moffit, Caspi, & Dickson, 1996;Markey, Markey, & Tinsley, 2003). Thus, as the current study examined vulnerability/protective factors that are likely to predict a broad array of risky behaviors and utilized a sample that is likely to engage in an inconsistent range of risky behaviors, in line with past research, the current study examined broad-based engagement in risky behaviors (e.g., Cooper, Agocha, & Sheldon, 2000;Markey et al, 2003;Youngblade, Curry, Novak, Vogel, & Shenkman, 2006).…”

Adolescents' Health Behaviours and Its Associations with Psychological Variables

“…A large volume of study indicated that the rates of smoking, drinking alcohol and drug use during adolescence have remarkably increased since 1980s, and many adolescents experienced health risk behaviours at markedly earlier ages (2,3). US Centre for Disease Control and Prevention reported that the primary students aged 9 to 13 years have already experienced alcohol drinking and smoking (respectively, 36%, 12%).…”

Predictors of lifestyle behaviors, trust of health care provider, and utilization of health services among adolescents living in a rural area.

“…Of the studies identifying a conceptual model when measuring adolescents' utilization of health services, ABM was the most frequently used model (Adams, Newacheck, Park, Brindis, & Irwin, 2013;Marcell et al, 2007;Maulik, Mendelson, & Tandon, 2011;Wu, Blazer, Li, & Woody, 2011;Wu, Pilowsky, Schlenger, & Hasin, 2007). Additional studies appear to have been organized according to ABM, but did not specify the conceptual model used (McKee, Fletcher, & Schechter, 2006;Youngblade, Curry, Novak, Vogel, & Shenkman, 2006). Studies using ABM among adolescents have focused primarily on the individual characteristics domain and the health behavior domain.…”

“…Studies using ABM among adolescents have focused primarily on the individual characteristics domain and the health behavior domain. One study included the contextual characteristics domain (Youngblade et al, 2006) along with indivudal characterisitcs and use of health services, but did not identify a conceptual framework or reference the ABM. No published studies have included all four ABM domains.…”

“…Adolescents living in rural areas are more likely to smoke, be physically inactive, and report poor nutrition (Curtis, Waters, & Brindis, 2011;Youngblade et al, 2006), which mimics high-risk lifestyle behaviors of adults in rural areas (Danaei et al, 2010). A study examining Florida CHIP data (n = 28,408) in a nested model of adolescent risk-taking behavior, revealed community characteristics directly predicted adolescent risk-taking behavior and indirectly predicted health services utilization and expenditures (Youngblade et al, 2006). It is likely that many of the same factors that influence health disparities among rural adults also affect adolescents living in a rural area.…”