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Published on: November 21, 2013
Risk behavior in a community sample of children and adolescents
A J Flisher1, R A Kramer, C W Hoven
1Columbia University, USA. aflisher@curie.uct.ac.za
Summary
Adolescent risk behaviors like substance use and suicidality are interconnected. Early identification of these behaviors and associated factors like stress is crucial for intervention.
Area of Science:
- Child and Adolescent Psychiatry
- Behavioral Science
- Public Health
Background:
- Adolescent risk behaviors represent a significant public health concern.
- Understanding the interplay between various risk behaviors and their correlates is vital for effective prevention and intervention strategies.
- Previous research has indicated potential links between different risk behaviors in youth, but comprehensive community-based data is needed.
Purpose of the Study:
- To examine the covariation among multiple risk behaviors, including suicidality, in a community sample of children and adolescents.
- To determine the association between a composite index of risk behavior and selected potential correlates in this population.
Main Methods:
- The study utilized data from the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study, interviewing 1,285 youths aged 9–17 and their caretakers.
- Key risk behaviors assessed included marijuana smoking, alcohol use, sexual intercourse, fighting, cigarette smoking, and suicidal ideation/attempts.
- Statistical analyses involved odds ratios to describe relationships between risk behaviors and linear regression to assess correlates of a risk behavior index.
Main Results:
- Significant relationships were found between all pairs of assessed risk behaviors, indicating a tendency for these behaviors to co-occur.
- The overall index score for risk behavior was significantly associated with increased stressors, lack of resources, family psychiatric history, psychopathology, and functional impairment.
- These findings suggest a clustering of risk behaviors and their strong association with adverse psychosocial factors.
Conclusions:
- Clinicians should be vigilant for the presence of multiple risk behaviors in children and adolescents.
- The presence of one risk behavior should prompt screening for others, particularly suicidal ideation/attempts.
- Factors such as stressors, limited resources, functional impairment, and psychopathology are important indicators that warrant clinical attention in at-risk youth.
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