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Fighting as a marker for multiple problem behaviors in adolescents

D M Sosin1, T D Koepsell, F P Rivara

  • 1Epidemiology Program Office Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|March 1, 1995
PubMed
Summary

Fighting is a significant indicator of multiple problem behaviors in adolescents. Identifying students who fight can help pinpoint high-risk youth for targeted interventions and support.

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Area of Science:

  • Public Health
  • Adolescent Health
  • Behavioral Science

Background:

  • Adolescent risk behaviors often co-occur, complicating identification of high-risk individuals.
  • Understanding markers for multiple problem behaviors is crucial for effective intervention strategies.

Purpose of the Study:

  • To evaluate the utility of fighting as a behavioral marker for identifying high school students with multiple risk-taking behaviors.
  • To assess the prevalence of various problem behaviors among adolescent fighters compared to the general student population.

Main Methods:

  • A national cross-sectional cluster survey of 11,631 U.S. high school students conducted in 1990.
  • Comparison of problem behavior prevalence between students who reported fighting and the overall student sample.

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Main Results:

  • 8% of students reported fighting in the past 30 days.
  • Fighters exhibited high rates of other problem behaviors, including suicide attempts (24%), firearm carrying (26%), cocaine use (13%), intoxicated driving (39%), multiple sexual partners (41%), and inconsistent condom use (45%).
  • 26% of fighters reported three or more of these six problem behaviors.

Conclusions:

  • Fighting is a strong indicator of multiple problem behaviors in adolescents.
  • The high co-occurrence of risk behaviors among fighters suggests fighting can serve as a valuable marker for identifying at-risk youth.
  • Findings support the use of fighting as a screening tool for multiple adolescent problem behaviors.