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Risky behavior and risk in adolescents with IDDM
M A Frey1, B Guthrie, C Loveland-Cherry
1University of Michigan, School of Nursing, USA.
Summary
Adolescents with insulin dependent diabetes mellitus (IDDM) reported lower rates of risky behaviors than community samples, but risk perception did not deter engagement. Risky behavior frequency increased with age, highlighting the need for targeted interventions.
Area of Science:
- Adolescent Health
- Endocrinology
- Public Health
Background:
- Adolescents with insulin dependent diabetes mellitus (IDDM) are vulnerable to specific disease-related physiological and pathological changes.
- Understanding risky behaviors in this population is crucial for effective health management and prevention strategies.
Purpose of the Study:
- To determine the frequency of risky behaviors (substance use, smoking, unprotected intercourse) in adolescents with IDDM.
- To assess their perception of general and diabetes-related risks associated with these behaviors.
- To examine the relationship between risk perception and engagement in risky behaviors, and the influence of demographics (age, gender, race).
Main Methods:
- A descriptive, cross-sectional study involving 155 adolescents (ages 10-20) with IDDM.
- Data collected via self-report during routine clinic visits.
- Correlational and t-test analyses used to examine relationships and group differences.
Main Results:
- 39% reported alcohol use, 34% smoking, 8% smokeless tobacco, 10% drug use, and 29% unprotected intercourse.
- Perceived risk to self was significantly lower than perceived risk to peers.
- Risk perception was not associated with self-reported risky behaviors; however, behavior frequency increased with age.
Conclusions:
- Adolescents with IDDM exhibited lower rates of risky behaviors compared to community samples.
- Risk perception was not a deterrent, and behaviors increased with age.
- Further research is needed to understand the trajectory of risky behaviors and the effectiveness of risk perception in this vulnerable population.
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