title: Tattooing and high-risk behavior in adolescents.
abstract: OBJECTIVE
  We sought to determine the prevalence and sociodemographic characteristics of tattooed adolescents in a nationally representative sample and to evaluate the association between tattooing and several high-risk behaviors.
  
  
  METHODS
  This is a secondary analysis of the National Longitudinal Survey of Adolescent Health Public Use Dataset, which provides a nationally representative sample of 6072 adolescents collected in 1995 and 1996. The association among permanent tattoos, sociodemographic factors, and high-risk behaviors was evaluated using bivariate and logistic regression analyses using SUDAAN.
  
  
  RESULTS
  Of the total sample of youths, 4.5% reported having permanent tattoos. Tattooing was significantly associated with older age, living in a single-parent household, and lower socioeconomic status but was not significantly associated with gender, ethnicity, or neighborhood type. Tattooing was strongly associated with peer substance use. Adjusting for sociodemographic factors and peer substance use, tattooing in adolescents was independently and significantly associated with reported sexual intercourse, substance use, violent behaviors, and school problems.
  
  
  CONCLUSIONS
  Permanent tattoos are strongly associated with high-risk behaviors among adolescents. In the clinical setting, the presence of a tattoo noted during clinical examination of an adolescent should prompt in-depth assessment for a variety of high-risk behaviors.
authors.affiliation: Division of Adolescent Medicine, Department of Pediatrics, Strong Children's Research Center, Golisano Children's Hospital at Strong University of Rochester School of Medicine, Rochester, New York 14642, USA. timothy_roberts@urmc.rochester.edu
authors.forename: Timothy A
authors.initials: TA
authors.lastname: Roberts
authors.forename: Sheryl A
authors.initials: SA
authors.lastname: Ryan
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D002648:Child; D003415:Crime / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D011159:Population Surveillance; D015995:Prevalence; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology; D013653:Tattooing / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D014754:Violence / Q000706:statistics & numerical data