title: Health-risk behaviors in early adolescence.
abstract: The major morbidities and mortalities of adolescents are related to preventable risky behaviors, but how, when, and in whom these behaviors develop in early adolescence is unknown. The purpose of this study was to determine which set of risk factors and protective resources of school-age children were best predictors of health-risk behaviors in early adolescence. A longitudinal, cohort sequential design was used with a diverse sample of 1,934 children in grades 4 through 8. Parents provided demographic and neighborhood data for children through a mailed survey. Children completed valid scales annually at schools, using audio-computer-assisted self-interviewing (A-CASI) technology. Significant gender and racial/ethnic differences were found in carrying a weapon and using alcohol. Higher perceived levels of stress increased the risk for alcohol use as did riding in a car with a driver who was drinking. Health behaviors exhibited while in 4th through 6th grades protected early adolescents from alcohol use and riding in a car with a driver who was drinking. A parent's education and perceived safety in neighborhood protected against carrying a weapon and smoking. Many findings are similar to those of national samples, but others show positive differences in this localized sample, over 50% of whom were Latino. Protective resources suggest numerous nursing interventions to promote healthy adolescent development.
authors.affiliation: The University of Texas at Austin School of Nursing, Austin, TX, USA. ellerew@mail.utexas.edu
authors.forename: Lynn
authors.initials: L
authors.lastname: Rew
authors.forename: Sharon D
authors.initials: SD
authors.lastname: Horner
authors.forename: Adama
authors.initials: A
authors.lastname: Brown
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000208:ethnology*; D000428:Alcohol Drinking / Q000517:prevention & control*; D001213:Asian / Q000706:statistics & numerical data; D044383:Black People / Q000706:statistics & numerical data; D002648:Child; D005260:Female; D006254:Hawaii; D015438:Health Behavior / Q000208:ethnology*; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D007198:Indians, North American / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D008297:Male; D002189:Marijuana Abuse / Q000517:prevention & control*; D044468:Native Hawaiian or Pacific Islander / Q000706:statistics & numerical data; D024802:Nurse's Role; D010290:Parents; D011203:Poverty / Q000706:statistics & numerical data; D012307:Risk Factors; D012309:Risk-Taking; D012424:Rural Population / Q000706:statistics & numerical data; D012494:Sampling Studies; D012574:Schools; D012907:Smoking / Q000208:ethnology; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D013781:Texas / Q000453:epidemiology; D054041:Weapons; D044465:White People / Q000706:statistics & numerical data; D001741:Black or African American