Protecting adolescents from harm. Findings from the National Longitudinal Study on Adolescent Health

Protecting adolescents from harm. Findings from the National Longitudinal Study on Adolescent Health

Resnick MD; Bearman PS; Blum RW; Bauman KE; Harris KM; Jones J; Tabor J; Beuhring T; Sieving RE; Shew M; Ireland M; Bearinger LH; Udry JR

Jama

1997

Cross-Sectional Studies; Female; Humans; Male; Pregnancy; Longitudinal Studies; Mental Health; Multivariate Analysis; Adolescent Behavior; Regression Analysis; Health Behavior; adolescent; Adolescent Transitions; Risk-Taking; Health Surveys; Pregnancy in Adolescence; Sexuality; Substance-Related Disorders/epidemiology; United States/epidemiology; Violence/statistics & numerical data

CONTEXT: The main threats to adolescents' health are the risk behaviors they choose. How their social context shapes their behaviors is poorly understood. OBJECTIVE: To identify risk and protective factors at the family, school, and individual levels as they relate to 4 domains of adolescent health and morbidity: emotional health, violence, substance use, and sexuality. DESIGN: Cross-sectional analysis of interview data from the National Longitudinal Study of Adolescent Health. PARTICIPANTS: A total of 12118 adolescents in grades 7 through 12 drawn from an initial national school survey of 90118 adolescents from 80 high schools plus their feeder middle schools. SETTING: The interview was completed in the subject's home. MAIN OUTCOME MEASURES: Eight areas were assessed: emotional distress; suicidal thoughts and behaviors; violence; use of 3 substances (cigarettes, alcohol, marijuana); and 2 types of sexual behaviors (age of sexual debut and pregnancy history). Independent variables included measures of family context, school context, and individual characteristics. RESULTS: Parent-family connectedness and perceived school connectedness were protective against every health risk behavior measure except history of pregnancy. Conversely, ease of access to guns at home was associated with suicidality (grades 9-12: P

1997

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