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Cited by 2,846Adolescent Health and BehaviorsAdolescent Sexual and Reproductive HealthSubstance Abuse Treatment and Outcomes

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Protecting Adolescents From Harm: Findings From the National Longitudinal Study on Adolescent Health

Resnick, Michael D.·1997·JAMA
DOI 10.1001/jama.1997.03550100049038
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Abstract

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<.001) and violence (grades 7-8:P<.001; grades 9-12:P<.001). Access to substances in the home was associated with use of cigarettes (P<.001), alcohol (P<.001), and marijuana (P<.001) among all students. Working 20 or more hours a week was associated with emotional distress of high school students (P<.01), cigarette use (P<.001), alcohol use (P<.001), and marijuana use (P<.001). Appearing "older than most" in class was associated with emotional distress and suicidal thoughts and behaviors among high school students (P<.001); it was also associated with substance use and an earlier age of sexual debut among both junior and senior high students. Repeating a grade in school was associated with emotional distress among students in junior high (P<.001) and high school (P<.01) and with tobacco use among junior high students (P<.001). On the other hand, parental expectations regarding school achievement were associated with lower levels of health risk behaviors; parental disapproval of early sexual debut was associated with a later age of onset of intercourse (P<.001). Conclusions. —Family and school contexts as well as individual characteristics are associated with health and risky behaviors in adolescents. The results should assist health and social service providers, educators, and others in taking the first steps to diminish risk factors and enhance protective factors for our young people.

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Crossref · 10.1001/jama.1997.03550100049038

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Metadata

Authors
Resnick, M. D.
Corresponding author
Resnick, Michael D.
Venue
JAMA
Publisher
American Medical Association (AMA)
Published
1997-09-10
Volume
278
Issue
10
Pages
823
ISSN
  • 0002-9955 (ISSN-L)
  • 0098-7484
DOI
10.1001/jama.1997.03550100049038
OpenAlex
W2588971764
Cited by
2,846
References
2
Citations by year
2026: 59 · 2025: 77 · 2024: 60 · 2023: 94 · 2022: 89 · 2021: 94 · 2020: 135 · 2019: 126 · 2018: 141 · 2017: 130 · 2016: 120 · 2015: 144 · 2014: 138 · 2013: 133 · 2012: 125
FWCI
119.48
Type
journal article
Language
en
Open access
closed
Locations
JAMA (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Health and Behaviors
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
adolescent health, risk-taking, protective factors, family environment, school context, emotional distress, suicidal behavior, violence, substance use, sexual behavior, school connectedness, firearm access, adolescent employment, school retention, parental expectations, adolescent pregnancy, age at first sexual intercourse, tobacco use, alcohol consumption, cannabis use, Add Health, high school students

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