Do Health and Education Agencies in the United States Share Responsibility for Academic Achievement and Health? A Review of 25 Years of Evidence About the Relationship of Adolescents' Academic Achievement and Health Behaviors
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PURPOSE: The United States Centers for Disease Control and Prevention monitors health-risk behaviors of adolescents in United States, which include (1) violence; (2) tobacco use; (3) alcohol and other drug use; (4) sexual behaviors contributing to unintended pregnancy and sexually transmitted diseases; (5) inadequate physical activity; and (6) unhealthy dietary behaviors. We reviewed original research published in peer-reviewed journals between 1985 and 2010 to synthesize evidence about the association of adolescent health-risk behaviors and academic achievement. METHODS: Using predetermined selection criteria, 122 articles were included that used at least one variable for health-risk behaviors and also for academic achievement. RESULTS: For all six health-risk behaviors, 96.6% of the studies reported statistically significant inverse relationships between health-risk behaviors and academic achievement. CONCLUSIONS: With this persuasive evidence about the interrelationship of health-risk behaviors and academic achievement, it is imperative that leaders in education and health act together to make wise investments in our nation's school-age youth that will benefit the entire population. A unified system that addresses both health behavior and academic achievement would have reciprocal and synergistic effects on the health and academic achievement not only of children and adolescents, but also of adults in the United States.
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Health problems and risk-taking behavior are associated with low scholastic performance.
“Health problems (e.g., vision and oral health problems, asthma, teen pregnancy, malnutrition, obesity, chronic stress, and inattention and hyperactivity disorders) and risk-taking behavior (e.g., aggression and violence, unsafe sexual activity, unhealthy eating, physical inactivity, and substance use) are associated with low scholastic performance.12–22”
From School-Based Health Centers to Advance Health Equity (2016) · cites this paper as [13]
Students engaging in violent behaviors have lower grades and test scores.
“students engaging in violent behaviors have lower grades and test scores.9,53”
From Critical connections: health and academics (2015) · cites this paper as [9]
Food insufficiency is associated with decreased school attendance and diminished academic achievement.
“food insufficiency is associated with decreased school attendance and diminished academic achievement.9,13,46”
From Critical connections: health and academics (2015) · cites this paper as [9]
Smoking has a negative effect on grades.
“smoking has a negative effect on grades.9,14,32”
From Critical connections: health and academics (2015) · cites this paper as [9]
Drug use is associated with lower educational attainment.
“Longitudinal studies have demonstrated the association between drug use and lower educational attainment.9,14,32”
From Critical connections: health and academics (2015) · cites this paper as [9]
There is a consistent inverse association between sexual risk behaviors and academic achievement.
“There is also a consistent inverse association between sexual risk behaviors and academic achievement.”
From Critical connections: health and academics (2015) · cites this paper as [9]
Early intercourse initiation is associated with lower school grades.
“studies have shown an association between early intercourse initiation and lower school grades.9,14”
From Critical connections: health and academics (2015) · cites this paper as [9]
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- Authors
- Bradley, B. J., & Greene, A. C.
- Affiliations
- National Association of Chronic Disease Directors (US)
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2013-05
- Volume
- 52
- Issue
- 5
- Pages
- 523-532
- ISSN
- 1054-139X (ISSN-L)
- OpenAlex
- W2129588398
- Semantic Scholar
- 9a381935382149522ae61d8866c3faa4dd7ea1cf
- Cited by
- 253
- References
- 144
- Citations by year
- 2026: 8 · 2025: 15 · 2024: 10 · 2023: 14 · 2022: 21 · 2021: 29 · 2020: 24 · 2019: 21 · 2018: 24 · 2017: 26 · 2016: 19 · 2015: 24 · 2014: 16 · 2013: 2
- FWCI
- 2.42
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Adolescent Health (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- National Center for Chronic Disease Prevention and Health Promotion (U58DP002759-01)
- National Institute on Minority Health and Health Disparities
- Topics
- Health Sciences › Health Professions › General Health Professions › Adolescent Health and Behaviors
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Keywords
- adolescent health risk behaviors, academic performance, school violence, tobacco use, alcohol and drug use, sexual behavior, physical activity, dietary behavior, health and education policy, inter-agency cooperation
- MeSH terms
- Adolescent, Centers for Disease Control and Prevention, U.S., Educational Status, Female, Humans, Male, Nutrition Disorders, Pregnancy, Pregnancy in Adolescence, Risk-Taking, Sexual Behavior, Tobacco Use Disorder, United States, Violence, Health Behavior, Substance-Related Disorders, Sedentary Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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