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Cited by 199Adolescent Health and BehaviorsYouth Development and Social SupportAdolescent Sexual and Reproductive Health

Adolescent connectedness and adult health outcomes

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Steiner, Riley J., Sheremenko, Ganna, Lesesne, Catherine, Dittus, Patricia J., Sieving, Renee E., Ethier, Kathleen A.·2019·Pediatrics
DOI 10.1542/peds.2018-3766PMC PMC9125410
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Abstract

BACKGROUND: Because little is known about long-term effects of adolescent protective factors across multiple health domains, we examined associations between adolescent connectedness and multiple health-related outcomes in adulthood. METHODS: We used weighted data from Waves I and IV of the National Longitudinal Study of Adolescent to Adult Health (n = 14 800). Linear and logistic models were used to examine associations between family and school connectedness in adolescence and self-reported health risk behaviors and experiences in adulthood, including emotional distress, suicidal thoughts and attempts, physical violence victimization and perpetration, intimate partner physical and sexual violence victimization, multiple sex partners, condom use, sexually transmitted infection (STI) diagnosis, prescription drug misuse, and other illicit drug use. RESULTS: In multivariable analyses, school connectedness in adolescence had independent protective associations in adulthood, reducing emotional distress and odds of suicidal ideation, physical violence victimization and perpetration, multiple sex partners, STI diagnosis, prescription drug misuse, and other illicit drug use. Similarly, family connectedness had protective effects for emotional distress, all violence indicators, including intimate partner violence, multiple sex partners, STI diagnosis, and both substance use indicators. Compared to individuals with low scores for each type of connectedness, having high levels of both school and family connectedness was associated with 48% to 66% lower odds of health risk behaviors and experiences in adulthood, depending on the outcome. CONCLUSIONS: Family and school connectedness may have long-lasting protective effects across multiple health outcomes related to mental health, violence, sexual behavior, and substance use. Increasing both family and school connectedness during adolescence has the potential to promote overall health in adulthood.

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  • Socio-ecological contexts of stable family, school, and community networks have protective associations with lower emotional distress, suicidal ideation, and substance abuse in young adulthood.

    “Typical youth development is facilitated in the context of stable family, school, and community networks (Brooks et al., 2012; Institute of Medicine, 2013; McPherson et al., 2013), and these socio-ecological contexts have protective associations with lower emotional distress, suicidal ideation, and substance abuse in young adulthood (Steiner et al., 2019).”

    From Intervention development to improve foster youth mental health by targeting coping self-efficacy and help-seeking (2023) · cites this paper as Steiner et al., 2019

    The Results (page not provided) associate adolescent school connectedness with lower adult emotional distress, suicidal ideation, and drug misuse; family connectedness is associated with lower emotional distress and drug misuse, but not suicidal ideation in adjusted analyses. The Methods measure family and school connectedness, not the stability of those networks or community connectedness, so the claim extends beyond what the study tested. (LLM, conf=0.87)

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Research works printed but not linked: 30

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Cited by

Sorted by citations

Authors
Steiner, R. J., Sheremenko, G., Lesesne, C., Dittus, P. J., Sieving, R. E., & Ethier, K. A.
Affiliations
  • Divisions of Adolescent and School Health and
  • ICF, Atlanta, Georgia; and
  • Centers for Disease Control and Prevention (US)
  • University of Minnesota (US)
ORCID
Venue
Pediatrics
Publisher
American Academy of Pediatrics (AAP)
Published
2019-07-01
Volume
144
Issue
1
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.2018-3766
PMC
PMC9125410
OpenAlex
W2955884542
Cited by
199
References
8
Citations by year
2026: 25 · 2025: 34 · 2024: 37 · 2023: 35 · 2022: 35 · 2021: 24 · 2020: 8 · 2019: 1
FWCI
23.18
Type
journal article
Language
en
Open access
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Oak Ridge Associated Universities
  • National Institutes of Health (CC999999)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (P01HD031921)
Topics
  • Health Sciences › Health Professions › General Health Professions › Adolescent Health and Behaviors
  • Social Sciences › Safety Research › Youth Development and Social Support
  • Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
Keywords
family connectedness, school connectedness, protective factors, adult health outcomes, health risk behaviors, emotional distress, suicidal ideation, violent victimization, intimate partner violence, sexual behavior, sexually transmitted infections, prescription drug misuse, illicit drug use, condom use, multiple sexual partners
MeSH terms
Adolescent Health, Adolescent, Psychology, Adolescent, Adult, Dangerous Behavior, Family Relations, Female, Health Status, Health Surveys, Humans, Longitudinal Studies, Male, Mental Health, Schools, Psychological Distance, Social Identification, Social Isolation, Linear Models, Logistic Models, Self Report, Social Marginalization, Protective Factors

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