Adolescents learn health behaviors in a sociocultural context of community, family, and peers. Although many adolescents engage in behaviors that protect and promote health, others engage in behaviors that threaten or compromise their health. The purpose of this review article is to provide an overview of health-risk behaviors and the morbidities and mortalities of adolescence that are related to these behaviors. Interventions that address these health behaviors and outcomes are presented along with suggestions for a holistic nursing response to this important public health concern.
Becker, M. G., Hall, J. S., Ursic, C. M., Jain, S., & Calhoun, D. (2004). Caught in the Crossfire: The effects of a peer-based intervention program for violently injured youth. Journal of Adolescent Health, 34, 177-183.
2.
Blake, S. M., Simkin, L., Ledsky, R., Perkins, C., & Calabrese, J. M. (2001). Effects of a parent-child communications intervention on young adolescents’ risk for early onset of sexual intercourse. Family Planning Perspectives, 33, 52-61.
3.
Brener, N. D., Billy, J. O. G., & Grady, W.R. (2003). Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: Evidence from the scientific literature. Journal of Adolescent Research, 33, 436-457.
4.
Brindis, C., Park, J., Ozer, E. M., & Irwin, C. E., Jr. (2002). Adolescents’ access to health services and clinical preventive health care: Crossing the great divide. Pediatric Annals, 31, 575-581.
5.
Carvajal, S. C., Wiatrek, D. E., Evans, R. I., Knee, C. R., & Nash, S. G. (2000). Psychosocial determinants of the onset and escalation of smoking: Cross-sectional and prospective findings in multiethnic middle school samples. Journal of Adolescent Health, 27, 255-265.
6.
Centers for Disease Control and Prevention. (2004a). Cigarette use among high school students—United States, 1991-2003. Morbidity and Mortality Weekly Report, 53, 499-502.
7.
Centers for Disease Control and Prevention. (2004b). Youth Risk Behavior Surveillance—United States, 2003. Morbidity and Mortality Weekly Report, 53(SS-2), 1-30.
8.
Cohen, L. R., & Potter, L. B. (1999). Injuries and violence: Risk factors and opportunities for prevention during adolescence. Adolescent Medicine, 10(1), 125-135.
9.
Costa, F. M., Jessor, R., Donovan, J. E., & Fortenberry, J. D. (1995). Early initiation of sexual intercourse: The influence of psychosocial unconventionality. Journal of Research on Adolescence, 5(1), 93-121.
10.
Cummings, M. M., Waller, D., Johnson, C., Bradley, K., Leatherwood, D., & Guzzetta, C. E. (2001). Developing and implementing a comprehensive program for children and adolescents with eating disorders. Journal of Child & Adolescent Psychiatric Nursing, 14, 167-178.
11.
DiIorio, C., Kelley, M., & Hockenberry-Eaton, M. (1999). Communication about sexual issues: Mothers, fathers, and friends. Journal of Adolescent Health, 24, 181-189.
12.
Dinger, M. K. (2000). Health-risk behaviors of high school and college females. Journal of Physical Education, Recreation and Dance, 71(7), 19-22, 29.
13.
DuRant, R. H., Barkin, S., & Krowchuk, D. P. (2001). Evaluation of a peaceful conflict resolution and violence prevention curriculum for sixth-grade students. Journal of Adolescent Health, 28, 386-393.
14.
Engle, P. L., Castle, S., & Menon, P. (1996). Child development: Vulnerability and resilience. Social Science and Medicine, 43, 621-635.
15.
Everett, S. A., Shults, R. A., Barrios, L. C., Sacks, J. J., Lowry, R., & Oeltmann, J. (2001). Trends and subgroup differences in transportation-related injury risk and safety behaviors among high school students, 1991-1997. Journal of Adolescent Health, 28, 228-234.
16.
Federal Interagency Forum on Child and Family Statistics. (2003). America’s children: Key national indicators of well-being, 2003. Washington, DC: Government Printing Office.
17.
Gore, S., Vandel Wal, J., & Thelen, M. (2001). Treatment of eating disorders in children and adolescents. In J.K. Thompson & L. Smolak (Eds.), Body image, eating disorders and obesity in youth: Assessment, prevention, and treatment (pp. 293-311). Washington, DC: American Psychological Association.
18.
Groves, B. M. (1999). Mental health services for children who witness domestic violence. The Future of Children, 9(3), 122-132.
19.
Irwin, C. E., Jr., Burg, S. J., & Cart, C. U. (2002). America’s adolescents: Where have we been, where are we going?Journal of Adolescent Health, 31(6S), 91-121.
20.
Jamner, M. S., Spruijt-Metz, D., Bassin, S., & Cooper, D. M. (2004). A controlled evaluation of a school-based intervention to promote physical activity among sedentary adolescent females: Project FAB. Journal of Adolescent Health, 34, 279-289.
21.
Kann, L., Kinchen, S. A., Williams, B. I., Ross, J. G., Lowry, R., Grunbaum, J. A., et al. (2000). Youth risk behavior surveillance: United States 1999. Journal of School Health, 70, 271-285.
22.
Key, J. D., Barbosa, G. A., & Owens, V. J. (2001). The second chance club: Repeat adolescent pregnancy prevention with a school-based intervention. Journal of Adolescent Health, 28, 167-169.
23.
Kirby, D., Short, L., Collins, J., Rugg, D., Kolbe, L., Howard, M., et al. (1994). School-based programs to reduce sexual risk behaviors: A review of effectiveness. Public Health Reports, 109, 339-360.
24.
Klassen, T. P., MacKay, J. M., Moher, D., Walker, A., & Jones, A. L. (2000). Community-based injury prevention interventions. The Future of Children, 10(1), 83-110.
25.
Lieberman, L. D., Gray, H., Wier, M., Fiorentino, R., & Maloney, P. (2000). Long-term outcomes of an abstinence-based small-group pregnancy prevention program in New York City schools. Family Planning Perspectives, 32, 237-245.
26.
London, M., Ladewig, P., Ball, J., & Bindler, R. (2003). Maternal-newborn and child nursing: Family-centered care. Englewood Cliffs, NJ: Prentice Hall.
27.
McLaughlin, C. R., Daniel, J., Reiner, S. C., Waite, D. E., Reams, P. N., Joost, T. F., et al. (2000). Factors associated with assault-related firearm injuries in male adolescents. Journal of Adolescent Health, 27, 195-201.
28.
Ozer, E. M., Park, M. J., Paul, T., Brindis, C. D., & Irwin, C. E., Jr. (2003). America’s adolescents: Are they healthy?San Franciso: National Adolescent Health Information Center.
29.
Perry, C. L. (1999). Creating health behavior change: How to develop community-wide programs for youth. Thousand Oaks, CA: Sage.
30.
Resnick, M. D., Bearman, P. S., Blum, M. D., Bauman, K. E., Harris, K. M., Jones, J., et al. (1997). Protecting adolescents from harm: Findings from the National Longitudinal Study on Adolescent Health. Journal of the American Medical Association, 278, 823-832.
31.
Rew, L., Fitzgerald, M., & Taylor-Seehafer, M. (2002). Sexual abuse, substance use, and suicidality in homeless adolescents. Issues in Comprehensive Pediatric Nursing, 24, 225-240.
32.
Rew, L., Fouladi, R., & Yockey, R. D. (2002). Sexual health practices of homeless youth. Journal of Nursing Scholarship, 34, 139-145.
33.
Sidani, S., & Braden, C. J. (1998). Evaluating nursing interventions: A theory-driven approach. Thousand Oaks, CA: Sage.
34.
Siqueira, L., Diab, M., Bodian, C., & Rolnitzky, L. (2000). Adolescents becoming smokers: The roles of stress and coping methods. Journal of Adolescent Health, 27, 399-408.
35.
Spencer, G. A., & Bryant, S. A. (2000). Dating violence: Acomparison of rural, suburban, and urban teens. Journal of Adolescent Health, 27, 302-305.
36.
Stanton, B. F., Li, X., Galbraith, J., Cornick, G., Feigelman, S., Kaljee, L., et al. (2000). Parental underestimates of adolescent risk behavior: A randomized, controlled trial of a parental monitoring intervention. Journal of Adolescent Health, 26, 18-26.
37.
Story, M., Neumark-Sztainer, D., & French, S. (2002). Individual and environmental influences on adolescent eating behaviors. Journal of the American Dietetic Association, 102(3 Suppl), S40-S51.
38.
Substance Abuse and Mental Health Services Administration. (1999). Treatment improvement protocol series (Publication No. 9SMA99-3345). Rockville, MD: U.S. Department of Health and Human Services.
39.
Tucker, J.S., Ellickson, P.L., & Klein, D.J. (2003). Predictors of the transition to regular smoking during adolescence and young adulthood. Journal of Adolescent Health, 32, 314-324.
40.
U.S. Department of Health and Human Services. (2000). Healthy People 2010: Understanding and improving health (2nd ed.). Washington, DC: Government Printing Office.
41.
Veeder, N. W. (2003). Managing multisite, multidisciplinary, and multiethnic research projects. In J. W. Hawkins & L. A. Haggerty (Eds.), Diversity in health care research: Strategies for multisite, multidisciplinary, and multicultural projects (pp. 3-19). New York: Springer.
42.
Whitaker, D. J., Miller, K. S., May, D. C., & Levin, M. L. (1999). Teenage partners’ communication about sexual risk and condom use: The importance of parent-teenager discussions. Family Planning Perspectives, 31, 117-121.
