Health-risk behaviors in teens investigated by U.S. Child Welfare Agencies

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Amy HeneghanSarah McCue Horwitz

Abstract

The aim of this study was to examine prevalence and correlates of health-risk behaviors in 12- to 17.5-year-olds investigated by child welfare and compare risk-taking over time and with a national school-based sample. Data from the National Survey of Child and Adolescent Well-Being (NSCAW II) were analyzed to examine substance use, sexual activity, conduct behaviors, and suicidality. In a weighted sample of 815 adolescents aged 12-17.5 years, prevalence and correlates for each health-risk behavior were calculated using bivariate analyses. Comparisons to data from NSCAW I and the Youth Risk Behavior Survey were made for each health-risk behavior. Overall, 65.6% of teens reported at least one health-risk behavior with significantly more teens in the 15- to 17.5-year age group reporting such behaviors (81.2% vs. 54.4%; p ≤ .001). Almost 75% of teens with a prior out-of-home placement and 77% of teens with child behavior checklist scores ≥64 reported at least one health-risk behavior. The prevalence of smoking was lower than in NSCAW I (10.5% vs. 23.2%; p ≤ .05) as was that of sexual activity (18.0% vs. 28.8%; p ≤ .05). Prevalence of health-risk behaviors was lower among older teens in the NSCAW II sample (n = 358) compared with th...Continue Reading

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Citations

Mar 6, 2017·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Jennifer GreenKristen D Clements-Nolle
Sep 19, 2019·International Journal of Adolescent Medicine and Health·Leila GhahremaniMohamad Hossein Kaveh
Apr 6, 2021·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Lindsey PalmerEmily Putnam-Hornstein

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