The impact of community risks and resources on adolescent risky behavior and health care expenditures

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Lise M YoungbladeElizabeth A Shenkman

Abstract

To examine a nested model that predicts adolescent risky behavior, health care use, and health care expenditures from individual characteristics, such as age and gender, and community characteristics such as social capital and community-level risky behavior rates. Claims and encounter data were used to classify adolescents enrolled in Florida's Healthy Kids Program into two groups: those who engaged in risky behavior (ARB) and those who did not (NRB). Hierarchical linear modeling techniques were used to predict the odds of risky behavior, the odds of health care use, and health care expenditures based on individual and community characteristics. ARB consumed significantly more health care services than NRB, and their higher use and charges were attributable not only to individual level factors (i.e., age, gender, presence of special health care need, metropolitan residence status), but also to community level factors (i.e., social capital, risky behavior rates, violence, and ethnic/racial composition) as well. In particular, community investment in social capital predicted lower levels of risky behavior as well as lower health care expenditures. This information is important in terms of policy efforts at providing health care f...Continue Reading

References

Dec 1, 1993·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·M Rutter
Nov 1, 1993·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·H L Friedman
Jan 1, 1997·The Journal of Cardiovascular Nursing·K DoranD Schiro
Sep 18, 1997·JAMA : the Journal of the American Medical Association·M D ResnickJ R Udry
Sep 18, 1997·JAMA : the Journal of the American Medical Association·J D Klein
Oct 7, 1997·American Journal of Public Health·I KawachiD Prothrow-Stith
Jul 31, 1998·Social Science & Medicine·B P KennedyV Gupta
Dec 23, 1999·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·P L Ellickson, S C Morton
Dec 9, 2000·American Journal of Public Health·E R Weitzman, I Kawachi
Jan 10, 2002·Statistics in Medicine·Donna K Pauler, Nan M Laird
Apr 3, 2002·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Lise M YoungbladeElizabeth A Shenkman
Mar 8, 2003·Archives of Pediatrics & Adolescent Medicine·Paul W NewacheckUNKNOWN Research Consortium on Children With Chronic Conditions
May 20, 2003·Journal of Health and Social Behavior·Carl A Latkin, Aaron D Curry
Aug 6, 2003·Social Science & Medicine·Melissa M Ahern, Michael S Hendryx
Jan 22, 2005·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Pamela K Adelmann
Feb 3, 2005·Pediatrics·Glenn FloresSandra C Tomany-Korman

❮ Previous
Next ❯

Citations

Aug 26, 2010·Journal of Ethnicity in Substance Abuse·Marie Claire Van Hout
May 17, 2011·Issues in Comprehensive Pediatric Nursing·Lynn RewAdama Brown
Oct 14, 2008·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Rachel WidomeMary O Hearst
Feb 14, 2013·Prevention Science : the Official Journal of the Society for Prevention Research·Sarah M ChilenskiRichard Spoth
Sep 1, 2007·Journal of the American Academy of Nurse Practitioners·Josie A Weiss
Mar 29, 2008·Health Services Research·Jill Boylston HerndonElizabeth A Shenkman
Apr 26, 2006·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Pierre-André Michaud
Jul 3, 2007·Behaviour Research and Therapy·Randy P AuerbachShuqiao Yao
Jul 9, 2009·Journal of Interpersonal Violence·Fang A YanMelissa Hallmark-Kerr
Jan 29, 2009·Medical Care Research and Review : MCRR·Kathryn Pitkin Derose, Danielle M Varda
Jun 17, 2020·Journal of Personality Disorders·Laura E BrumariuKarlen Lyons-Ruth
Aug 20, 2019·Journal of Community Psychology·Theresa L ArmsteadMaury Nation
Mar 22, 2012·Central European Journal of Public Health·YoungHo Kim

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Arielle Baskin-Sommers, Ira Sommers
The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Avigdor ZaskReyna Dight
Social Science & Medicine
Melissa M Ahern, Michael S Hendryx
The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Ville M MattilaArja H Rimpelä
The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
J Charles HuberDennis M Gorman
© 2022 Meta ULC. All rights reserved