A Longitudinal Study of Health Risk Behavior in Youth

Summary

Principal Investigator: L Rew
Abstract: This is a proposal for a cohort-sequential study of the full array of health-risk behaviors. Specific aims are to 1) compare contextual/risk factors, protective resources, and health behaviors of school-aged children as well as health-risk behaviors of early adolescents by gender and ethnicity; 2) identify how risk factors, protective resources, and health behaviors of school-aged children change over time; and 3) determine which set of risk factors and protective resources over grades 4, 5, and 6 best predict health-risk behaviors (sexual activity, tobacco use, alcohol and other drug use, dietary behaviors, physical activity, and behaviors that lead to intentional or unintentional injury) in early adolescence (7th and 8th grades). The leading causes of morbidity and mortality among American youth are associated with preventable, health-risk behaviors that tend to occur together. These behaviors are increasingly prevalent among ethnic minorities, yet little is known about factors that increase risk or provide protection against these behaviors. Using a cohort-sequential design, a convenience sample of 2200 ethnically diverse children in grades 4-6 in central Texas will be surveyed up to 5 years to meet these specific aims. Findings from the study will advance knowledge about health-risk behaviors in early adolescence by 1) emphasizing stress and ethnicity as understudied contextual/risk factors in school-aged children, 2) exploring understudied concepts of coping and humor as protective resources in school- aged children, 3) exploring the relationship between school-aged children's health behaviors and their health-risk behaviors in early adolescence, 4) identifying whether and how these risk factors and protective resources change over time and whether they predict health-risk behavior in early adolescence, and 5) exploring relationships among risk factors and protective resources that both moderate and mediate outcomes of health-risk behavior in both Anglo and Mexican American youth. The use of hierarchical linear models will increase understanding of how the major variables in the resilience model change over time and allow us to make inferences about the critical time at which to deliver interventions to reduce health-risk behaviors in early adolescence.
Funding Period: 2002-07-01 - 2008-06-30
more information: NIH RePORT

Top Publications

  1. ncbi Comparison of three modes of measuring stress, coping, and humor in school-age children
    Rachel T Fouladi
    Department of Psychology, Simon Fraser University Burnaby, BC, Canada
    J Nurs Meas 14:79-98. 2006
  2. ncbi Changes in stress and coping during late childhood and preadolescence
    Lynn Rew
    Denton and Louise Cooley and Family Centennial Professor in Nursing at the University of Texas at Austin School of Nursing, Austin, TX, USA
    J Child Adolesc Psychiatr Nurs 25:130-40. 2012
  3. pmc Childhood predictors of adolescent competence and self-worth in rural youth
    Lynn Rew
    School of Nursing, The University of Texas at Austin, Austin, TX, USA
    J Child Adolesc Psychiatr Nurs 25:169-77. 2012
  4. pmc Factors associated with health behaviors in middle childhood
    Lynn Rew
    The University of Texas at Austin, Austin, TX, USA
    J Pediatr Nurs 25:157-66. 2010
  5. ncbi Health-risk behaviors in early adolescence
    Lynn Rew
    The University of Texas at Austin School of Nursing, Austin, TX, USA
    Issues Compr Pediatr Nurs 34:79-96. 2011
  6. ncbi Risk-taking behaviors engaged in by early adolescents while on school property
    Sharon D Horner
    The University of Texas at Austin, School of Nursing, Austin, Texas 78701 1499, USA
    Issues Compr Pediatr Nurs 35:90-110. 2012
  7. ncbi Eating behaviors among school-age children associated with perceptions of stress
    Sandra K Jenkins
    University of Texas at Austin School of Nursing, Austin, Texas, USA
    Issues Compr Pediatr Nurs 28:175-91. 2005
  8. ncbi Sexual health promotion in adolescents with chronic health conditions
    Lynn Rew
    School of Nursing, University of Texas at Austin, USA
    Fam Community Health 29:61S-9S. 2006

Detail Information

Publications8

  1. ncbi Comparison of three modes of measuring stress, coping, and humor in school-age children
    Rachel T Fouladi
    Department of Psychology, Simon Fraser University Burnaby, BC, Canada
    J Nurs Meas 14:79-98. 2006
    ..This study suggests the importance of the continued examination of the impact of mode of questionnaire administration when assessing these and other domains of well-being in school-age children...
  2. ncbi Changes in stress and coping during late childhood and preadolescence
    Lynn Rew
    Denton and Louise Cooley and Family Centennial Professor in Nursing at the University of Texas at Austin School of Nursing, Austin, TX, USA
    J Child Adolesc Psychiatr Nurs 25:130-40. 2012
    ..Little is known about what produces stress in preadolescents...
  3. pmc Childhood predictors of adolescent competence and self-worth in rural youth
    Lynn Rew
    School of Nursing, The University of Texas at Austin, Austin, TX, USA
    J Child Adolesc Psychiatr Nurs 25:169-77. 2012
    ..Less is known about the risk and protective factors that characterize resilience among Hispanic/Latinos living in rural areas...
  4. pmc Factors associated with health behaviors in middle childhood
    Lynn Rew
    The University of Texas at Austin, Austin, TX, USA
    J Pediatr Nurs 25:157-66. 2010
    ..With the federal mandate for schools to establish wellness policies, school nurses are ideally situated to influence school environments to support children's healthy behaviors...
  5. ncbi Health-risk behaviors in early adolescence
    Lynn Rew
    The University of Texas at Austin School of Nursing, Austin, TX, USA
    Issues Compr Pediatr Nurs 34:79-96. 2011
    ..Protective resources suggest numerous nursing interventions to promote healthy adolescent development...
  6. ncbi Risk-taking behaviors engaged in by early adolescents while on school property
    Sharon D Horner
    The University of Texas at Austin, School of Nursing, Austin, Texas 78701 1499, USA
    Issues Compr Pediatr Nurs 35:90-110. 2012
    ..g., smoking cigarettes, using marijuana, drinking alcohol, carrying a weapon) engaged in on school property by early adolescents (grade 7) who live in rural central Texas...
  7. ncbi Eating behaviors among school-age children associated with perceptions of stress
    Sandra K Jenkins
    University of Texas at Austin School of Nursing, Austin, Texas, USA
    Issues Compr Pediatr Nurs 28:175-91. 2005
    ..Future research should focus on the development of interventions to encourage positive coping mechanisms and healthy eating behaviors...
  8. ncbi Sexual health promotion in adolescents with chronic health conditions
    Lynn Rew
    School of Nursing, University of Texas at Austin, USA
    Fam Community Health 29:61S-9S. 2006
    ..The article concludes with several suggestions for healthcare professionals, parents, and teachers in addressing sexual health promotion in this vulnerable population...