A Longitudinal Study of Health Risk Behavior in Youth
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
- Comparison of three modes of measuring stress, coping, and humor in school-age childrenRachel 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...
- Changes in stress and coping during late childhood and preadolescenceLynn 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...
- Childhood predictors of adolescent competence and self-worth in rural youthLynn 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...
- Factors associated with health behaviors in middle childhoodLynn 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...
- Health-risk behaviors in early adolescenceLynn 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...
- Risk-taking behaviors engaged in by early adolescents while on school propertySharon 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...
- Eating behaviors among school-age children associated with perceptions of stressSandra 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...
- Sexual health promotion in adolescents with chronic health conditionsLynn 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...