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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel


CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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2191-0278
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Risk behaviors screening in Thai adolescents with acute and chronic illnesses

Lalit Leelathipkul
  • Mahidol University Faculty of Medicine Ramathibodi Hospital, Department of Pediatrics, Bangkok, Thailand
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Suwanna Ruangkanchanasetr
  • Mahidol University Faculty of Medicine Ramathibodi Hospital, Department of Pediatrics, Bangkok, Thailand
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Jiraporn Arunakul
  • Corresponding author
  • Mahidol University Faculty of Medicine Ramathibodi Hospital, Department of Pediatrics, Bangkok, Thailand
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2018-10-30 | DOI: https://doi.org/10.1515/ijamh-2018-0047

Abstract

Background

Adolescence is considered as a transition period from childhood to adulthood. This transition leads to various types of risk behaviors. Ten percent of adolescents suffer from a chronic illness that can limit their daily activities and which may exhibit higher rates of risk behaviors than those without chronic illnesses.

Objective

To evaluate the prevalence of risk behaviors in chronically ill adolescents compared to adolescents without chronic illnesses and their associated risk factors.

Methods

We enrolled 312 patients aged 10–20 years who visited Ramathibodi Hospital from January 2015 to December 2017. There were 161 adolescents with chronic illnesses and 151 without a chronic illness. We used a computer-based program for the Youth Risk Behaviors Survey as well as a confidentiality interview. Statistical analyses included the chi-squared (χ2) and Student’s t-tests as appropriate.

Results

The risk behaviors in chronically ill adolescents were the following: learning problems, 86.3%; excessive screen time, 62.3%; unintentional injuries, 60.2%; depression, 38.5%; low self-esteem, 18.1%; substance abuse, 13% and sexual behavior, 6.2%. Youths with a chronic illness were more likely to report significantly higher risk of excessive screen time (62.3% vs. 48%, p = 0.01), depression (38.5% vs. 15.9%, p < 0.01) and, also low self-esteem (18.1% vs. 8.6%, p = 0.01) compared to those without chronic illness.

Conclusions

These results indicated that adolescents with chronic illnesses engage more in health risk behaviors and are prone to mental health and learning problems. These data emphasize the importance of health risk behavior screening and preventive counseling for young patients with chronic illnesses where these risks might worsen their disease.

Keywords: adolescents with chronic illness; Asian adolescents; excessive screen time; mental health problems; risk behaviors

References

  • [1]

    Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016;387(10036):2423–78.Web of SciencePubMedCrossrefGoogle Scholar

  • [2]

    Fleary SA, Joseph P, Pappagianopoulos JE. Adolescent health literacy and health behaviors: a systematic review. J Adolesc. 2017;62:116–27.Web of SciencePubMedGoogle Scholar

  • [3]

    Ramsey F, Ussery-Hall A, Garcia D, McDonald G, Easton A, Kambon M, et al. Prevalence of selected risk behaviors and chronic diseases-Behavioral Risk Factor Surveillance System (BRFSS), 39 steps communities, United States, 2005. MMWR Surveill Summ. 2008;57(11):1–20.Google Scholar

  • [4]

    Ruangkanchanasetr S, Plitponkarnpim A, Hetrakul P, Kongsakon R. Youth risk behavior survey: Bangkok, Thailand. J Adolesc Health. 2005;36(3):227–35.CrossrefPubMedGoogle Scholar

  • [5]

    Suris JC, Parera N. Sex, drugs and chronic illness: health behaviours among chronically ill youth. Eur J Public Health. 2005;15(5):484–8.PubMedCrossrefGoogle Scholar

  • [6]

    Suris JC, Michaud PA, Viner R. The adolescent with a chronic condition. Part I: developmental issues. Arch Dis Child. 2004;89(10):938–42.PubMedCrossrefGoogle Scholar

  • [7]

    Sawyer SM, Drew S, Yeo MS, Britto MT. Adolescents with a chronic condition: challenges living, challenges treating. Lancet. 2007;369(9571):1481–9.CrossrefPubMedWeb of ScienceGoogle Scholar

  • [8]

    Miauton L, Narring F, Michaud PA. Chronic illness, life style and emotional health in adolescence: results of a cross-sectional survey on the health of 15–20-year-olds in Switzerland. Eur J Pediatr. 2003;162(10):682–9.PubMedCrossrefGoogle Scholar

  • [9]

    Suris JC, Resnick MD, Cassuto N, Blum RW. Sexual behavior of adolescents with chronic disease and disability. J Adolesc Health. 1996;19(2):124–31.CrossrefPubMedGoogle Scholar

  • [10]

    Neumark-Sztainer D, Patterson J, Mellin A, Ackard DM, Utter J, Story M, et al. Weight control practices and disordered eating behaviors among adolescent females and males with type 1 diabetes: associations with sociodemographics, weight concerns, familial factors, and metabolic outcomes. Diabetes Care. 2002;25(8):1289–96.CrossrefPubMedGoogle Scholar

  • [11]

    Compas BE, Jaser SS, Dunn MJ, Rodriguez EM. Coping with chronic illness in childhood and adolescence. Annu Rev Clin Psychol. 2012;8:455–80.Web of SciencePubMedCrossrefGoogle Scholar

  • [12]

    Scaramuzza A, De Palma A, Mameli C, Spiri D, Santoro L, Zuccotti GV. Adolescents with type 1 diabetes and risky behaviour. Acta Paediatr. 2010;99(8):1237–41.PubMedCrossrefWeb of ScienceGoogle Scholar

  • [13]

    Ssewanyana D, Nyongesa MK, van Baar A, Newton CR, Abubakar A. Health risk behavior among chronically ill adolescents: a systematic review of assessment tools. Child Adolesc Psychiatry Ment Health. 2017;11:32.PubMedWeb of ScienceCrossrefGoogle Scholar

  • [14]

    Kunz JH, Greenley RN, Mussatto KA, Roth-Wojcicki B, Miller T, Freeman ME, et al. Personal attitudes, perceived social norms, and health-risk behavior among female adolescents with chronic medical conditions. J Health Psycho. 2014;19(7):877–86.CrossrefGoogle Scholar

  • [15]

    Everett Jones S, Lollar DJ. Relationship between physical disabilities or long-term health problems and health risk behaviors or conditions among US high school students. J Sch Health. 2008;78(5):252–7; quiz 98–9.CrossrefPubMedWeb of ScienceGoogle Scholar

  • [16]

    Suris JC, Michaud PA, Akre C, Sawyer SM. Health risk behaviors in adolescents with chronic conditions. Pediatrics. 2008;122(5):e1113–8.Web of ScienceCrossrefPubMedGoogle Scholar

  • [17]

    Valencia LS, Cromer BA. Sexual activity and other high-risk behaviors in adolescents with chronic illness: a review. J Pediatr Adolesc Gynecol. 2000;13(2):53–64.PubMedCrossrefGoogle Scholar

  • [18]

    de Lucena JM, Cheng LA, Cavalcante TL, da Silva VA, de Farias Junior JC. [Prevalence of excessive screen time and associated factors in adolescents]. Rev Paul Pediatr. 2015;33(4):407–14.PubMedGoogle Scholar

  • [19]

    Patton GC, Carlin JB, Coffey C, Wolfe R, Hibbert M, Bowes G. Depression, anxiety, and smoking initiation: a prospective study over 3 years. Am J Public Health. 1998;88(10):1518–22.CrossrefPubMedGoogle Scholar

  • [20]

    Alriksson-Schmidt AI, Armour BS, Thibadeau JK. Are adolescent girls with a physical disability at increased risk for sexual violence? J Sch Health. 2010;80(7):361–7.PubMedCrossrefWeb of ScienceGoogle Scholar

  • [21]

    Hollar D. Risk behaviors for varying categories of disability in NELS:88. J Sch Health. 2005;75(9):350–8.CrossrefPubMedGoogle Scholar

  • [22]

    Suris JC. Chronic conditions and adolescence. J Pediatr Endocrinol Metab. 2003;16(Suppl 2):247–51.PubMedGoogle Scholar

About the article

Received: 2018-02-27

Accepted: 2018-08-28

Published Online: 2018-10-30


Citation Information: International Journal of Adolescent Medicine and Health, 20180047, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2018-0047.

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