Multiple risk behaviour in adolescence is associated with substantial adverse health and social outcomes in early adulthood: findings from a prospective birth cohort study
PHE ePoster Library. Campbell R. Sep 12, 2017; 186449; 203
Rona Campbell
Rona Campbell
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Abstract Background: Adolescents engage in new behaviours such as substance use and change others, such as reducing physical activity. Risks to health from these tend to be considered separately. We examined the association between multiple risk behaviours at age 16 and outcomes in early adulthood.Methods: 5591 young people enrolled in the Avon Longitudinal Study of Parents and Children provided data on 13 risk behaviours concerned with physical inactivity, substance use, self-harm, sexual health, vehicle-related risk behaviour, and antisocial behaviour when aged 16. We used logistic regression to examine any association between total number of risk behaviours engaged in and rates of obesity, harmful alcohol use, problem gambling, anxiety, depression, trouble with the police and unemployment and lack of training at age 18.Results: There was a strong association between multiple risk behaviour and all seven adverse outcomes. For each additional risk behaviour engaged in the odds of having depression or anxiety were 1.24 [1.17, 1.31] and 1,18 [1.12-1.24] respectively, for being a problem gambler they were 1.20 [1,13, 1.27] and for getting into trouble with the police or of harmful drinking they were 1.49 [1.42-1.57] and 1.58 [1.48, 1.69] respectively. Adjustment for gender, parental socio-economic position, and maternal risk behaviours, and confining analyses to adolescents not having experienced the adverse outcomes before age 15, to exclude reverse causality, produced little change in these odds.Conclusions: Investment in interventions and environments that effectively prevent multiple risk behaviour is likely to produce benefits across a range of health outcomes in young adults.
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