The Yale University School of Nursing, New Haven, Connecticut (Dr Jaser, Ms Yates, Dr Whittemore)
The Children’s Hospital of Philadelphia, Pennsylvania (Ms Dumser)
Diabetes Educ. 2011 Nov-Dec;37(6):756-64. doi: 10.1177/0145721711422610. Epub 2011 Oct 14.
The purpose of this article is to review risk behaviors and their health consequences in adolescents with type 1 diabetes. The existing literature on common risk behaviors in adolescents is examined, with a focus on illicit drug use, alcohol use, smoking, unprotected sexual activity, and disordered eating behaviors.
A review of the literature highlights the lack of studies of risk behaviors in this population. Much of what is known comes from studies with adolescents in the general population or from studies of adults with type 1 diabetes. Known risk and protective factors for risk behaviors and health outcomes are noted. Based on these findings, suggestions are provided for diabetes educators and health care providers to assess for and prevent risk behaviors in adolescents with type 1 diabetes. Directions for future research in this population are indicated, including the need to develop and test standardized prevention programs.
本文旨在回顾 1 型糖尿病青少年的风险行为及其健康后果。本文考察了青少年常见风险行为的现有文献，重点关注非法药物使用、酒精使用、吸烟、无保护性行为和饮食失调行为。
文献回顾突出表明，针对该人群的风险行为研究还很缺乏。我们所知的大部分信息来自普通青少年或 1 型糖尿病成人的研究。本文还提到了已知的风险和保护因素与风险行为和健康结果的关系。基于这些发现，本文为 1 型糖尿病青少年的糖尿病教育者和医疗保健提供者提供了评估和预防风险行为的建议。本文还指出了该人群未来研究的方向，包括制定和测试标准化预防方案的必要性。
