Department of Public Health Sciences, Queen's University, Caruthers Hall, 2nd Floor, Kingston, ON, K7L 3N6, Canada.
Faculty of Education, Queen's University, Kingston, ON, Canada.
Int J Public Health. 2018 Jan;63(1):137-147. doi: 10.1007/s00038-017-1046-6. Epub 2017 Oct 25.
To derive a contemporary series of composite indicators of adolescent risk-taking, inspired by the US CDC Framework and Problem Behaviour Theory.
Factor analyses were performed on 28-risk behaviours in a nationally representative sample of 30,096 Grades 6-10 students from the 2014 Canadian Health Behaviour in School-aged Children study.
Three composite indicators emerged from our analysis: (1) Overt Risk-Taking (i.e., substance use, caffeinated energy drink consumption, fighting, and risky sexual behaviour), (2) Aversion to a Healthy Lifestyle (i.e., physical inactivity and low fruit and vegetable consumption), and (3) Screen Time Syndrome (i.e., abnormally high screen time use combined with unhealthy snacking). These three composite indicators of risk-taking were observed consistently with strong psychometric properties across different grade groups (6-8, 9-10).
The three composite indicators of adolescent risk-taking each draw from multiple domains within the CDC framework, and support a novel, empirically directed approach of conceptualizing multiple risk behaviours among adolescents. The measures also highlight the breadth and diversity of risk behaviour engagement among Canadian adolescents. Research and preventive interventions should simultaneously consider the related behaviours within each of these composite indicators.
受美国疾病预防控制中心框架和问题行为理论的启发，推导出一组当代青少年风险行为综合指标。
对来自 2014 年加拿大青少年健康行为调查的 30096 名 6-10 年级学生的 28 项风险行为进行因子分析。
我们的分析得出了三个综合指标：（1）明显的冒险行为（即物质使用、含咖啡因的能量饮料消费、打架和危险的性行为），（2）对健康生活方式的厌恶（即身体活动不足和水果、蔬菜摄入量低），（3）屏幕时间综合征（即异常高的屏幕时间使用与不健康的零食消费相结合）。这三个风险行为综合指标在不同年级组（6-8 年级、9-10 年级）均具有较强的心理测量特性。
青少年风险行为的三个综合指标均源自疾病预防控制中心框架内的多个领域，支持一种新颖的、基于经验的概念化青少年多种风险行为的方法。这些措施还突出了加拿大青少年参与风险行为的广度和多样性。研究和预防干预措施应同时考虑这些综合指标内的相关行为。
