Youth With Chronic Conditions and Risky Behaviors: An Indirect Path.

Details

Serval ID
serval:BIB_228FBF19F2A1
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Youth With Chronic Conditions and Risky Behaviors: An Indirect Path.
Journal
The Journal of adolescent health
Author(s)
Gubelmann A., Berchtold A., Barrense-Dias Y., Akre C., Newman C.J., Suris J.C.
ISSN
1879-1972 (Electronic)
ISSN-L
1054-139X
Publication state
Published
Issued date
12/2018
Peer-reviewed
Oui
Volume
63
Number
6
Pages
785-791
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
To compare risk behaviors between youths living with a chronic condition (CC) and their healthy peers, controlling for condition severity.
Data were drawn from the baseline wave of the GenerationFRee study (students aged 15-24 years in postmandatory education) during the 2014-2015 school year. The sample (N = 5,179) was divided into youths with CC without limitations (N = 536; 10.4%), youths with limitations (N = 114; 2.2%), and a control group (CG; N = 4,529; 87.4%). Groups were compared on internalizing (perceived health status, vision of their future, emotional wellbeing) and externalizing behaviors (substance use, gambling, excessive internet use, disordered eating, violent and antisocial acts) controlling for potential confounders. Statistical analyses were carried out through structural equation modeling. Results are given as unstandardized coefficients.
Overall, CC youths showed an association with internalizing behaviors (coefficient: .78) but not with externalizing behaviors. In fact, the connection with externalizing behaviors was indirect via the internalizing behaviors (.32). CC Youths reporting psychological issues were more likely to adopt every externalizing behavior. Analyzing separately youths with CC limiting daily life activities and those without limitations, the results did not change substantially. However, the association with internalizing behaviors was much higher for those reporting limitations (2.18 vs. .42).
Our results show that the link between suffering from a CC and adopting risk behaviors is indirect through internalizing behaviors. Health professionals should address emotional wellbeing and perception of the future rather than focus exclusively on the effects of risk behaviors on specific diseases.
Keywords
Adolescent, Adult, Chronic Disease/psychology, Diagnostic Self Evaluation, Female, Humans, Male, Risk-Taking, Substance-Related Disorders/psychology, Young Adult, Chronic condition, Psychological adjustment, Risk behaviors, Youths
Pubmed
Web of science
Create date
29/10/2018 9:24
Last modification date
16/12/2019 6:19
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