Confirmation of a Reconceptualized Definition and Measure of Adolescent Risk Behavior: Adolescent Viewpoints

The goal of this project was to substantiate a more positive conceptualization of adolescent risk behavior and to compare adolescent viewpoints of risk behavior to the items on the Prosocial and Health Adolescent Risk Behavior Scale (PHARBS). A total of 57 high school students participated in the research. Researchers recruited students from an Advanced Placement (AP) Psychology course at a large Midwestern high school. The high school serves approximately 1,750 students in grades 9 through 12. The university Institutional Review Board approved the study procedures. Families provided informed consent, and students assented to participating in one of eight focus group discussions. The focus groups were audio taped, transcribed, and coded. Researchers analyzed the coded data using word count analysis. Students discussed prosocial risk behaviors in addition to health risk behaviors, providing support for the PHARBS and suggesting that adolescents view taking some risks as positive. A more positive conceptualization of risk behavior may better align with how adolescents view risk behavior. Researchers and clinicians might approach adolescent risk behavior measurement and research on the importance of understanding risk behaviors as a normal and potentially positive aspect of adolescent development.

Asthma, Allergic Rhinitis, and Atopic Dermatitis Incidence in Korean Adolescents before and after COVID-19

With changes in personal habits (masks and handwashing) during the COVID-19 outbreak, the study analyzed the reporting of physician-diagnosed cases (incidence) of allergic diseases (asthma, allergic rhinitis, and atopic dermatitis) using the data for years 2019 and 2020 from the Korean adolescent risk behavior web-based survey (KYRBWS-15 and 16). Altogether, 92,659 adolescents (48,443 in 2019 and 44,216 in 2020) were enrolled. The crude and adjusted odd ratios (ORs) were calculated for each disease in 2020 compared to that in 2019 using multiple logistic regression. Subgroup analyses were performed according to sex and economic status. The incidence of asthma decreased from 1.5% in 2019 to 1.0% 2020 (p < 0.001). The incidence of allergic rhinitis in 2019 and 2020 was 19.5% and 16.3%, respectively (p < 0.001). Compared with 2019, the adjusted OR (aOR) in 2020 was 0.68 (95% CI = 0.66–0.77, p value < 0.001) for asthma and 0.82 (95% CI = 0.78–0.85, p < 0.001) for allergic rhinitis. In contrast, there was no statistically significant difference between the incidence of atopic dermatitis in 2019 and that in 2020 (6.4%, vs. 6.4%, p > 0.05, respectively). Subgroup analyses results were consistent. In conclusion, there was decrease in the incidence of asthma and allergic rhinitis but not in that of atopic dermatitis from 2019 to 2020.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU BERISIKO PADA REMAJA

FACTORS RELATING TO BEHAVIOR RISK IN TEENS Background: Physical and psychological development can lead adolescence to do risky behaviors, such as having premarital sex and using drugs. These behaviours are influenced by sociodemographic factor, knowledge, family function, and source of information on adolescent reproductive health.Objective: This study aimed to investigate risk factors associated with risky behaviors in adolescents (15-24 years old and unmarried) in West Java Province.Methods: Factors investigated in this study are: predisposing factor, such as age, sex, and knowledge; enabling factor, such as place of residency, economic status, and access to information; reinforcing factor, such as family. Secondary data from Survey of Population Performance and Accountability, Family Planning, and Family Development 2018 is used in this study. Data is analysed using descriptive and inferential statistics (bivariate and multivariate logistic regression). Results: Older adolescent, being male, live in urban area, whose mother is ≥ 60 years are more exposed to risky behavior. Adolescents who have higher educational level, more awareness in adolescent reproductive health, and whose parents are well informed towards adolescent reproductive health are associated with reduction of risky behavior. Conslusion: Factors related to risky behaviour in adolescents are age, sex, adolescent’s level of education, mother’s age, and exposure to adolescent reproductive health.Suggestion the government needs to initiate and improve programs related to KRR Keywords: Adolescent, Risk behavior, Premarital sex, Drugs, Adolescent reproductive health ABSTRAK Latar belakang: Perkembangan fisik dan psikis dapat memicu remaja untuk melakukan perilaku berisiko seperti melakukan seks pranikah dan mengonsumsi narkoba. Perilaku ini dipengaruhi oleh faktor sosiodemografi, pengetahuan remaja, fungsi keluarga, dan sumber informasi tentang kesehatan reproduksi remaja (KRR).Tujuan: Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan perilaku berisiko pada remaja, usia 15-24 tahun, dan belum menikah di Jawa Barat.Metode: Faktor-faktor yang diteliti terdiri dari: faktor yang berasal dari diri remaja (predisposisi), misalnya, usia, jenis kelamin, dan pengetahuan; faktor pendorong (enabling), contohnya tempat tinggal, status ekonomi, dan akses informasi; faktor penguat (reinforcing), yaitu keluarga. Penelitian ini menggunakan data Survei Kinerja dan Akuntabilitas Program (SKAP) Kependudukan, Keluarga Berencana, dan Pembangunan Keluarga tahun 2018. Data dianalisis secara deskriptif dan inferensial menggunakan bivariat dan multivariat regresi logistik.Hasil: Profil remaja yang lebih tua, berjenis kelamin laki-laki, tinggal di perkotaan, memiliki ibu yang berusia ≥ 60 tahun lebih rentan terhadap perilaku berisiko. Sedangkan remaja berpendidikan menengah tinggi, pengetahuan KRR yang lebih baik, dan memiliki orang tua yang lebih banyak terpapar informasi KRR berpengaruh signifikan terhadap penurunan perilaku berisiko.Kesimpulan: Faktor-faktor yang berhubungan dengan perilaku berisiko pada remaja adalah umur, jenis kelamin, tempat tinggal, pendidikan remaja, usia ibu, dan paparan pengetahuan KRR.Saran pemerintah perlu menginisiasi dan memperbaiki program yang berkaitan dengan KRR Kata kunci: Remaja, perilaku berisiko, Seks pranikah, Narkoba, Kesehatan reproduksi remaja