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Research ArticleOriginal Article

Adolescent Risk Behavior and the Influence of Parents and Education

Brent V. Nelson, Troy H. Patience and David C. MacDonald
The Journal of the American Board of Family Practice November 1999, 12 (6) 436-443; DOI: https://doi.org/10.3122/jabfm.12.6.436
Brent V. Nelson
From the Departments of Family Practice (BVN, DCM) and Clinical Investigation (THP), Madigan Army Medical Center, Tacoma, and the Department of Clinical Research (BVN), Naval Medical Center, San Diego. Address reprint requests to Brent V. Nelson, DO, Clinical Research Department, Naval Medical Center, 34800 Bob Wilson Drive, Suite 5, San Diego, CA 92134-5000
DO, MEd
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Troy H. Patience
From the Departments of Family Practice (BVN, DCM) and Clinical Investigation (THP), Madigan Army Medical Center, Tacoma, and the Department of Clinical Research (BVN), Naval Medical Center, San Diego. Address reprint requests to Brent V. Nelson, DO, Clinical Research Department, Naval Medical Center, 34800 Bob Wilson Drive, Suite 5, San Diego, CA 92134-5000
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David C. MacDonald
From the Departments of Family Practice (BVN, DCM) and Clinical Investigation (THP), Madigan Army Medical Center, Tacoma, and the Department of Clinical Research (BVN), Naval Medical Center, San Diego. Address reprint requests to Brent V. Nelson, DO, Clinical Research Department, Naval Medical Center, 34800 Bob Wilson Drive, Suite 5, San Diego, CA 92134-5000
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Abstract

Background: Adolescent involvement with alcohol, drugs, tobacco, sexual relationships, and gang violence begins at increasingly younger ages. Awareness of the dangers and consequences of risk-taking behavior has not had a profound or lasting impact on adolescent behavior, and there appears to be no relation between risk behavior and general knowledge concerning these topics.

Methods: Using paired anonymous questionnaires, we surveyed 215 seventh-grade students and their parents about their experience with and attitudes toward adolescent risk-taking behaviors. The results of each student questionnaire were compared with results of his or her own parents. The survey instrument contained questions concerning tobacco, alcohol, and drug use, sexual activity, gang membership, general knowledge concerning these topics, and parental guidance given. Data were analyzed using the χ2 test of significance.

Results: Parent and student recollection of issues discussed and guidance given differed widely, as did the students' understanding of their parents' guidance. Factors found to have a meaningful impact on the reduction of risk behavior in the adolescent population were (1) students perceiving a satisfactory relationship with their parents, and (2) parents successfully communicating their expectations regarding these behaviors to their children.

Conclusions: Parental direction has a powerful effect on the reduction of risk behavior in young adolescents. A limited ability for abstract reasoning during early adolescence requires clear anticipatory guidance by parents and an active effort to maintain communication in the child-parent relationship.

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The Journal of the American Board of Family     Practice: 12 (6)
The Journal of the American Board of Family Practice
Vol. 12, Issue 6
1 Nov 1999
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Adolescent Risk Behavior and the Influence of Parents and Education
Brent V. Nelson, Troy H. Patience, David C. MacDonald
The Journal of the American Board of Family Practice Nov 1999, 12 (6) 436-443; DOI: 10.3122/jabfm.12.6.436

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Adolescent Risk Behavior and the Influence of Parents and Education
Brent V. Nelson, Troy H. Patience, David C. MacDonald
The Journal of the American Board of Family Practice Nov 1999, 12 (6) 436-443; DOI: 10.3122/jabfm.12.6.436
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