PT  - JOURNAL ARTICLE
AU  - Brent V. Nelson
AU  - Troy H. Patience
AU  - David C. MacDonald
TI  - Adolescent Risk Behavior and the Influence of Parents and Education
AID  - 10.3122/jabfm.12.6.436
DP  - 1999 Nov 01
TA  - The Journal of the American Board of Family
                Practice
PG  - 436--443
VI  - 12
IP  - 6
4099  - http://www.jabfm.org/content/12/6/436.short
4100  - http://www.jabfm.org/content/12/6/436.full
SO  - J Am Board Fam Med1999 Nov 01; 12
AB  - 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.