Abstract
The onset of high-risk behaviors in adolescents are associated with family, social and behavioral factors. This study aims to describe the prevalence of high-risk behaviors among young adolescents in Peninsular Malaysia and determine the relationship between high-risk behaviors and family sociodemographics and behaviors. The data utilized are from the Malaysian Health and Adolescents Longitudinal Research Study, a prospective cohort analysis conducted in three large states of Peninsular Malaysia: Selangor, Perak, and the Federal Territory of Kuala Lumpur. The sample included 13-year-old adolescents in their first year of secondary school. Students and parents or guardians were given separate, standardized self-administered questionnaire. A high-risk behavior variable was determined on the basis of exposure to substance use (tobacco, alcohol, and illicit drugs), gambling, and online pornography or violence. The exploratory variable of interest (family sociodemographics) was defined as parents’ demographics, employment status, education level, and socioeconomic status. The analysis included 1341 adolescents and 1146 parents. Of the school-going adolescents, 4.7 % (n = 52) reported HRBs. Tobacco use (9 %, n = 1 19) and watching pornography or violent content on the Internet (5 %, n = 72) accounted for most of the behaviors, whereas illicit drug use contributed the least (2 %, n = 32). More adolescents from the higher socioeconomic groups, than from the middle groups exhibited high-risk behaviors (odds ratio = 3.039, 95 % confidence interval = 2.884–3.202); by contrast, the odds ratio of high-risk behavior among adolescents with a low socio-economic status was 2.246 (95 % CI = 2.014–2.397). Future intervention programs for adolescents should focus on overcoming high-risk behaviors and sustain behavioral changes.
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15 March 2018
The original version of this article unfortunately contained a mistake. The acknowledgement was missing. It is now given with this erratum.
References
Ahmed, S., Abu-Ras, W., & Arfken, C. L. (2014). Prevalence of risk behaviors among US Muslim college students. Journal of Muslim Mental Health, 8(1).
Ahmad Zaki, R., Isahak, M., & Yusof, N. (2013). First report on Malaysian Clearinghouse Centre for Adolescent Health. Malaysia: Department of Social and Preventive Medicine, University of Malaya and Ministry of Health Malaysia.
Alaska Division of Behavioural Health Risk and protective factors for adolescent substance use and other problem behaviour (2011). Alaska: Alaska strategic prevention framework state incentive grant.
Al-Sadat, N., Misau, A., Zarihah, Z., Maznah, D., & Su, T. T. (2010). Adolescent tobacco use and health in Southeast Asia. Asia-Pacific Journal of Public Health 22(3 Suppl), 175S–180S.
Bellis, M. A., Hughes, K., Morleo, M., Tocque, K., Hughes, S., Allen, T., Harrison, D., & Fe-Rodriguez, E. (2007). Predictors of risky alcohol consumption in schoolchildren and their implications for preventing alcohol-related harm. Substance Abuse Treatment, Prevention, and Policy 2(1), 15.
Clinical and Translational Science Awards Consortium (2011). Principles of community engagement. second edition. Available at: https://www.atsdr.cdc.gov/communityengagement/pdf/PCE_Report_508_FINAL.pdf.
Community Preventive Services Task Force (2014). Guide to community preventive services. Reducing tobacco use and second hand smoke exposure: mass-reach health communication interventions. Available at: www.thecommunityguide.org/tobacco/massreach.html.
Cogollo, Z., & Gómez-Bustamante, E. M. (2013). Health risk behavior pattern among students from Cartagena, Colombia: Prevalence and associated variables. Journal of Nursing School USP 47(4), 830–835.
Cohen J. (2013) Global tobacco epidemic and public health response [PowerPoint slides]. Available at: http://www.cdc.gov/about/grand-rounds/archives/2012/pdfs/GR-Tobacco-ALL-FINAL-Jul24.pdf.
De Guzman M. R., & Bosch K. R. (2013) High-risk behaviours among youth. Available at: http://www.ianrpubs.unl.edu/pages/publicationD.jsp?publicationId=786.
Department of Statistics Malaysia (2012a). Household income and basic amenities survey report 2012. Available at: http://statistics.gov.my/portal/download_household/files/household/2012/Laporan_PPIR_KA_2012.pdf.
Department of Statistics Malaysia. (2012b) Selangor @ a glance 2012. Available at: http://statistics.gov.my/portal/index.php?option=com_content&view=article&id=533&Itemid=111&lang=en&negeri=Selangor.
Department of Statistics Malaysia. (2010) Population Distribution and Basic Demographic Characteristic Report 2010. Available at: http://www.statistics.gov.my/portal/index.php?option=com_content&id=1215.
Economic Planning Unit (2014). Household income & poverty. Available at: http://www.epu.gov.my/en/household-income-poverty;jsessionid=9DDF39109601FE21030AD5461AE49660.
Faeh, D., Viswanathan, B., Chiolero, A., Warren, W., & Bovet, P. (2006). Clustering of smoking, alcohol drinking and cannabis use in adolescents in a rapidly developing country. BMC Public Health 6(1), 1.
Flay B. R., Snyder F., & Petraitis J. (2009). The theory of triadic influence. In R. J. Di Clemente, M. C. Kegler, & R. A. Crosby (Eds.). Emerging theories in health promotion practice and research (2nd ed). New York: Jossey-Bass.
Fox, H. B., McManus, M. A., & Arnold, K. N. (2010). Significant multiple risk behaviors among U.S. high school students. The National Alliance to Advance Adolescent Health Fact Sheet 8, 1–10. Available at: http://www.thenationalalliance.org/pdfs/FS8.%20Significant%20Multiple%20Risk%20Behaviors.pdf.
Garner, R. E., Kohen, D. E., & Findlay, L. C. (2010). Parental monitoring of adolescent’s behaviour: Trajectories, risk factors, and associated outcomes: Canadian Council on Learning. Canada: Health Information and Research Division, Statistics Canada.
Hanson, M. D., & Chen, E. (2007). Socioeconomic status and health behaviors in adolescence: a review of the literature. Journal of Behavioral Medicine 30(3), 263–285.
Hazreen, M. A., Su, T. T., Jalaludin, M. Y., Dahlui, M., Chinna, K., Ismail, M., Murray, L., Cantwell, M., & Sadat, N. A. (2014). An exploratory study on risk factors for chronic non-communicable diseases among adolescents in Malaysia: Overview of the Malaysian Health and Adolescents Longitudinal Research Team study (The MyHeART study). BMC Public Health 14(Suppl 3), S6.
Institute for Public Health. (2008). The third national health and morbidity survey 2006: smoking. Kuala Lumpur: Institute for Public Health, Ministry of Health Malaysia.
International Tobacco Control Policy Evaluation Project, ITC Malaysia national report. (2012). Findings from wave 1 to 4 surveys (2005–2009). Waterloo, Ontario, Canada: University of Waterloo. Universiti Sains Malaysia, Pulau Pinang, Malaysia; Ministry of Health, Putrajaya, Malaysia.
Institute for Public Health. (2012). Global school-based student health survey Malaysia 2012 fact sheet. Kuala Lumpur: Institute for Public Health, Ministry of Health Malaysia.
Jessor, R., & Jessor, S. L. (1977). Problem behaviour and psychosocial development: a longitudinal study of youth. New York, NY: Academic Press.
Kipping, R. R., Smith, M., Heron, J., Hickman, M., & Campbell, R. (2014). Multiple risk behaviour in adolescence and socio-economic status: findings from a UK birth cohort. The European Journal of Public Health, 25(1),45-49.
Kusumawardani, N., & Suhardi, S. (2011). Behaviour health risk among adolescents: a school-based health survey with the focus on smoking in male adolescents aged 12-15 In depok, West Java, Indonesia. Bulletin of Health System Research, 14(4).
Langille, D. B., Curtis, L., Hughes, J., & Murphy, G. T. (2003). Association of socio-economic factors with health risk behaviours among high school students in rural Nova Scotia. Canadian Journal of Public Health 94, 442–447.
Lim, H. K., Ghazali, S. M., Kee, C. C., Lim, K. K., Chan, Y. Y., Teh, H. C., Yusoff, A. F. M., Kaur, G., Zain, Z. M., & Mohamad, M. H. N. (2013). Epidemiology of smoking among Malaysian adult males: prevalence and associated factors. BMC Public Health 13(1), 1.
Makhlouf O. C. (2015). Adolescents in Arab countries: Health statistics and social context, DIFI family research and proceedings. Available at: http://dx.doi.org/10.5339/difi.2015.1.
MacArthur, G., Smith, M., Melotti, R., Heron, J., Macleod, J., Hickman, M., Kipping, R., Campbell, R., & Lewis, G. (2012). Patterns of alcohol use and multiple risk behaviour by gender during early and late adolescence: the ALSPAC cohort. Journal of Public Health 34(Suppl 1), i20–i30.
Murphey D., Barry M., Vaughn B., et al. (2013). Adolescent health highlight: use of illicit drugs. Available at: http://www.childtrends.org/wp-content/uploads/2013/09/Illicit-drug-use-Highlight-9.13.pdf.
Mutalip, M. H. B. A., Kamarudin, R. B., Manickam, M., Hamid, H. A. B. A., & Saari, R. B. (2014). Alcohol consumption and risky drinking patterns in Malaysia: findings from NHMS 2011. Alcohol andAlcoholism 49(5), 593–599.
National Antidrug Agency. Country Report 2010 Malaysia (2011). Available at: http://www.aipasecretariat.org/wp-content/uploads/2011/09/COUNTRY-REPORT-2010-MALAYSIA.pdf.
National Antidrug Agency Statistic (2013) Drug report. Available at: http://www.adk.gov.my/web/guest/dadah.
Resnick, M. D., Harris, L. J., & Blum, R. W. (1993). The impact of caring and connectedness on adolescent health and well-being. Journal of Paediatrics and Child Health 29, 3–9.
Rew, L. M., (2005). Adolescent health: A multidisciplinary approach to theory, research and intervention: Sage Publications, Inc.
Soh P. C- H., Boon H. T., Yong H. H., et al. (2013). Exploring gender differences in Malaysian urban adolescent Internet usage. First Monday 18. Available at: http://firstmonday.org/ojs/index.php/fm/article/view/4334.
Shagar L. K., Beh Y. H., & Abdul R. (2014) Gambling among pupils prevalent during CNY. The Star. Available at: http://www.thestar.com.my/News/Nation/2014/02/03/Gambling-among-pupils-prevalent-during-CNY/.
Shek, D. T. L. (1997). Family environment and adolescent psychological well-being, school adjustment, and problem behavior: A pioneer study in a Chinese context. Journal of Genetic Psychology 158(1), 113–128.
Tan S. A., Yaacob S. N., & Esmaeili N. S. (2012). Media influences on Malaysian adolescents’ sexual intention. Available at: http://www.academia.edu/2549034/Media_Influences_on_Malaysian_Adolescents_Sexual_Intention.
Tornay, L., Michaud, P. A., Gmel, G., Wilson, M. L., Berchtold, A., & Surís, J. C. (2013). Parental monitoring: a way to decrease substance use among Swiss adolescents? European Journal of Pediatrics 172(9), 1229–1234.
The Commissioner of Law. (2006). Laws of Malaysia: Food Act 1983. Malaysia: The Commissioner of Law Revision and Malaysia Percetakan Nasional Malaysia Bhd.
World Health Organization (2011) Global status report on alcohol and health. Available at: http://www.who.int/substance_abuse/publications/global_alcohol_report/msbgsruprofiles.pdf.
World Health Organization (2013). The right to health. Available at: http://www.who.int/mediacentre/factsheets/fs323/en/.
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A correction to this article is available online at https://doi.org/10.1007/s10826-018-1041-4.
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Nik Farid, N.D., Yahya, A., Al-Sadat, N. et al. High-Risk Behavior Among Young Adolescents in The Central and Northern Region of Peninsular Malaysia: Baseline Data from The MyHeART Study. J Child Fam Stud 25, 3204–3213 (2016). https://doi.org/10.1007/s10826-016-0494-6
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DOI: https://doi.org/10.1007/s10826-016-0494-6