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A Systematic Review of Effective Interventions for Reducing Multiple Health Risk Behaviors in Adolescence

Identifieur interne : 000338 ( Pmc/Corpus ); précédent : 000337; suivant : 000339

A Systematic Review of Effective Interventions for Reducing Multiple Health Risk Behaviors in Adolescence

Auteurs : Daniel R. Hale ; Natasha Fitzgerald-Yau ; Russell Mark Viner

Source :

RBID : PMC:3987586

Abstract

We systematically searched 9 biomedical and social science databases (1980–2012) for primary and secondary interventions that prevented or reduced 2 or more adolescent health risk behaviors (tobacco use, alcohol use, illicit drug use, risky sexual behavior, aggressive acts).

We identified 44 randomized controlled trials of universal or selective interventions and were effective for multiple health risk behaviors. Most were school based, conducted in the United States, and effective for multiple forms of substance use. Effects were small, in line with findings for other universal prevention programs. In some studies, effects for more than 1 health risk behavior only emerged at long-term follow-up.

Integrated prevention programs are feasible and effective and may be more efficient than discrete prevention strategies.


Url:
DOI: 10.2105/AJPH.2014.301874
PubMed: 24625172
PubMed Central: 3987586

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PMC:3987586

Le document en format XML

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<name sortKey="Fitzgerald Yau, Natasha" sort="Fitzgerald Yau, Natasha" uniqKey="Fitzgerald Yau N" first="Natasha" last="Fitzgerald-Yau">Natasha Fitzgerald-Yau</name>
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<p>We systematically searched 9 biomedical and social science databases (1980–2012) for primary and secondary interventions that prevented or reduced 2 or more adolescent health risk behaviors (tobacco use, alcohol use, illicit drug use, risky sexual behavior, aggressive acts).</p>
<p>We identified 44 randomized controlled trials of universal or selective interventions and were effective for multiple health risk behaviors. Most were school based, conducted in the United States, and effective for multiple forms of substance use. Effects were small, in line with findings for other universal prevention programs. In some studies, effects for more than 1 health risk behavior only emerged at long-term follow-up.</p>
<p>Integrated prevention programs are feasible and effective and may be more efficient than discrete prevention strategies.</p>
</div>
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<subject>Adolescent Health</subject>
<subject>Community Health</subject>
<subject>Health Education</subject>
<subject>Health Promotion</subject>
<subject>Prevention</subject>
<subject>Substance Use</subject>
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<subj-group subj-group-type="heading">
<subject>Online Systematic Reviews</subject>
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<article-title>A Systematic Review of Effective Interventions for Reducing Multiple Health Risk Behaviors in Adolescence</article-title>
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<name>
<surname>Hale</surname>
<given-names>Daniel R.</given-names>
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<degrees>PhD</degrees>
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<contrib contrib-type="author">
<name>
<surname>Fitzgerald-Yau</surname>
<given-names>Natasha</given-names>
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<degrees>MSc</degrees>
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<contrib contrib-type="author">
<name>
<surname>Viner</surname>
<given-names>Russell Mark</given-names>
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<degrees>PhD</degrees>
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<aff>The authors are with the General and Adolescent Paediatrics Unit, Institute of Child Health, University College London, UK.</aff>
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<corresp>Correspondence should be sent to Daniel R. Hale, General and Adolescent Paediatrics Unit, Institute of Child Health, University College London, 30 Guilford St, London, UK, WC1N 1EH (e-mail:
<email>daniel.hale@ucl.ac.uk</email>
). Reprints can be ordered at
<ext-link ext-link-type="uri" xlink:href="http://www.ajph.org">http://www.ajph.org</ext-link>
by clicking the “Reprints” link.</corresp>
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<bold>Contributors</bold>
</p>
<p>D. R. Hale established the eligibility criteria and search strategy. D. R. Hale and N. Fitzgerald-Yau conducted database searches, quality assessment, and data extraction; applied eligibility criteria to identified studies; calculated effect sizes; and prepared the article. R. M. Viner was the project leader; contributed to study design, including search strategy and eligibility criteria; and supervised article preparation.</p>
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<month>5</month>
<year>2014</year>
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<pub-date pub-type="epub">
<month>5</month>
<year>2014</year>
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<volume>104</volume>
<issue>5</issue>
<fpage>e19</fpage>
<lpage>e41</lpage>
<history>
<date date-type="accepted">
<day>2</day>
<month>1</month>
<year>2014</year>
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<copyright-statement>© American Public Health Association 2014</copyright-statement>
<copyright-year>2014</copyright-year>
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<abstract>
<p>We systematically searched 9 biomedical and social science databases (1980–2012) for primary and secondary interventions that prevented or reduced 2 or more adolescent health risk behaviors (tobacco use, alcohol use, illicit drug use, risky sexual behavior, aggressive acts).</p>
<p>We identified 44 randomized controlled trials of universal or selective interventions and were effective for multiple health risk behaviors. Most were school based, conducted in the United States, and effective for multiple forms of substance use. Effects were small, in line with findings for other universal prevention programs. In some studies, effects for more than 1 health risk behavior only emerged at long-term follow-up.</p>
<p>Integrated prevention programs are feasible and effective and may be more efficient than discrete prevention strategies.</p>
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