ArticleBMJ open2012
Clustering of substance use and sexual risk behaviour in adolescence: analysis of two cohort studies.
Article in BMJ open, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 7 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
39 citing papers in PubMed, 7 syntheses or guidelines pooled it, 110 citations in OpenAlex.
- Individual-, family- and school-based interventions to prevent multiple risk behaviours relating to alcohol, tobacco and drug use in young people aged 8-25 years: a systematic review and meta-analysis.BMC public health · 2022Pooled it
- Examining subgroup effects by socioeconomic status of public health interventions targeting multiple risk behaviour in adolescence.BMC public health · 2018Pooled it
- Individual-, family-, and school-level interventions targeting multiple risk behaviours in young people.The Cochrane database of systematic reviews · 2018Pooled it
- Effectiveness of Positive Youth Development Interventions: A Meta-Analysis of Randomized Controlled Trials.Journal of youth and adolescence · 2017Pooled it
- A systematic review on the clustering and co-occurrence of multiple risk behaviours.BMC public health · 2016Pooled it
- What is positive youth development and how might it reduce substance use and violence? A systematic review and synthesis of theoretical literature.BMC public health · 2016Pooled it
- The school environment and student health: a systematic review and meta-ethnography of qualitative research.BMC public health · 2013Pooled it
- Determinants of tobacco use among men aged 15 to 59 in Sub Sahara Africa: a multilevel mixed effect logistic regression analysis.BMC public health · 2026Article
- Reduced sensitivity to cocaine effects and changes in mesocorticolimbic dopamine receptors in adolescent sexually active female rats.Psychopharmacology · 2025Article
- Development of an eHealth Intervention Prototype to Prevent Health Risk Behaviors Among Hispanic Adolescents: A User-Centered Formative Study.International journal of environmental research and public health · 2024Article
- Head and neck cancer incidence is rising but the sociodemographic profile is unchanging: a population epidemiological study (2001-2020).BJC reports · 2024Article
- Cross-sectional social network study of adolescent peer group variation in substance use and mental wellbeing.Social networks · 2024Article
- Problematic Social Media Use and Lifestyle Behaviors in Adolescents: Cross-Sectional Questionnaire Study.JMIR pediatrics and parenting · 2023Article
- Maladaptive behaviours of maternal orphans in high schools of Tshwane North of Gauteng, South Africa.African journal of primary health care & family medicine · 2023Article
- Sexual Health and Drug Use Prevention for Black Girls (The Dreamer Girls Project): Protocol for an Intervention Development.JMIR research protocols · 2023Article
- Cannabis and tobacco use among adolescents aged 12-17 years from 16 low- and middle-income countries.Journal of global health · 2023Article
- Health Risk Behaviors Affecting Internet Usage in Adolescents: Evidence from the 2018 Korea Youth Risk Behavior Web-Based Survey.Iranian journal of public health · 2022Article
- Associations between Lifetime Spanking/Slapping and Adolescent Physical and Mental Health and Behavioral Outcomes.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- Article
- The role of tobacco smoking and illicit drug use in adolescent acute alcohol intoxication.BMC pediatrics · 2021Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesThe authors aimed to examine whether changes in health risk behaviour rates alter the relationships between behaviours during adolescence, by comparing clustering of risk behaviours at different time points.
designComparison of two cohort studies, the Twenty-07 Study ('earlier cohort', surveyed in 1987 and 1990) and the 11-16/16+ Study ('later cohort', surveyed 1999 and 2003).
settingCentral Clydeside Conurbation around Glasgow City.
participantsYoung people who participated in the Twenty-07 and 11-16/16+ studies at ages 15 and 18-19. PRIMARY AND SECONDARY OUTCOMES MEASURES: The authors analysed data on risk behaviours in both early adolescence (started smoking prior to age 14, monthly drinking and ever used illicit drugs at age 15 and sexual intercourse prior to age 16) and late adolescence (age 18-19, current smoking, excessive drinking, ever used illicit drugs and multiple sexual partners) by gender and social class.
resultsDrinking, illicit drug use and risky sexual behaviour (but not smoking) increased between the earlier and later cohort, especially among girls. The authors found strong associations between substance use and sexual risk behaviour during early and late adolescence, with few differences between cohorts, or by gender or social class. Adjusted ORs for associations between each substance and sexual risk behaviour were around 2.00. The only significant between-cohort difference was a stronger association between female early adolescent smoking and early sexual initiation in the later cohort. Also, relationships between illicit drug use and both early sexual initiation and multiple sexual partners in late adolescence were significantly stronger among girls than boys in the later cohort.
conclusionsDespite changes in rates, relationships between adolescent risk behaviours remain strong, irrespective of gender and social class. This indicates a need for improved risk behaviour prevention in young people, perhaps through a holistic approach, that addresses the broad shared determinants of various risk behaviours.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.