ArticleBMJ open2018
Effect of multiple risk behaviours in adolescence on educational attainment at age 16 years: a UK birth cohort study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
What it found
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Community mobilisation approaches to preventing adolescent multiple risk behaviour: a realist review.Systematic reviews · 2024Pooled it
- Six decades of longitudinal health knowledge production: a systematic review on Nordic birth cohort studies.International journal of circumpolar health · 2023Pooled it
- 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
- Unmasking the burden of mental health symptoms and risk behaviors in Vietnamese adolescents: evidence from a multicenter cross-sectional study involving 2,631 high school students.Social psychiatry and psychiatric epidemiology · 2026Article
- Prenatal Alcohol Exposure and the Development of Multiple Risk Behaviors in Adolescence: A Birth Cohort Study.Alcohol, clinical & experimental research · 2026Article
- Exploring academic achievement and relevant risk factors among a community sample of adolescents with chronic pain compared to peers.Journal of pediatric psychology · 2025Article
- Adolescent risk behaviours are associated with educational attainment in early adulthood: results from the Raine Study cohort.BMC public health · 2024Article
- Genetic associations of risk behaviours and educational achievement.Communications biology · 2024Article
- Effect of multi-level social risk factors on developmental trajectories of sexual risk behaviors among Bahamian middle-to-late adolescents.Health psychology and behavioral medicine · 2024Article
- Creation of a Pilot School Health Research Network in an English Education Infrastructure to Improve Adolescent Health and Well-Being: A Study Protocol.International journal of environmental research and public health · 2022Article
- The Role of Family Health in Mediating the Association between Smartphone Use and Health Risk Behaviors among Chinese Adolescent Students: A National Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Trends in Adolescent Health Risk Behaviors and Wellbeing: A 10 Year Observation from the EDIT Surveillance of Tuscany Region, Italy.International journal of environmental research and public health · 2022Article
- Article
- Childhood psychopathology mediates associations between childhood adversities and multiple health risk behaviours in adolescence: analysis using the ALSPAC birth cohort.Journal of child psychology and psychiatry, and allied disciplines · 2021Article
- Community mobilisation approaches to preventing and reducing adolescent multiple risk behaviour: a realist review protocol.Systematic reviews · 2021Article
- Young adult cancer risk behaviours originate in adolescence: a longitudinal analysis using ALSPAC, a UK birth cohort study.BMC cancer · 2021Article
- The causal effects of health conditions and risk factors on social and socioeconomic outcomes: Mendelian randomization in UK Biobank.International journal of epidemiology · 2020Article
- Article
- Adolescent multiple risk behaviours cluster by number of risks rather than distinct risk profiles in the ALSPAC cohort.BMC public health · 2020Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo explore the association between adolescent multiple risk behaviours (MRBs) and educational attainment.
designProspective population-based UK birth cohort study.
settingAvon Longitudinal Study of Parents and Children (ALSPAC), a UK birth cohort of children born in 1991-1992.
participantsData on some or all MRB measures were available for 5401 ALSPAC participants who attended a clinic at age 15 years and/or completed a detailed questionnaire at age 16 years. Multiple imputation was used to account for missing data. PRIMARY OUTCOME MEASURES: Capped General Certificate of Secondary Education (GCSE) score and odds of attaining five or more GCSE examinations at grades A*-C. Both outcome measures come from the National Pupil Database and were linked to the ALSPAC data.
resultsEngagement in MRB was strongly associated with poorer educational attainment. Each additional risk equated to -6.31 (95% CI -7.03 to -5.58, p<0.001) in capped GCSE score, equivalent to a one grade reduction or reduced odds of attaining five or more A*-C grades of 23% (OR 0.77, 95% CI 0.74 to 0.81, p<0.001). The average cohort member engaged in 3.24 MRB and therefore have an associated reduction in GCSE score equivalent to three and a half grades in one examination, or reduced odds of attaining five or more A*-C grades of 75%.
conclusionEngagement in adolescent MRB is strongly associated with poorer educational attainment at 16 years. Preventing MRB could improve educational attainment and thereby directly and indirectly improve longer-term health.
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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.