Anda-Ioana Curta

Social Predictive Factors of Health Risk Behaviours Among Adolescents from Romania

Anda-Ioana Curta, Ileana Maria Mireştean, Sorina Irimie

Article information

Volume: IX Issue: 1, Pages: 152-164
Anda-Ioana Curta, Ileana Maria Mireştean, Sorina Irimie
National Institute of Public Health – Regional Center of Public Health Cluj,
Babeş-Bolyai Universtity,


Adolescent population and health of adolescents is a very special issue and is focus of attention globally for various reasons. The world today is home to the largest generation of 10–19 year old in our history and number over one billion and their population is continuously increasing. Adolescents need to be treated as a distinct segment of our population and it is important to realize and address their health and lifestyle problems. Adolescence is characterized by a strong tendency to experiment with risk behaviour. The desire for novelty and the courage for experiment are much greater in adolescence than in later life. Most commonly reported behaviours in this population include such as aggressive behaviour, smoking and drinking alcohol, sexual behaviour, poor eating habits, lack of physical exercise, etc. Adolescent health provides the foundation for adult health status. Life-long patterns of healthy behaviours are established at this time. Unhealthy adolescent behaviours can become long-term risk factors for chronic health conditions in adulthood. The health of adolescent is shaped by: parents and families, peers, school, health care systems, neighbourhoods and communities, faith communities, employers, government. These factors impact young people’s sense of health and well-being by affecting their capacity to withstand life stressors, their ability to transition in developmentally appropriate ways, and their ability to make decisions about healthy behaviours. The study was carried out under the supervision of the National Institute of Public Health, Romania, Regional Center for Public Health Cluj for the year 2012 on a sample of 4691 school-aged children from 40 Romanian counties.

Keywords: adolescence, health risk behaviour, predictive factors, lifestyle


Barreto, S.M., Giatti, L., Martinez Hernaez, A. (2011). “Contextual and family factors associated with negative assessment of children’s health”. European Journal of Public Health 21(5): 649-55. Birch, A. (2000). Psihologia dezvoltării. Bucureşti: Editura Tehnică.

Bogenschneider, K (1996). “An ecological risk/protective theory for building prevention programs, policies, and community capacity to support youth”. Family Relations 45(2): 127-138. Brown, N. A. (2001). Promoting adolescent livelihoods. Commonwealth Youth Programme and UNICEF.

Burt, M.R., Zweig, J. M., Roman, J. (2002). “Modeling the pay offs of interventions to reduce adolescent vulnerability”. Journal of Adolescent Health 31(1S): 40–57.

Canadian Paediatric Society (2003). “Age limits and adolescence”. Paediatrics & Child Health 8(9): 577.

*** Chronic Disease and Health Promotion (1990). “Youth Risk Behavior Surveillance System”. Atlanta, Georgia: CDC.

Currie, C. et al., (eds).(2012). Social determinants of health and well-being among young people. Health behaviour in school-aged children (HBSC) study: international report from the 2009/2010 survey. Copenhagen: WHO Regional Office for Europe(Health Policy for Children and Adolescents 6).

Donahue, M.J., Benson, P.L. (1995).“Religion and the well-being of adolescents”. Journal Social Issues 51: 145-160.

Dunkle, M.C, Nash, MA. (1991). Beyond the Health Room. Washington, DC: Council of Chief State School Officers, Resource Center on Educational Equity.

Edmonds, E., Schady, N., (2012). “Poverty alleviation and child labor”. American Economic Journal: Economic Policy 4(4): 100–124.

Giorgieva, L., Burazeri, G. (eds.). (2005). Health Determinants in the Scope of New Public Health. A Handbook for Teachers, Researchers and Health Professionals. Sofia: Hans Jacobs Publishing Company.

Glouberman, S., Millar, J. (2003). “Evolution of the Determinants of Health, Health Policy, and Health Information Systems in Canada”. American Journal of Public Health 93(3): 388-392.

Godeau, E. et al. (2008). «Facteurs associés à une initiation sexuelle précoce chez les filles: données françaises de l’enquête internationale HBSC/OMS». Gynécologie, Obstétrique & Fertilité 36(2): 176–182.

Green, L., Ottoson, J. M. (1999). Community and Population Health, 8th ed. St. Louis, MO.

McGraw-Hill. Guarcello L, Lyon S, Rosati F (2004). Impact of Working Time on Children’s Health. Understanding Children’s Work, ILO-IPEC, type=document&id=5585, accessed 14 Dec. 2014.

Hamburg, D. A, Takanishi, R (1996). “Great transitions: Preparing American youth for the 21st century-The role of research”. Journal of Research on Adolescence 6: 379–396.

Hawkins, J.D, Catalano, R.F, Miller, J.Y (1992). “Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for prevention”. Psychological Bulletin 112: 64-105.

Holder, D.W, Durant, R.H, Harris, T. L, Daniel, J. H, Obeidallah D, Goodman E (2000). “The Association between Adolescent Spirituality and Voluntary Sexual Activit”. Journal of Adolescent Health 26: 295-302.

Hurrelmann, K., Richter, M. (2006). “Risk behaviour in adolescence. The relationship between developmental and health problems”. Journal of Public Health 14: 20-28.

Idler, E. L. (2014). Religion as a Social Determinant of Public Health. Oxford: Oxford University Press, pp. 203-251.

International Labour Organization: Report of the Director-General: A Future without Child Labour. (2002). Geneva, Switzerland.

Irwin, C. E, Scott, J. B, Uhler Cart, C. (2002). “America’s adolescents: Where have we been, where are we going”. Journal of Adolescent Health 31: 91- 121.

Jiang, Y., Mermin, J., Perry, D.K, Hesser, J.E. (2013). “The relationship of multiple, simultaneously occurring health risk behaviors to academic performance of high school students”. Journal of Behavioral Health 2(1): 44-51.

Jurcău, N. (2000). Psihologie educaţională. Cluj-Napoca: Editura U.T. Pres. Klein-Hessling, J., Lohaus, A., Ball, J. (2005). “Psychological predictors of health related behaviour in children”. Psychology, Health and Medicine 10: 31-43.

Lerner, R. M. (2002). Concepts and theories of human development. 3rd ed. Mahwah, NJ: Erlbaum.

Levin, J. S. (1994). “Religion and health: Is there an association, it is valid, and it is causal?”. Social Science Medicine 38: 1475-1482.

Lupu, I., Zanc, I., (1999). Sociologie medicală. Teorie şi aplicaţii. Iaşi: Editura Polirom.

Manning, W. D, Smock, P. J, Majumdar, D. (2004). “The relative stability of cohabiting and marital unions for children”. Population Research and Policy Review 23: 135-159.

McDermott, B. E (2012). “Promoting Positive Development: Family Processes and Risk Behavior Among Adolescents”. FIUElectronic Theses and Dissertations. Paper 577., accessed 12 december 2014.

McKeown, T. (1979). The Role of Medicine: Dream, Mirage or Nemesis?. Oxford: Basil Blackwell.

Oliveira-Campos, M., Giatti, L., Malta, D., Barreto, S. M. (2013).“Contextual factors associated with sexual behavior among Brazilian adolescents”. Annals of Epidemiology 23(10): 629-635. Pearce, M. J (2003).“The Protective Effects of Religiousness and Parent Involvement on the Development of Conduct Problems Among Youth Exposed to Violence”. Child Development 74 (6): 1682–1696.

Rashad, I., Kaestner, R. (2004). “Teenage sex, drugs and alcohol use: problems identifying the cause of risky behaviors”. Journal of Health Economics 23(3): 493-503.

Richter, M., Erhart, M., Vereecken, C.A., Zambon, A., Boyce, W., Nic Gabhainn, S., “The role of behavioural factors in explaining socioeconomic differences in adolescent health: a multilevel study in 33 countries”. Social Science & Medicine 69: 396-403.

Safron, D. J, Schulenberg, J. E., Bachman, J. G. (2001). “Part-time work and hurried adolescence: the links among work intensity, social activities, health behaviors, and substance use”. Journal of Health and Social Behavior 42(4): 425-449.

Sawyer, S. M., et al., (2012). “Adolescence: a foundation for future health”. The Lancet 379:1630-1640.

Şchiopu, U. (1997). Criza de originalitate la adolescenţi. Bucureşti: Editura Didactică şi Pedagogică.

Shelley, A. G. Francis, Tucker Halpern, C. and Tucker Halpern, C. (2001). “Religiosity cohesiveness among a multicultural adolescent population: What’s really going on?”. The 129th Annual Meeting of APHA.

Sinha, J. W, Cnaan, R. A, Gelles, R. J. (2007). “Adolescent Risk Behaviors and Religion: Findings from a National Study” Journal of Adolescence 30 (2): 231–249.

Srabstein, J., Piazza, T. (2008). “Public health, safety and educational risks associated with bullying behaviors in American adolescents”. International Journal of Adolescent Medicine and Health 20(2): 223–233.

Tremblay, R. E., Hartup, W. H., & Archer, J. (eds.). (2005). “Developmental Origins of Aggression”. New York: Guilford Press. United Nations Children’s Fund.

The state of the world’s children 2011: adolescence: an age of opportunity (2011). New York. United Nations Population Fund, Bali Global Youth Forum Declaration. International Conference on Population and Development Beyond 2014. (2012). New York. ( forum_declaration_final_edoc_v3-2.pdf, accessed 13 March 2014).

Wallace, J. M., Jr., Forman, T. A. (1998). “Religion’s Role in Promoting Health and Reducing Risk Among American Youth”. Health Education and Behavior 25 (6): 721-741.

Wallace, Jr., J. M., & Williams, D. R. (1997). “Religion and Adolescent Health Compromising Behavior”. In J. Schulenberg, J. L. Maggs, & K. Hurrelmann (ed.)., Health Risks and Developmental Transitions During Adolescence in Health Risks and Developmental Transitions During Adolescence. Cambridge: Cambridge University Press, pp. 444-470.

Ward, N. L, Linke, L. H. (2011). “Commentary: Understanding adolescent health-risk behaviors from a prevention science perspective” Journal of the american academy of psychiatry and the law 39(1): 53-56.

Wolfe, D. A., Jaffe, P. G., Crooks, C. V. (2006). Adolescent risk behaviors: why teens experiment and strategies to keep them safe. Yale: Yale University Press, New Haven.

Wu, L. T., Schlenger, W. E., Galvin, D. M. (2003). “The relationship between employment and substance use among students aged 12 to 17”. Journal of Adolescent Health 32(1): 5-15.

Zamfir, C., Zamfir, E. (1995). Politici sociale, România în context European. Bucureşti: Editura Alternative.