Abstract
Adolescence is a developmental stage characterized by significant physical, intellectual, emotional, and social changes. In order to design the most effective behavior change interventions, one must first identify key determinants for health outcomes and related health behaviors. Within health psychology, numerous health behavior theories have identified important determinants of health outcomes, focusing primarily on individual-level factors. In contrast, socio-ecological models of health behavior illustrate that an individual’s behavior occurs within a larger social context. As such, socio-ecological models of adolescent health consider individual, peer, familial, relational, community, and societal factors that influence health behavior engagement and subsequent health outcomes. In this chapter, we first provide an overview of a socio-ecological model of adolescent health behavior determinants, highlighting some of the key individual, family, peer, relational, community, and societal determinants of health outcomes. We then provide illustrative examples of interventions designed to address important health determinants and associated behaviors at each level within the socio-ecological model. It is our goal to provide representative research examples focusing on the key health outcomes as outlined by the Critical Health Objectives for adolescent health in Healthy People 2010. Specifically, we provide an overview of important determinants and interventions designed to address adolescents’ health across the following domains: (a) mortality, (b) unintentional injury, (c) violence, (d) mental health and substance abuse, (e) reproductive health, and (f) chronic disease. Thus, this chapter synthesizes findings from discrete but related levels of research, as each of these levels represents important determinants of adolescent health.
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Acknowledgments
This research was supported by a grant from the National Institute of Mental Health (5R01 MH070537) to the first author. Additional support was provided by the Emory Center for AIDS Research (P30 AI050409). Jennifer L. Brown was supported by K12 GM000680 from the National Institute of General Medical Sciences.
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DiClemente, R.J., Brown, J.L., Davis, T.L. (2013). Determinants of Health-Related Behaviors in Adolescence. In: O'Donohue, W., Benuto, L., Woodward Tolle, L. (eds) Handbook of Adolescent Health Psychology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6633-8_8
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