MULTILEVEL ANALYSIS OF HEALTH RISK BEHAVIOUR IN CZECH TEENAGERS

  • Jana Spilková Charles University in Prague, Faculty of Science, Department of Social Geography and Regional Development, Czechia
  • Hynek Pikhart University College London, Department of Epidemiology and Public Health, United Kingdom
  • Dagmar Dzúrová Charles University in Prague, Faculty of Science, Department of Social Geography and Regional Development, Czechia
Keywords: health risk behaviour, teenagers, family and individual factors, school environment, municipality characteristics

Abstract

The health risk behaviour (HRB) of teenagers, especially substance abuse, is one of the most serious problems of today’s public health arena. The aim of this paper is to assess the extent of the multiple health-risk behaviours within the teenage population and to analyse the role of the individual and family structure as well as educational and geographic factors in the combination of their risk behaviours (frequency of smoking, alcohol intoxication and lifetime cannabis use). The data for this paper come from an on-line survey among  elementary school students in 19 selected schools in Prague and 18 other elementary schools throughout Czechia. Family composition and relationship with the adolescent’s mother were confirmed as significant variables associated with risk behaviours. Adolescents coming from two-parental families had a significantly  lower prevalence rate of all three HRB than students living with only one parent or in zero-parent families.  Respondents who declared the highest satisfaction with the relationship with their mother had the lowest  prevalence of all three HRB characteristics. Regarding leisure time activities, going out with friends clearly  increased the risk of HRB, and having specific hobbies reduced the risk of HRB’s. The strongest association  revealed was the one between the co-occurrence of health risk behaviours and going out with friends. Significant associations with the aggregate municipality characteristics were confirmed only in the case of  marijuana use. It is thus mainly the family and peer domain where the prevention and health policies have to  focus.

Published
2015-06-20
How to Cite
Spilková, J., Pikhart, H., & Dzúrová, D. (2015). MULTILEVEL ANALYSIS OF HEALTH RISK BEHAVIOUR IN CZECH TEENAGERS. AUC Geographica, 50(1), 91-100. https://doi.org/10.14712/23361980.2015.89
Section
Original Articles