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Journal Article

Citation

Wong MD, Strom D, Guerrero LR, Chung PJ, Lopez D, Arellano K, Dudovitz R. Acad. Pediatr. 2017; 17(6): 633-641.

Affiliation

David Geffen School of Medicine at UCLA, Department of Pediatrics, 10833 Le Conte Avenue, Los Angeles, CA 90095, USA.

Copyright

(Copyright © 2017, Academic Pediatric Association, Publisher Elsevier Publishing)

DOI

10.1016/j.acap.2017.04.009

PMID

28434912

Abstract

PURPOSE: We examined whether standardized test scores and grades are related to risky behaviors among low-income minority adolescents and whether social networks and social-emotional factors explained those relationships.

METHODS: We analyzed data from 929 high school students exposed by natural experiment to high- or low-performing academic environments in Los Angeles. We collected information on grade point average (GPA), substance use, sexual behaviors, participation in fights and carrying a weapon from face-to-face interviews and obtained California math and English standardized test (CST) results. Logistic regression and mediation analyses were used to examine the relationship between achievement and risky behaviors.

RESULTS: Better GPA and CST scores were strongly associated with lower rates of substance use, high risk sexual behaviors and fighting. The unadjusted relative odds of monthly binge drinking was 0.72 (95%CI: 0.56-0.93) for 1 standard deviation increase in standardized test scores and 0.46 (0.29-0.74) for GPA of B minus or higher compared to C plus or lower. Most associations disappeared after controlling for social-emotional and social network factors. Averaged across the risky behaviors, mediation analysis revealed social-emotional factors accounted for 33% of the relationship between test scores and risky behaviors and 43% of the relationship between GPA with risky behaviors. Social network characteristics accounted for 31% and 38% of the relationship between behaviors with test scores and GPA, respectively. Demographic factors, parenting and school characteristics were less important explanatory factors.

CONCLUSIONS: Social-emotional factors and social network characteristics were the strongest explanatory factors of the achievement-risky behavior relationship and may be important to understanding the relationship between academic achievement and risky behaviors.

Copyright © 2017. Published by Elsevier Inc.


Language: en

Keywords

adolescent health; educational status; sexual activity; substance abuse; violence

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