TY  - JOUR
PY  - 2016//
TI  - Associations between school difficulties and health-related problems and risky behaviours in early adolescence: a cross-sectional study in middle-school adolescents in France
JO  - Psychiatry research
A1  - Chau, Kénora
A1  - Kabuth, Bernard
A1  - Causin-Brice, Odile
A1  - Delacour, Yves
A1  - Richoux-Picard, Catherine
A1  - Verdin, Monique
A1  - Armand, Isabelle
A1  - Chau, Nearkasen
SP  - 1
EP  - 9
VL  - 244
IS  - 
N2  - Health-related problems and risky behaviours (substance use) are frequent in adolescents, may alter their physical and mental capabilities, and may thus generate school absenteeism, low academic performance, and school dropout ideation. This study assessed their associations and the contribution of socioeconomic factors among 1559 middle-school adolescents (mean age 13.5+1.3) from north-eastern France. They completed a questionnaire including socioeconomic characteristics, health-related problems (poor physical health, psychological health, social relationships, and living environment) assessed with the World Health Organization's quality of life measure (score<25th percentile), risky behaviours, school absences during the present school year, last-trimester academic performance, and school dropout ideation. Data were analysed using logistic regression models. School absenteeism was frequent (12.6% of subjects for 8-14 days, and 6.0% for ≥15 days); 8.2% of subjects had low academic performance (average school-mark <10/20) and 3.9% school dropout ideation. All school difficulties were strongly associated with all health-related problems (gender-age-school-level-adjusted odds ratios gasOR between 1.5 and 4.2), and with risky behaviours (gasOR between 1.4 and 14). Socioeconomic factors differently contributed to these associations (contribution reaching 77%). Policy makers, schools, physicians and parents should be more aware of the problems and help adolescents to reduce health-related problems and risky behaviours and to increase resilience.<br><br>Copyright © 2016 Elsevier Ltd. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-1781
UR  - http://dx.doi.org/10.1016/j.psychres.2016.07.008
ID  - ref1
ER  -