Positive Youth, Healthy Adults: Does Positive Well-being in Adolescence Predict Better Perceived Health and Fewer Risky Health Behaviors in Young Adulthood?

Positive Youth, Healthy Adults: Does Positive Well-being in Adolescence Predict Better Perceived Health and Fewer Risky Health Behaviors in Young Adulthood?
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DOI:
10.1016/j.jadohealth.2011.05.002
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发表时间:
2012-01-01
影响因子:
7.6
通讯作者:
Adam, Emma K.
Adam, Emma K.
中科院分区:
医学2区
文献类型:
--
作者:
Hoyt, Lindsay T.;Chase-Lansdale, P. Lindsay;Adam, Emma K.

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目的:为了研究青少年时期的积极幸福感与成年后的健康结果之间的前瞻性、纵向关联,使用了一个大型的、具有全国代表性的青年样本。根据全国青少年健康纵向研究前三波的数据,我们研究了青少年时期的积极幸福感,(在波I-II上平均)作为感知的年轻成人一般健康和危险健康行为(波III)的预测因子。每个模型包括一整套健康和人口统计学基线协变量。缺失值分配使用多重插补方法(n = 10,147)。结果:积极的幸福感在青春期与报告更好地感知一般健康在年轻的成年期,独立的抑郁症状。积极的幸福感也显着相关的风险较少的健康行为在第三波,增加所有的协变量后,包括抑郁症状和基线风险的健康behaviors.Conclusion:青少年健康的研究很少有研究探讨积极的心理特征,往往侧重于负面情绪状态和认知对健康的影响。这项研究表明,青春期的积极幸福感预示着更好的总体健康状况和更少的危险健康行为。与积极的青年发展观点的目标相一致,在从童年到青春期的过渡期间促进和培养积极的福祉可能是改善长期健康的一个有希望的方法。爱思唯尔公司出版代表青少年健康和医学协会。
Purpose: To examine the prospective, longitudinal associations between positive well-being during adolescence and health outcomes in young adulthood, using a large, nationally representative sample of youth.Methods: On the basis of the data from the first three waves of the National Longitudinal Study of Adolescent Health, we examined positive well-being during adolescence (averaged across Waves I-II) as a predictor of perceived young adult general health and risky health behaviors (Wave III). Each model included a full set of health and demographic baseline covariates. Missing values were assigned using multiple imputation methods (n = 10,147).Results: Positive well-being during adolescence was significantly associated with reporting better perceived general health during young adulthood, independent of depressive symptoms. Positive well-being was also significantly associated with fewer risky health behaviors in Wave III, after adding all covariates, including depressive symptoms and baseline risky health behaviors.Conclusion: Few studies of adolescent health have examined positive psychological characteristics, tending to focus instead on the effect of negative mood states and cognitions on health. This study demonstrates that positive well-being during adolescence predicts better perceived general health and fewer risky health behaviors during young adulthood. Aligned with the goals of the positive youth development perspective, promoting and nurturing positive well-being during the transition from childhood to adolescence may present a promising way to improve long-term health. Published by Elsevier Inc. on behalf of Society for Adolescent Health and Medicine.