PEDIATRICS Vol. 92 No. 1 July 1993, pp. 24-31
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Adolescents' Risky Behavior and Mass Media Use

Jonathan D. Klein MD, MPH1, Jane D. Brown PhD2, Carol Dykers 2, Kim Walsh Childers PhD3, Janice Oliveri MD4, and Carol Porter 5

1 From the Division of Adolescent Medicine, Department of Pediatrics, University of Rochester School of Medicine, Rochester, NY; and Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill
2 From the School of Journalism, University of North Carolina at Chapel Hill
3 From the University of Florida, Gainesville
4 From the School of Medicine, University of North Carolina at Chapel Hill
5 From the Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill

Objective. To understand better the relationship between adolescents' use of the mass media (including television, radio, and magazines) and their risky or unhealthy behaviors.

Design. Secondary data analysis of a 1987 in-home survey of 2760 randomly selected 14- to 16-year-old adolescents in 10 urban areas in the southeastern United States.

Measurement. The extent of participation in eight potentially risky behaviors (sexual intercourse, drinking, smoking cigarettes, smoking marijuana, cheating, stealing, cutting class, and driving a car without permission) and the use of a variety of mass media.

Results. Adolescents who had engaged in more risky behaviors listened to radio and watched music videos and movies on television more frequently than those who had engaged in fewer risky behaviors, regardless of race, gender, or parents' education. White male adolescents who reported engaging in five or more risky behaviors were most likely to name a heavy metal music group as their favorite. Adolescents reported reading a wide diversity of magazines, and most reported reading at least one of a few selected magazines. Sports and music magazines were most likely to be read by adolescents who had engaged in many risky behaviors.

Conclusions. Mass media health promotion efforts could more specifically target adolescents who are engaging in multiple risky behaviors.

Key Words: adolescence • mass media • risk-taking behaviors • health promotion/disease prevention

Submitted on November 4, 1992
Accepted on January 28, 1993




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