Factors associated with risk behaviors in adolescence: a systematic review

Ana Beatriz Bozzini, Andreas Bauer, Jessica Maruyama, Ricardo Simões, Alicia Matijasevich

Research output: Contribution to journalArticlepeer-review

40 Citations (SciVal)


OBJECTIVE: Understanding the distal (≤ 6 years of age) and proximal (between 6 years of age and early adolescence) factors in adolescent risk behavior is important for preventing and reducing morbidity and mortality in this population. This study sought to investigate the factors associated with the following adolescent risk behaviors: i) aggressiveness and violence, ii) tobacco, alcohol, and illicit substance use, iii) depressive behavior and self-harm (including suicidal ideation and attempts), iv) sexual risk behavior, and v) multiple risk behavior. METHODS: A systematic review was conducted to identify longitudinal studies that examined factors associated with adolescent risk behaviors. The PubMed, PsycINFO, and LILACS databases were searched. RESULTS: Of the 249 included studies, 23% reported distal risk factors, while the remaining reported proximal risk factors. Risk factors were related to sociodemographic characteristics (neighborhood, school, and peers), family patterns, and the presence of other adolescent risk behaviors. CONCLUSION: Distal and proximal factors in adolescent risk behavior that are not exclusively socioeconomic, familial, environmental, or social should be explored more thoroughly.

Original languageEnglish
Pages (from-to)210-221
Number of pages12
JournalRevista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)
Issue number2
Publication statusPublished - 30 Apr 2021

ASJC Scopus subject areas

  • Psychiatry and Mental health


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