Oct 8, 2014 - project possible, including Mary Jane Rotheram-Borus, and our DSMB, Donald Guthrie, Gabrielle Carlson, Mark. Rapaport. References. 1.
NIH Public Access Author Manuscript Prim Health Care. Author manuscript; available in PMC 2014 October 08.
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Published in final edited form as: Prim Health Care. 2014 March 1; 4(1): 152–. doi:10.4172/2167-1079.1000152.
Depression and Health Risk Behaviors: Towards Optimizing Primary Care Service Strategies for Addressing Risk Joan Rosenbaum Asarnow1,*, Luis Roberto Zeledon2, Elizabeth D’Amico3, Anne LaBorde2, Martin Anderson1, Claudia Avina4, Talin Arslanian5, Minh-Chau Do6, Jessica Harwood1, and Steven Shoptaw1 1UCLA
School of Medicine, Los Angeles, California 90095, USA
2Kaiser
Permanente Los Angeles Medical Center, Los Angeles, USA
3RAND,
California, USA
4Harbor-UCLA
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5UC
Medical Center, Torrance, CA 90502, USA
Davis School of Medicine, Sacramento, CA 95817, USA
6San
Diego State/UCSD, San Diego, CA 92182, USA
Abstract Purpose—Depression and health risk behaviors in adolescents are leading causes of preventable morbidity and mortality. Primary care visits provide prime opportunities to screen and provide preventive services addressing risk behaviors/conditions. This study evaluated the co-occurrence of depression and health risk behaviors (focusing on smoking, drug and alcohol misuse, risky sexual behavior, and obesity-risk) with the goal of informing preventive service strategies. Methods—Consecutive primary care patients (n=217), ages 13 to 18 years, selected to oversample for depression, completed a Health Risk Behavior Survey and the Diagnostic Interview Schedule for Children and Adolescents (DISC) depression module.
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Results—Youths with DISC-defined past-year depression were significantly more likely to report risk across multiple risk-areas, Wald X2(1)=14.39, p
