Ergenlerde riskli davranışlar Çağrılı Editör
Yıl 2009,
Cilt: 44 Sayı: 1, 1 - 6, 01.03.2009
Müjgan Alikaş
Oya Ercan
Öz
Son 20 30 yıl içinde ergenlerin riskli davranışları ile ilgili bilgiler önemli ölçüde artmıştır Madde kullanımı şiddet davranışları ve cinsellikle ilişkili riskli davranışlar ergenlerin sağlığını ve iyilik halini doğrudan ya da dolaylı olarak etkileyen davranışlardır Araştırmalar riskli davranışlara yol açan çok sayıda risk etkenleri olduğunu ve riskli davranışların çok sayıda olumsuz sonuçlara yol açtığını göstermiştir Ancak riskli davranışlarla olumsuz sonuçlarla karşılaşma arasındaki ilişkinin ve risk etkenlerine maruz kalma ile riskli davranışlar gösterme arasındaki ilişkinin oldukça değişken olduğu da saptanmıştır Bu sonuçlar araştırmacıları koruyucu etkenleri saptamaya ve dayanıklılık alanını araştırmaya itmiştir Son yıllarda yapılan araştırmalar önleme programlarının izlediği yolun risk azaltmadan sağlıklı genç gelişimine kaymasına da yol açmıştır Sağlıklı genç gelişimi programları tüm gençlere nbsp; başarılı ve yeterli bir erişkin olabilmeleri için gereken desteği ilişkileri deneyimleri kaynakları ve olanakları sağlamayı hedefleyen ve ergenlerde görülen riskli davranışları önleme ve azaltma konusunda ümit verici olan programlardır Bu makalede riskli davranışlar onlarla ilişkili risk etkenleri ve koruyucu etkenler ve sağlıklı genç gelişimi programları ile ilgili var olan bilgileri gözden geçirecek ve her birinin tanımını yapmaya çalışacağız Türk Ped Arş 2009; 44: 1 6 Anahtar kelimeler: Ergen koruyucu etmenler riskli davranışlar risk etmenleri sağlıklı genç gelişimi
Kaynakça
- Catalano RF, Hawkins JD, Berglund ML, Pollard JD, Arthur MW. Prevention science and positive youth development: Competitive or cooperative frameworks? J Adolesc Health 2002; 31: 230-9.
- Burt MR. Reasons to invest in adolescents. J Adolesc Health
- Bernat DH, Resnick MD. Healthy youth development. science and strategies. J Public Health Manag Pract (Suppl) 2006; 10-6.
- Morris RE. High risk and out of control behavior . In: Neinstein LS (ed). Adolescent Health Care. 4th ed. Philadelphia: Lippincott Williams&Wilkins, 2002: 1402-16.
- Jessor R. New perspectives on adolescent risk behavior. In: Jessor R ed. New Persspectives on Adolescent Risk Behavior. Cambridge: Cambridge University Pres, 1998:1-10
- Alikaşifoğlu M, Erginöz E, Ercan O, Uysal Ö, Albayrak KD. Bullying behaviours and psychosocial health: results from a cross-sectional survey among high school students in Istanbul, Turkey. Eur J Pediatr 2007; 166:1253-60.
- Alikaşifoğlu M, Erginöz E, Ercan O, Uysal Ö, Albayrak KD, İlter Ö. Violent behaviour among Turkish high school students and correlates of physical fighting . Eur J Public Health 2004; 14: 173-7.
- Alikaşifoğlu M, Erginöz E, Ercan O, Uysal O, Albayrak DK, İlter O. Alcohol drinking behaviors among Turkish high school students. Turk J Pediatr. 2004;46: 44-53.
- Alikaşifoğlu M, Erginöz E, Ercan O, Uysal Ö, Albayrak DK, İlter Ö. Cigarette smoking among Turkish high school students. J Adolesc Health 2002; 30: 7-8.
- O’Connor TG, Rutter M. Risk mechanisms in development: so- me conceptual and methodological considerations. Dev Psychol 1996; 32: 787-95.
- Blum RW. Healthy youth development as a model for youth he- alth promotion. J Adolesc Health 1998; 22: 368-75.
- Fergus S, Zimmerman MA. Adolescent resilience: a framework for understanding healthy development in the face of risk. An- nu Rev Public Health 2005; 26: 339-419.
- Siqueira LM, Diaz A. Fostering resilience in adolescent females. Mt Sinai J Med 2004; 71: 148-54.
- Werner EE. Overcoming the odds. J Dev Behav Pediatr 1994; 15: 131-6.
- Resnick MD, Ireland M, Borowsky I. Youth violence perpetration: what protects? What predicts? Findings from the National Longitudinal Study of Adolescent Health. J Adolesc Health 2004; 35: 424.
- Anteghini M, Fonseca H, Ireland M, Blum RW. Health risk behaviors and associated risk and protective factors among Brazilian adolescents in Santos, Brazil. J Adolesc Health 2001; 28: 295-302.
- Lammers C, Ireland M, Resnick M, Blum R. Influences on adolescents’ decision to postpone onset of sexual intercourse: a survival analysis of virginity among youths aged 13 to 18 years. J Adolesc Health 2000; 26: 42-8.
- Magnani RJ, Karim AM, Weiss LA, et al. Reproductive health risk and protective factors among youth in Lusaka, Zambia. J Adolesc Health 2002; 30: 76-86.
- Resnick MD, Bearman PS, Blum RW, et al. Protecting adolescent from harm. JAMA 1997; 278: 823-32.
- Farrell AD, White KS. Peer influences and drug use among urban adolescents: family structure and parent adolescent relationship as protective factors. J Consult Clin Psychol 1998; 66: 248-58.
- Brook JS, Brook DW, De La Rosa M, Whiteman M, Montoya ID. The role of parents in protecting Colombian adolescents from delinquency and marijuana use. Arch Pediatr Adolesc Med 1999; 153: 457-64.
- Duncan SC, Duncan TE, Strycker LA. Risk and protective factors influencing adolescent problem behavior: a multivariate latent growth curve analysis. Ann Behav Med 2000; 22: 103-9.
- Duncan P, Dixon RR, Carlson J. Childhood and adolescent sexuality. Pediatr Clin N Am 2003; 50: 765- 80.
- Brown RT. Adolescent sexuality at the dawn of the 21st century. Adolesc Med 2000; 11: 19-34.
- Villarruel AM, Jermott JB, Jermott LS, Ronis DL. Predictors of sexual intercourse and condom use intentions among Spanish- dominant latino youth. Nurs Res 2004; 53: 172-81.
- Bachanas PJ, Morris MK, Lewis-Gess JK, et al. Predictors of risky sexual behavior in African American adolescent girls: implications for prevention interventions. J Pediatr Psychol 2002; 27: 519-30.
- Paul C, Fitzjohn J, Herbison P, Dickson N. The determinants of sexual intercourse before age 16. J Adolesc Health 2000; 27: 136-47.
- Santelli JS, Kaiser J, Hirsch L, et al. Initiation of sexual intercourse among middle school adolescents: the influence of psychosocial factors. J Adolesc Health 2004; 34: 200-8.
- Rai AA, Stanton B, Wu Y, et al. Relative influences of perceived parental monitoring and perceived peer involvement on adolescent risk behaviors: an analysis of six cross sectional data sets. J Adolesc Health 2003; 33: 108-18.
- Comerci GD, Schwebel R. Substance abuse: an overview. Adolesc Med 2000; 11: 79-101.
- Greydanus DE, Patel DR. Substance abuse in adolescents: a complex conundrum for the clinician. Pediatr Clin N Am 2003; 50: 1179-223.
- Griffin KW, Botvin GJ, Scheier LM, Epstein JA, Doyle MM. Personal competence skills, distress, and well-being as determinants of substance use in a predominantly minority urban adolescent sample. Prev Sci 2002; 3: 23-33.
- Brook JS, Brook DW, De La Rosa M, et al. Adolescent illegal drug use: the impact of personality, family, and environmental factors. J Behav Med 2001; 24: 183-203.
- Jackson C. Perceived legitimacy of parental authority and tobacco and alcohol use during early adolescence. J Adolesc Health 2002; 31: 425-32.
- Zambon A, Lemma P, Borraccino A, Dalmasso P, Cavallo F. Socio-economic position and adolescents’ health in Italy: the role of the quality of social relation. Eur J Public Health 2006; 16: 627-32.
- Cohen DA, Richardson J, LaBree L. Parenting behaviors and the onset of smoking and alcohol use: a longitudinal study. Pediatrics 1994; 94: 368-75.
- Fleming CB, Kim H, Harachi TW, Catalano RF. Family processes for children in early elementary school as predictors of smoking initiation. J Adolesc Health 2002; 30: 184-9.
- Pratt HD, Greydanus DE. Violence: concepts of its impact on children and youth. Pediatr Clin N Am 2003; 50: 963-1003.
- Krug EG, Dahlberg LL, Merch JA, Zwi AB, Lozano R. World report on violence and health. Geneva (Switzerland): World Health Organization (WHO); 2002: 1-44.
- Ercan O, Baltas Z, Tuzun U, Alikasifoglu M. What more do we need to know for a world without violence? Int J Adolesc Med Health 2007; 19: 375-82.
- Loeber R, Hay D. Key issues in the development of aggression and violence from childhood to early adulthood. Ann Rev Psichol 1997; 48: 371-410.
- DiNapoli PP. Adolescent violent behavior and ego development. J Adolesc Health 2002; 31: 447-8.
- Silver ME, Field TM, Sanders CE, Diego M. Angry adolescents who worry about becoming violent. Adolescence 2000; 35: 663-9.
- Pratt HD, Greydanus DE. Adolescent violence: concept for a new millennium. Adolesc Med 2000; 11: 103-25.
- Calhoun AD, Jones FC. Theoritical frameworks: developmental psychopathology, the public health approach to violence, and the cycle of violence. Pediatr Clin N Am 1998; 45: 281- 91.
- Yudofsky SC, Silver JM, Jackson W, Endicott J, Williams D. The overt aggression scale for the objective rating of verbal and physical aggression. Am J Psychiatry 1986;143: 35- 9.
- Carrion VG, Steiner H. Trauma and dissociation in delinquent adolescents. J Am Acad Child Adolesc Psychiatry 2000; 39: 353-9.
- Lewis DO, Yeager C. Conduct Disorder. In: Lewis M (ed). Child & Adolescent Psychiatry. Philadelphia: Lippincott Williams& Wilkins, 2002: 670-81.
- Cantor J. Media violence. J Adolesc Health 2000; 27S(2): 30-4.
- Sargent JD, Heatherton TF, Ahrens B. Adolescent exposure to extremely violent movies. J Adolesc Health 2002; 31: 449-54.
- Villani S. Impact of media on children and adolescents: a 10-ye- ar review of the research. J Am Acad Child Adolesc Psychiatry
- Nansel TR, Overpeck M, Pilla RS, et al. Bullying behaviors among US youth: prevalence and association with psychosocial adjustment. JAMA 2001; 285: 2094-100.
- Wolke D, Woods S, Bloomfield L, Karstadt I. Bullying involvement in primary school and common mental health problems. Arch Dis Child 2001; 85: 197-207.
- Madan A, Beech DJ, Flint L. Drugs, guns, and kids: the association between substance use and injury caused by interpersonal violence. J Pediatr Surg 2001; 36: 440-2.
- Rappaport N, Thomas C. Recent research findings on aggressive and violent behavior in youth: implications for clinical assessment and intervention. J Adolesc Health 2004; 35: 260-77.
- Wakschlag LS, Lahey BB, Loeber R, et al. Maternal smoking during pregnancy and the risk of conduct disorder in boys. Arch Gen Psychiatry 1997; 54: 670-6.
- Brennan PA, Grekin ER, Mednick SA, et al. Maternal smoking during pregnancy and adult male criminal outcomes. Arch Gen Psychiatry 1999; 56: 215-9.
- Maughan B, Taylor A, Caspi A, et al. Prenatal smoking and early childhood conduct problems. Arch Gen Psychiatry 2004; 61: 836-43.
- Wasserman GA, Staghezzo-Jaramillo B, Shrout P, et al. The effect of lead exposure on behavior problems in preschool children. Am J Public Health 1998; 88:481-6.
- Sood B, Black-Delaney V, Covington C, et al. Prenatal alcohol exposure and childhood behavior at age 6 to 7 years: I. Dose-response effects. Pediatrics 2001; 108: E34.
- Steiner H, Redlick A. Child psychiatry and the juvenil court. In: Lewis M (ed). Child&Adolescent Psychiatry. Philadelphia: Lippincott Williams&Wilkins, 2002: 1417- 25.
- Fergusson DM, Horwood LJ. Exposure to interparental violence in childhood and psychosocial adjustment in young adulthood. Child Abuse Neglect 1998; 22: 339-57.
- McFarlen JM, Groff JT, O’Brien JA, Watson K. Behaviors of children who are exposed and not exposed to intimate partner violence: an analysis of 330 black, white, and hispanic children. Pediatrics 2003; 112: e202-7.
- Daane DM. Child and adolescent violence. Orthop Nurs 2003; 22: 23-9.
- Olweus D. Bullying at school: basic facts and effects of a school based intervention program. J Child Psychol Psychiatry 1994; 35: 1171-90.
- Salmivalli C. Participant role approach to school bullying: implication for interventions. J Adolesc 1999; 22: 453-549.
- Stevens V, De Bourdeaudhuj I, Van Oost P. Bullying in Flemish schools: an evaluation of anti-bullying intervention in primary and secondary schools. Br J Educ Psychol 2000; 70: 195-210.
- World Health Organization. Basic Documents. 41st ed. WHO, Geneva, 1996.
- Hawkins JD, Catalano F. Broadening the vision of education: schools as health promoting environments. J Sch Health 1990; 60: 178-81.
Risky behaviors in adolescents Invited Editor
Yıl 2009,
Cilt: 44 Sayı: 1, 1 - 6, 01.03.2009
Müjgan Alikaş
Oya Ercan
Öz
Knowledge about adolescent risk behavior has expanded in the past several decades Risk behaviors such as substance use violent behavior and sexual risk behavior are behaviors that can directly or indirectly compromise well being and nbsp; health of young people Studies showed that there are many risk factors leading to engage in risk behaviors Studies also showed that risk behaviors can result in many negative outcomes or adverse consequences However there is great heterogeneity in the linkage between involvement in risk behaviors and the likelihood of adverse outcomes and nbsp; nbsp; there is also great heterogeneity in the linkage between exposure to risk factors and the likelihood of involvement in risk behaviors as well These facts lead the researchers to focus on the identification and assessment of protective factors and the concept of resilliency Researches over the past decade also lead to changing of intervention programme strategies nbsp; from risk reduction to healthy youth development These strategies aim to provide all youth with the support relationship experiences resources and opportunities needed to become successful and competent adults They are promising approaches for preventing or reducing a wide range of adolescent health risk behaviors In this article we briefly review what we know about nbsp; risk behaviors nbsp; their risk and protective factors and healthy youth development and provide definitions of each of these concepts Turk Arch Ped 2009; 44: 1 6 Key words: Adolescents health risk behaviors healthy youth development protective factors risk factors
Kaynakça
- Catalano RF, Hawkins JD, Berglund ML, Pollard JD, Arthur MW. Prevention science and positive youth development: Competitive or cooperative frameworks? J Adolesc Health 2002; 31: 230-9.
- Burt MR. Reasons to invest in adolescents. J Adolesc Health
- Bernat DH, Resnick MD. Healthy youth development. science and strategies. J Public Health Manag Pract (Suppl) 2006; 10-6.
- Morris RE. High risk and out of control behavior . In: Neinstein LS (ed). Adolescent Health Care. 4th ed. Philadelphia: Lippincott Williams&Wilkins, 2002: 1402-16.
- Jessor R. New perspectives on adolescent risk behavior. In: Jessor R ed. New Persspectives on Adolescent Risk Behavior. Cambridge: Cambridge University Pres, 1998:1-10
- Alikaşifoğlu M, Erginöz E, Ercan O, Uysal Ö, Albayrak KD. Bullying behaviours and psychosocial health: results from a cross-sectional survey among high school students in Istanbul, Turkey. Eur J Pediatr 2007; 166:1253-60.
- Alikaşifoğlu M, Erginöz E, Ercan O, Uysal Ö, Albayrak KD, İlter Ö. Violent behaviour among Turkish high school students and correlates of physical fighting . Eur J Public Health 2004; 14: 173-7.
- Alikaşifoğlu M, Erginöz E, Ercan O, Uysal O, Albayrak DK, İlter O. Alcohol drinking behaviors among Turkish high school students. Turk J Pediatr. 2004;46: 44-53.
- Alikaşifoğlu M, Erginöz E, Ercan O, Uysal Ö, Albayrak DK, İlter Ö. Cigarette smoking among Turkish high school students. J Adolesc Health 2002; 30: 7-8.
- O’Connor TG, Rutter M. Risk mechanisms in development: so- me conceptual and methodological considerations. Dev Psychol 1996; 32: 787-95.
- Blum RW. Healthy youth development as a model for youth he- alth promotion. J Adolesc Health 1998; 22: 368-75.
- Fergus S, Zimmerman MA. Adolescent resilience: a framework for understanding healthy development in the face of risk. An- nu Rev Public Health 2005; 26: 339-419.
- Siqueira LM, Diaz A. Fostering resilience in adolescent females. Mt Sinai J Med 2004; 71: 148-54.
- Werner EE. Overcoming the odds. J Dev Behav Pediatr 1994; 15: 131-6.
- Resnick MD, Ireland M, Borowsky I. Youth violence perpetration: what protects? What predicts? Findings from the National Longitudinal Study of Adolescent Health. J Adolesc Health 2004; 35: 424.
- Anteghini M, Fonseca H, Ireland M, Blum RW. Health risk behaviors and associated risk and protective factors among Brazilian adolescents in Santos, Brazil. J Adolesc Health 2001; 28: 295-302.
- Lammers C, Ireland M, Resnick M, Blum R. Influences on adolescents’ decision to postpone onset of sexual intercourse: a survival analysis of virginity among youths aged 13 to 18 years. J Adolesc Health 2000; 26: 42-8.
- Magnani RJ, Karim AM, Weiss LA, et al. Reproductive health risk and protective factors among youth in Lusaka, Zambia. J Adolesc Health 2002; 30: 76-86.
- Resnick MD, Bearman PS, Blum RW, et al. Protecting adolescent from harm. JAMA 1997; 278: 823-32.
- Farrell AD, White KS. Peer influences and drug use among urban adolescents: family structure and parent adolescent relationship as protective factors. J Consult Clin Psychol 1998; 66: 248-58.
- Brook JS, Brook DW, De La Rosa M, Whiteman M, Montoya ID. The role of parents in protecting Colombian adolescents from delinquency and marijuana use. Arch Pediatr Adolesc Med 1999; 153: 457-64.
- Duncan SC, Duncan TE, Strycker LA. Risk and protective factors influencing adolescent problem behavior: a multivariate latent growth curve analysis. Ann Behav Med 2000; 22: 103-9.
- Duncan P, Dixon RR, Carlson J. Childhood and adolescent sexuality. Pediatr Clin N Am 2003; 50: 765- 80.
- Brown RT. Adolescent sexuality at the dawn of the 21st century. Adolesc Med 2000; 11: 19-34.
- Villarruel AM, Jermott JB, Jermott LS, Ronis DL. Predictors of sexual intercourse and condom use intentions among Spanish- dominant latino youth. Nurs Res 2004; 53: 172-81.
- Bachanas PJ, Morris MK, Lewis-Gess JK, et al. Predictors of risky sexual behavior in African American adolescent girls: implications for prevention interventions. J Pediatr Psychol 2002; 27: 519-30.
- Paul C, Fitzjohn J, Herbison P, Dickson N. The determinants of sexual intercourse before age 16. J Adolesc Health 2000; 27: 136-47.
- Santelli JS, Kaiser J, Hirsch L, et al. Initiation of sexual intercourse among middle school adolescents: the influence of psychosocial factors. J Adolesc Health 2004; 34: 200-8.
- Rai AA, Stanton B, Wu Y, et al. Relative influences of perceived parental monitoring and perceived peer involvement on adolescent risk behaviors: an analysis of six cross sectional data sets. J Adolesc Health 2003; 33: 108-18.
- Comerci GD, Schwebel R. Substance abuse: an overview. Adolesc Med 2000; 11: 79-101.
- Greydanus DE, Patel DR. Substance abuse in adolescents: a complex conundrum for the clinician. Pediatr Clin N Am 2003; 50: 1179-223.
- Griffin KW, Botvin GJ, Scheier LM, Epstein JA, Doyle MM. Personal competence skills, distress, and well-being as determinants of substance use in a predominantly minority urban adolescent sample. Prev Sci 2002; 3: 23-33.
- Brook JS, Brook DW, De La Rosa M, et al. Adolescent illegal drug use: the impact of personality, family, and environmental factors. J Behav Med 2001; 24: 183-203.
- Jackson C. Perceived legitimacy of parental authority and tobacco and alcohol use during early adolescence. J Adolesc Health 2002; 31: 425-32.
- Zambon A, Lemma P, Borraccino A, Dalmasso P, Cavallo F. Socio-economic position and adolescents’ health in Italy: the role of the quality of social relation. Eur J Public Health 2006; 16: 627-32.
- Cohen DA, Richardson J, LaBree L. Parenting behaviors and the onset of smoking and alcohol use: a longitudinal study. Pediatrics 1994; 94: 368-75.
- Fleming CB, Kim H, Harachi TW, Catalano RF. Family processes for children in early elementary school as predictors of smoking initiation. J Adolesc Health 2002; 30: 184-9.
- Pratt HD, Greydanus DE. Violence: concepts of its impact on children and youth. Pediatr Clin N Am 2003; 50: 963-1003.
- Krug EG, Dahlberg LL, Merch JA, Zwi AB, Lozano R. World report on violence and health. Geneva (Switzerland): World Health Organization (WHO); 2002: 1-44.
- Ercan O, Baltas Z, Tuzun U, Alikasifoglu M. What more do we need to know for a world without violence? Int J Adolesc Med Health 2007; 19: 375-82.
- Loeber R, Hay D. Key issues in the development of aggression and violence from childhood to early adulthood. Ann Rev Psichol 1997; 48: 371-410.
- DiNapoli PP. Adolescent violent behavior and ego development. J Adolesc Health 2002; 31: 447-8.
- Silver ME, Field TM, Sanders CE, Diego M. Angry adolescents who worry about becoming violent. Adolescence 2000; 35: 663-9.
- Pratt HD, Greydanus DE. Adolescent violence: concept for a new millennium. Adolesc Med 2000; 11: 103-25.
- Calhoun AD, Jones FC. Theoritical frameworks: developmental psychopathology, the public health approach to violence, and the cycle of violence. Pediatr Clin N Am 1998; 45: 281- 91.
- Yudofsky SC, Silver JM, Jackson W, Endicott J, Williams D. The overt aggression scale for the objective rating of verbal and physical aggression. Am J Psychiatry 1986;143: 35- 9.
- Carrion VG, Steiner H. Trauma and dissociation in delinquent adolescents. J Am Acad Child Adolesc Psychiatry 2000; 39: 353-9.
- Lewis DO, Yeager C. Conduct Disorder. In: Lewis M (ed). Child & Adolescent Psychiatry. Philadelphia: Lippincott Williams& Wilkins, 2002: 670-81.
- Cantor J. Media violence. J Adolesc Health 2000; 27S(2): 30-4.
- Sargent JD, Heatherton TF, Ahrens B. Adolescent exposure to extremely violent movies. J Adolesc Health 2002; 31: 449-54.
- Villani S. Impact of media on children and adolescents: a 10-ye- ar review of the research. J Am Acad Child Adolesc Psychiatry
- Nansel TR, Overpeck M, Pilla RS, et al. Bullying behaviors among US youth: prevalence and association with psychosocial adjustment. JAMA 2001; 285: 2094-100.
- Wolke D, Woods S, Bloomfield L, Karstadt I. Bullying involvement in primary school and common mental health problems. Arch Dis Child 2001; 85: 197-207.
- Madan A, Beech DJ, Flint L. Drugs, guns, and kids: the association between substance use and injury caused by interpersonal violence. J Pediatr Surg 2001; 36: 440-2.
- Rappaport N, Thomas C. Recent research findings on aggressive and violent behavior in youth: implications for clinical assessment and intervention. J Adolesc Health 2004; 35: 260-77.
- Wakschlag LS, Lahey BB, Loeber R, et al. Maternal smoking during pregnancy and the risk of conduct disorder in boys. Arch Gen Psychiatry 1997; 54: 670-6.
- Brennan PA, Grekin ER, Mednick SA, et al. Maternal smoking during pregnancy and adult male criminal outcomes. Arch Gen Psychiatry 1999; 56: 215-9.
- Maughan B, Taylor A, Caspi A, et al. Prenatal smoking and early childhood conduct problems. Arch Gen Psychiatry 2004; 61: 836-43.
- Wasserman GA, Staghezzo-Jaramillo B, Shrout P, et al. The effect of lead exposure on behavior problems in preschool children. Am J Public Health 1998; 88:481-6.
- Sood B, Black-Delaney V, Covington C, et al. Prenatal alcohol exposure and childhood behavior at age 6 to 7 years: I. Dose-response effects. Pediatrics 2001; 108: E34.
- Steiner H, Redlick A. Child psychiatry and the juvenil court. In: Lewis M (ed). Child&Adolescent Psychiatry. Philadelphia: Lippincott Williams&Wilkins, 2002: 1417- 25.
- Fergusson DM, Horwood LJ. Exposure to interparental violence in childhood and psychosocial adjustment in young adulthood. Child Abuse Neglect 1998; 22: 339-57.
- McFarlen JM, Groff JT, O’Brien JA, Watson K. Behaviors of children who are exposed and not exposed to intimate partner violence: an analysis of 330 black, white, and hispanic children. Pediatrics 2003; 112: e202-7.
- Daane DM. Child and adolescent violence. Orthop Nurs 2003; 22: 23-9.
- Olweus D. Bullying at school: basic facts and effects of a school based intervention program. J Child Psychol Psychiatry 1994; 35: 1171-90.
- Salmivalli C. Participant role approach to school bullying: implication for interventions. J Adolesc 1999; 22: 453-549.
- Stevens V, De Bourdeaudhuj I, Van Oost P. Bullying in Flemish schools: an evaluation of anti-bullying intervention in primary and secondary schools. Br J Educ Psychol 2000; 70: 195-210.
- World Health Organization. Basic Documents. 41st ed. WHO, Geneva, 1996.
- Hawkins JD, Catalano F. Broadening the vision of education: schools as health promoting environments. J Sch Health 1990; 60: 178-81.