Prevalent chronic diseases across the lifespan such as cardiovascular disease and cancer have their origins in behaviors established during late childhood and adolescence. Likewise, early initiation of using alcohol and other substances and early sexual behaviors may contribute to increased risks for chronic conditions such as HIV and STIs and can lead to teen pregnancy (DiClemente, 1996), as well as adverse social outcomes such as dropping out of school and delinquency. Windle et al (2004) state that """"""""It is widely recognized that health-related behaviors that unfold in adolescence are foreshadowed by children's earlier experiences in the family, school, and community."""""""" Little research has been done to identify and trace these multiple influences during the pre-adolescent period or to examine the importance of racial and ethnic differences in the way these behaviors develop. Healthy Passages (HP) was designed to advance the research literature on child and adolescent health by providing information on a broad range of outcomes and a comprehensive, multilevel set of factors to function as predictors of the occurrence, maintenance, and change of health risk and protective behaviors across time. In addition, HP provides biennial in-depth assessment over ten years (beginning in fifth grade) to provide data needed to characterize the primary influences on adolescent health behaviors and health and educational outcomes. The overarching objective of HP is to provide an empirical basis for effective policies and intervention programs to promote the health and optimal development of adolescents and adults. The study has two major goals. The first goal is the characterization of developmental trajectories and the relative contribution of important multilevel risk and protective factors on health behaviors. The second goal is elucidation of multilevel risk and protective factors that contribute to disparities in health, educational, and social outcomes by race/ethnicity, gender, and socioeconomic status (Levanthal, 2000;Lowry, 1996;Starfield, 2002). HP includes a broad range of determinants and health risk and protective behaviors. By understanding determinants, we are better able to develop interventions related to many of the Healthy People 2010 objectives.

Public Health Relevance

statement: Youth live in a number of different contexts (such as home, school, neighborhood and community) and are influenced by many different individuals (e.g., parents, peers, teachers, and siblings). Healthy Passages is a research study designed to understand the contexts, people and choices made in children's lives that impact their health in adolescence and adulthood.

National Institute of Health (NIH)
National Center for Chronic Disease Prev and Health Promo (NCCDPHP)
Research Program--Cooperative Agreements (U19)
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Special Emphasis Panel (ZDP1-MED (03))
Program Officer
Taylor, Marcia
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University of Texas Health Science Center Houston
Schools of Public Health
United States
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Correnti, Christina M; Klein, David J; Elliott, Marc N et al. (2018) Racial disparities in fifth-grade sun protection: Evidence from the Healthy Passages study. Pediatr Dermatol 35:588-596
Jones, LaRita C; Mrug, Sylvie; Elliott, Marc N et al. (2017) Chronic Physical Health Conditions and Emotional Problems From Early Adolescence Through Midadolescence. Acad Pediatr 17:649-655
Cabral, Patricia; Wallander, Jan L; Song, Anna V et al. (2017) Generational status and social factors predicting initiation of partnered sexual activity among Latino/a youth. Health Psychol 36:169-178
Coker, Tumaini R; Elliott, Marc N; Toomey, Sara L et al. (2016) Racial and Ethnic Disparities in ADHD Diagnosis and Treatment. Pediatrics 138:
Ladapo, Joseph A; Elliott, Marc N; Kanouse, David E et al. (2016) Firearm Ownership and Acquisition Among Parents With Risk Factors for Self-Harm or Other Violence. Acad Pediatr 16:742-749
Toomey, Sara L; Elliott, Marc N; Schwebel, David C et al. (2016) Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care. Acad Pediatr 16:770-776
Fradkin, Chris; Wallander, Jan L; Elliott, Marc N et al. (2015) Associations between socioeconomic status and obesity in diverse, young adolescents: variation across race/ethnicity and gender. Health Psychol 34:1-9
Wiesner, Margit; Windle, Michael; Kanouse, David E et al. (2015) DISC Predictive Scales (DPS): Factor structure and uniform differential item functioning across gender and three racial/ethnic groups for ADHD, conduct disorder, and oppositional defiant disorder symptoms. Psychol Assess 27:1324-36
Coker, Tumaini R; Elliott, Marc N; Schwebel, David C et al. (2015) Media violence exposure and physical aggression in fifth-grade children. Acad Pediatr 15:82-8
Wiesner, Margit; Elliott, Marc N; McLaughlin, Katie A et al. (2015) Common Versus Specific Correlates of Fifth-Grade Conduct Disorder and Oppositional Defiant Disorder Symptoms: Comparison of Three Racial/Ethnic Groups. J Abnorm Child Psychol 43:985-98

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