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Background

School is the first social institution which affects adolescents’ lives, and it determines their opportunities, life quality and behavior. Thus, the aim of this study was to determine the relationship between students’ bonds with their school and multiple health risk behaviors amongst high school students in Kerman City, Iran.

Methods

In this cross-sectional study, high school students of all levels participated during November and December 2001 in Kerman. The research sample included 1024 students (588 females and 436 males) aged 15 to 19 years. A CTC (Communities That Care Youth Survey) questionnaire was designed based ona standard questionnaire in order to collect a profile of students’ risk behaviors. A multi-stage cluster sampling method was used to collect the data.

Results

In the final multivariate logistic regression, two variables including; age, (ORa=1.15, P=0.02) and male gender (ORa=2.14, P=0.001) had a significant positive association with multiple health risk behaviors (MHRB). School commitment (ORa=0.38, P=0.001) and school rewards for involvement (ORa=0.80, P=0.21), had a significant negative association with MHRB.

Conclusion

Our results quantified the pivotal role of schools in shaping the risky behavior of students. It seems that school may minimize the risky behaviors by creating a strong link, and improving the effective communications with students.

Keywords: Students’ bonding, Health risk behaviors, High school students

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Introduction

Adolescence is one of the most important and vital stage in life, whenone’s healthy behavior, attitude and lifestyle is formed (1). Adolescents and young adults are often faced with dramatic changes in their social conditions which can develop rapidly, and have a profound effect on their health. The uniqueness of this developmental period and the emergence of problematic behaviors, as well as the importance of adolescent social health and development, are significant issues in the study of health behaviors (2, 3).

The concept of health-risk behavior can be defined as; any activity undertaken by people with a frequency or intensity that increases their risk of disease or injury such as; substance abuse, risky driving, violence or suicidal tendencies, and anti social behavior (3, 4). There is evidence that health risk behaviors tend to cluster together with similar risk factors, underlying many different risk behaviors (5–7). Nowadays, the prevalence of multiple adolescent risky behaviors has become one of the most important concerns of our society. Despite many countermeasures against these risky behaviors in the last few years, but they are still increasing in Iran (7, 8).

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WHAT WAS ** DÛÁL ẞYẞTEM ØF GOVERNMENT ** ?? WHAT WAS THE CONSEQUENCE OF THIS TYPE OF GOVERNMENT ???