risk behaviors in adolescents with chronic diseases

Conditions: Chronic Disease; Somatic Disorders

Summary: little is known about the prevalence of risk behaviors (rbs), in adolescents living with a chronic condition (cc) objectives main objective: to characterize the engagement of adolescents with somatic cc recognized as ald (scc-ald) into rbs, compared to the french gp secondary objectives * to identify factors associated with rbs in adolescents with somatic cc-ald * to elicit strategies of preventive action of rbs in adolescents with somatic cc-ald methods multicenter, cross-sectional survey , based on a mixed qualitative-quantitative approach with an explanatory sequential design (2 consecutive steps): step 1 : quantitative component * n expected =500 * inclusion criteria : 14 to 18 years, with a scc-ald,without cognitive impairment and/or psychiatric disease * pseudonymised self-administered paper questionnaire (50 items) completed by eligible adolescents during a visit at referring hospital * statistical analysis : comparative to the french gp: matching with two datasets (enclass-hbsc 2022 and portraits d'adolescents 2013 surveys); identification of risk factors and risk subgroups step 2 : qualitative component: focus groups of adolescents with somatic cc-ald (5 focus groups of 6-8 adolescents, conducted by a researcher in shs) perspectives carmac will : * provide a better understanding of rbs in adolescents with severe somatic cc and * help develop strategies to prevent rbs to enhance the strategies of reducing the addictions to psychoactive substances and health inequalities in this population * serve as a methodological model for future studies

little is known about the prevalence of risk behaviors (rbs), in adolescents living with a chronic condition (cc) objectives main objective: to characterize the engagement of adolescents with somatic cc recognized as ald (scc-ald) into rbs, compared to the french gp secondary objectives * to identify factors associated with rbs in adolescents with somatic cc-ald * to elicit strategies of preventive action of rbs in adolescents with somatic cc-ald methods multicenter, cross-sectional survey , based on a mixed qualitative-quantitative approach with an explanatory sequential design (2 consecutive steps) step 1 : quantitative component * n expected =500 * inclusion criteria : 14 to 18 years, with a scc-ald,without cognitive impairment and/or psychiatric disease * pseudonymised self-administered paper questionnaire (50 items) completed by eligible adolescents during a visit at referring hospital * statistical analysis : comparative to the french gp: matching with two datasets (enclass-hbsc 2022 and portraits d'adolescents 2013 surveys); identification of risk factors and risk subgroups step 2 : qualitative component: focus groups of adolescents with somatic cc-ald (5 focus groups of 6-8 adolescents, conducted by a researcher in shs) perspectives carmac will : * provide a better understanding of rbs in adolescents with severe somatic cc and * help develop strategies to prevent rbs to enhance the strategies of reducing the addictions to psychoactive substances and health inequalities in this population * serve as a methodological model for future studies

Eligibility criteria:
inclusion criteria: * 14 to 18 years, living with a somatic chronic condition, recognized as an ald (long duration disease) exclusion criteria: * cognitive impairment and/or psychiatric disease