Risk Behaviors in Teens with Chronic Kidney Disease: A Study from the Midwest Pediatric Nephrology Consortium
Introduction. There is a paucity of information about risk behaviors in adolescents with chronic kidney disease (CKD). We designed this study to assess the prevalence of risk behaviors among teens with CKD in the United States and to investigate any associations between risk behavior and patient or...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | International Journal of Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2019/7828406 |
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| author | Nianzhou Xiao Adrienne Stolfi Rossana Malatesta-Muncher Reshma Bholah Amy Kogon Angelica Eddington Deepa Chand Larry A. Greenbaum Coral Hanevold Cheryl L Tran Aftab Chishti Keefe Davis Robyn Matloff Robert Woroniecki Colleen Klosterman Kera Luckritz Abiodun Omoloja |
| author_facet | Nianzhou Xiao Adrienne Stolfi Rossana Malatesta-Muncher Reshma Bholah Amy Kogon Angelica Eddington Deepa Chand Larry A. Greenbaum Coral Hanevold Cheryl L Tran Aftab Chishti Keefe Davis Robyn Matloff Robert Woroniecki Colleen Klosterman Kera Luckritz Abiodun Omoloja |
| author_sort | Nianzhou Xiao |
| collection | DOAJ |
| description | Introduction. There is a paucity of information about risk behaviors in adolescents with chronic kidney disease (CKD). We designed this study to assess the prevalence of risk behaviors among teens with CKD in the United States and to investigate any associations between risk behavior and patient or disease characteristics. Methods. After informed consent, adolescents with CKD completed an anonymous, confidential, electronic web-based questionnaire to measure risk behaviors within five domains: sex, teen driving, alcohol and tobacco consumption, illicit drug use, and depression-related risk behavior. The reference group was composed of age-, gender-, and race-matched US high school students. Results. When compared with controls, teens with CKD showed significantly lower prevalence of risk behaviors, except for similar use of alcohol or illicit substances during sex (22.5% vs. 20.8%, p=0.71), feeling depressed for ≥2 weeks (24.3% vs. 29.1%, p=0.07), and suicide attempt resulting in injury needing medical attention (36.4% vs. 32.5%, p=0.78). Furthermore, the CKD group had low risk perception of cigarettes (28%), alcohol (34%), marijuana (50%), and illicit prescription drug (28%). Use of two or more substances was significantly associated with depression and suicidal attempts (p<0.05) among teens with CKD. Conclusions. Teens with CKD showed significantly lower prevalence of risk behaviors than controls. Certain patient characteristics were associated with increased risk behaviors among the CKD group. These data are somewhat reassuring, but children with CKD still need routine assessment of and counselling about risk behaviors. |
| format | Article |
| id | doaj-art-db626b42f4a94ccd8da42416f872bdec |
| institution | OA Journals |
| issn | 2090-214X 2090-2158 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Nephrology |
| spelling | doaj-art-db626b42f4a94ccd8da42416f872bdec2025-08-20T02:21:17ZengWileyInternational Journal of Nephrology2090-214X2090-21582019-01-01201910.1155/2019/78284067828406Risk Behaviors in Teens with Chronic Kidney Disease: A Study from the Midwest Pediatric Nephrology ConsortiumNianzhou Xiao0Adrienne Stolfi1Rossana Malatesta-Muncher2Reshma Bholah3Amy Kogon4Angelica Eddington5Deepa Chand6Larry A. Greenbaum7Coral Hanevold8Cheryl L Tran9Aftab Chishti10Keefe Davis11Robyn Matloff12Robert Woroniecki13Colleen Klosterman14Kera Luckritz15Abiodun Omoloja16Pediatric Nephrology, Valley Children's Healthcare, Madera, CA, USADepartment of Pediatrics, Wright State University, Dayton, OH, USADivision of Nephrology, Texas Children’s Hospital, Houston, TX, USAPediatric Nephrology, Children's Hospital of Richmond at VCU, Richmond, VA, USADivision of Nephrology, Children’s Hospital of Philadelphia, Philadelphia, PA, USADepartment of Pediatrics, University of Tennessee Health Sciences Center, Memphis, TN, USAAbbVie, Chicago, IL, USADivision of Pediatric Nephrology, Emory University School of Medicine and Children’s Healthcare of Atlanta, Atlanta, GA, USADivision of Nephrology, Seattle Children’s Hospital, Seattle, WA, USADivision of Pediatric Nephrology, Mayo Clinic, Rochester, MN, USADivision of Nephrology Kentucky Children’s Hospital, Lexington, KY, USASt. Louis Children’s Hospital, St. Louis, MO, USADivision of Nephrology, Connecticut Children’s Medical Center, Hartford, CT, USADivision of Nephrology and Hypertension, Stony Brook Children’s Hospital, Stony Brook, NY, USADivision of Nephrology and Hypertension, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USAC.S. Mott Children’s Hospital, Ann Arbor, MI, USADepartment of Pediatrics, Wright State University, Dayton, OH, USAIntroduction. There is a paucity of information about risk behaviors in adolescents with chronic kidney disease (CKD). We designed this study to assess the prevalence of risk behaviors among teens with CKD in the United States and to investigate any associations between risk behavior and patient or disease characteristics. Methods. After informed consent, adolescents with CKD completed an anonymous, confidential, electronic web-based questionnaire to measure risk behaviors within five domains: sex, teen driving, alcohol and tobacco consumption, illicit drug use, and depression-related risk behavior. The reference group was composed of age-, gender-, and race-matched US high school students. Results. When compared with controls, teens with CKD showed significantly lower prevalence of risk behaviors, except for similar use of alcohol or illicit substances during sex (22.5% vs. 20.8%, p=0.71), feeling depressed for ≥2 weeks (24.3% vs. 29.1%, p=0.07), and suicide attempt resulting in injury needing medical attention (36.4% vs. 32.5%, p=0.78). Furthermore, the CKD group had low risk perception of cigarettes (28%), alcohol (34%), marijuana (50%), and illicit prescription drug (28%). Use of two or more substances was significantly associated with depression and suicidal attempts (p<0.05) among teens with CKD. Conclusions. Teens with CKD showed significantly lower prevalence of risk behaviors than controls. Certain patient characteristics were associated with increased risk behaviors among the CKD group. These data are somewhat reassuring, but children with CKD still need routine assessment of and counselling about risk behaviors.http://dx.doi.org/10.1155/2019/7828406 |
| spellingShingle | Nianzhou Xiao Adrienne Stolfi Rossana Malatesta-Muncher Reshma Bholah Amy Kogon Angelica Eddington Deepa Chand Larry A. Greenbaum Coral Hanevold Cheryl L Tran Aftab Chishti Keefe Davis Robyn Matloff Robert Woroniecki Colleen Klosterman Kera Luckritz Abiodun Omoloja Risk Behaviors in Teens with Chronic Kidney Disease: A Study from the Midwest Pediatric Nephrology Consortium International Journal of Nephrology |
| title | Risk Behaviors in Teens with Chronic Kidney Disease: A Study from the Midwest Pediatric Nephrology Consortium |
| title_full | Risk Behaviors in Teens with Chronic Kidney Disease: A Study from the Midwest Pediatric Nephrology Consortium |
| title_fullStr | Risk Behaviors in Teens with Chronic Kidney Disease: A Study from the Midwest Pediatric Nephrology Consortium |
| title_full_unstemmed | Risk Behaviors in Teens with Chronic Kidney Disease: A Study from the Midwest Pediatric Nephrology Consortium |
| title_short | Risk Behaviors in Teens with Chronic Kidney Disease: A Study from the Midwest Pediatric Nephrology Consortium |
| title_sort | risk behaviors in teens with chronic kidney disease a study from the midwest pediatric nephrology consortium |
| url | http://dx.doi.org/10.1155/2019/7828406 |
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