High-Risk Behavior: Impacts on the Health and Wellness of Young People

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 31 March 2026 | Viewed by 276

Special Issue Editor


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Guest Editor
Department of Public and Community Health, School of Public Health, University of West Attica, 11146 Athens, Greece
Interests: public health; health promotion; preventive medicine; adolescent health; adolescent health services; youth health; youth-friendly services; psychosocial health; sexual health; eating disorders; overweight and obesity internet addiction; bullying; cyberbullying; academic students’ health; well-being and positive youth development
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Special Issue Information

Dear Colleagues,

According to the United Nations, young people accounted for 33% of the global population in 2020, making them the largest demographic across the globe. As young people are increasingly demanding more just, equitable, and progressive opportunities and solutions from their societies, the need to address the multifaceted challenges faced by young people (such as access to education, health, and employment and gender equality) has become more pressing than ever. Adolescence (ages 10 to 18) is a critical transitional period that includes the biological changes of puberty and developmental tasks such as identity exploration and the accomplishment of independency. On the other hand, young adults (ages 19 to 25) are expected to take on adult responsibilities and obligations, so they have to face significant educational, social, and economic challenges.

Although adolescence and young adulthood are generally healthy times of life, some important health and social problems either start or peak during these years. The behavioral health patterns established during these developmental periods determine young people’s health and wellbeing and their risk for developing chronic diseases in their future. As part of their identity explorations, young people aim to have a wide range of experiences and are particularly vulnerable to adopting risky behaviors and participating in activities, such as tobacco, alcohol, and illicit substance use, unsafe sexual behavior, unhealthy nutrition, motor vehicle accidents, exposure to violence, and academic dropping out, that may result in health consequences and cause physical or mental harm during adulthood.

The purpose of this Special Issue is to highlight in young people’s high-risk behaviors and how they affect their health and wellness, including the following topics:

  • Substance use;
  • Alcohol use/underage drinking;
  • Smoking/nicotine use/vaping;
  • Energy drink consumption;
  • Sexually transmitted infections;
  • Teenage and unintended pregnancies;
  • Nutrition and weight conditions;
  • Eating disorders;
  • Overweight and obesity;
  • Internet, social media, addiction;
  • Academic problems and dropping out of school;
  • Homelessness;
  • Motor vehicle collisions;
  • Mental health disorders;
  • Violence;
  • Injuries.

We are pleased to invite you to participate in this Special Issue, and we look forward to your contributions. Reviews and original research articles (qualitative, quantitative, and mixed-methods studies) related to this topic are welcome.

Dr. Elisabeth Andrie
Guest Editor

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Keywords

  • public health
  • health promotion
  • adolescent health
  • youth health
  • psychosocial health
  • sexual health
  • eating disorders
  • overweight and obesity
  • internet addiction

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Published Papers (1 paper)

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Research

19 pages, 269 KiB  
Article
Understanding High-Risk Behavior in Mexican University Youth: Links Between Sexual Attitudes, Substance Use, and Mental Health
by Gustavo A. Hernández-Fuentes, Osiris G. Delgado-Enciso, Jessica C. Romero-Michel, Verónica M. Guzmán-Sandoval, Mario Del Toro-Equihua, José Guzmán-Esquivel, Gabriel Ceja-Espíritu, Mario Ramírez-Flores, Margarita L. Martinez-Fierro, Idalia Garza-Veloz, Fabian Rojas-Larios, Karla B. Carrazco-Peña, Rosa Tapia-Vargas, Ana C. Espíritu-Mojarro and Iván Delgado-Enciso
Healthcare 2025, 13(12), 1473; https://doi.org/10.3390/healthcare13121473 - 19 Jun 2025
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Abstract
Background/Objectives: Sexual attitudes, particularly those on the erotophilia (positive openness) to erotophobia (negative fear) scales, play a critical role in shaping behaviors and health decisions. While associations between sexual behavior and substance use have been documented, limited research has explored how sexual attitudes [...] Read more.
Background/Objectives: Sexual attitudes, particularly those on the erotophilia (positive openness) to erotophobia (negative fear) scales, play a critical role in shaping behaviors and health decisions. While associations between sexual behavior and substance use have been documented, limited research has explored how sexual attitudes relate to mental health and substance use among Latin American university populations. This study aimed to examine the associations among erotophilic attitudes, mental health symptoms (anxiety and depression), substance use risk, and sexual behaviors in Mexican university students. Methods: A cross-sectional observational study was conducted between 2019 and 2023 with 1475 undergraduate students aged 17–25 years. Participants completed the Revised Sexual Opinion Survey (R-SOS) to assess sexual attitudes, the Hospital Anxiety and Depression Scale (HADS) for mental health evaluation, and adapted items from the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) to measure substance use risk. Erotophilic attitudes were defined as R-SOS scores ≥ 70. Statistical tests included the Kolmogorov–Smirnov test for normality, t-tests or Mann–Whitney U tests for group comparisons, Fisher’s exact test for categorical variables, and Spearman’s correlations. Multivariate binary logistic regression was used to calculate adjusted odds ratios (AdORs) and 95% confidence intervals (CIs), with a significance level of p < 0.05. Results: Erotophilic students were more likely to be male, older, initiate sexual activity earlier, and report a greater number of sexual partners. Erotophilia was positively associated with anxiety and tobacco, alcohol and marijuana use, and negatively associated with depressive symptoms. Multivariate analysis indicated that erotophilia was independently associated with male sex, age ≥ 20, higher anxiety, lower depression, low socioeconomic status, and increased risk of tobacco and marijuana use. Lower rates of consistent condom use were also reported among erotophilic individuals. Conclusions: Erotophilia may serve as a behavioral risk marker linked to anxiety symptoms and increased substance use, but not to depression. These findings highlight the need for integrated interventions addressing sexual health, substance use, and mental well-being in university populations. Full article
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