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Thus, in sum 15.4% of Czech, students were engaged in multiple risk behaviour forms.
This highlights the need for programs to comprise multiple components aimed at addressing participants' multiple risk behaviour.
Young people who engage in multiple risk behaviour (high-risk young people) such as substance abuse, antisocial behaviour, low engagement in education and employment, self-harm or suicide ideation are more likely to experience serious harms later in life including homelessness, incarceration, violence and premature death.
Complicating the presence of multiple risk behaviour is that their aetiology is typically complex, being associated with a range of social determinants of poor health, including childhood abuse, low socio-economic status (SES), and minority cultural identity (Fergusson et al. 2000; Groark and McCall 2009; Vitaro and Tremblay 2009).
While 67.4% reported only one risk behaviour, 29.9% reported multiple risk behaviour.
Analyses of multiple risk behaviour rarely examine more than three behaviours.
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Two-thirds exhibited multiple risk behaviours and 38% intended to change multiple risk behaviours.
Occurrence of multiple risk behaviours was associated with being male (OR 3.10, 95% CI 1.06 9.03) or overweight/obese (OR 2.66, 95% CI 1.02 6.93).
Nevertheless, a minority of adolescents will experience more substantial harms associated with multiple risk behaviours (high-risk young people), including exposure to violence, homelessness, incarceration, and premature death (Bruun and Mitchell 2012; DHS et al. 2010; Hawkins 2009; Mitchell 2011; United Nations 2004).
Engaging in multiple risk behaviours simultaneously can have synergistic detrimental effects on health (Mokdad et al, 2005), and health interventions should therefore primarily target survivors showing multiple-risk behaviour pattern.
Other studies have examined multiple risk behaviours and SES.
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