Research Article

Risk Behaviors in Teens with Chronic Kidney Disease: A Study from the Midwest Pediatric Nephrology Consortium

Table 3

Adjusted odds ratios (95% confidence intervals) for high-risk behaviors in the CKD group by age category, gender, and race.

High-risk behaviorNAge 16–19 y (ref = 13–15 y); AOR (95% CI)Male gender (ref = female); AOR (95% CI)White race (ref = non-white); AOR (95% CI)

Driving safety-related behaviors
 Wore a seatbelt less than always3021.1 (0.7–1.9)0.6622.1 (1.2–3.6)0.0060.8 (0.5–1.4)0.426
 Past 30 d: rode with drinking driver3020.8 (0.4–1.7)0.5511.5 (0.7–3.5)0.3050.6 (0.3–1.3)0.177
 Past 30 d: texted or emailed while driving (in teens who drove)1523.6 (0.9–13.2)0.0582.8 (1.0–7.9)0.0500.5 (0.2–1.1)0.093
 Past 30 d: drove while drinking (in teens who drove)a1521.8 (0.2–16.0)0.5890.9 (0.2–4.3)0.8430.8 (0.2–4.2)0.817

Sexual experience
 Lifetime: ever had sexual intercourse29710.0 (5.0–28.6)<0.0011.0 (0.6–2.0)0.9320.7 (0.4–1.1)0.143
 Past 3 m: ≥ 2 sex partners and/or no protection last time (in teens who had sexual intercourse)782.5 (0.4–16.9)0.3411.1 (0.4–3.1)0.7310.3 (0.1–0.8)0.021
 Drank alcohol or used drugs last time had sexual intercourse (in teens who had sexual intercourse)a78nana2.4 (0.8–7.7)0.1291.1 (0.4–3.1)0.901

Substance abuse
 Lifetime: ever had alcohol2893.3 (2.0–10.0)<0.0011.1 (0.6–2.0)0.6851.1 (0.6–2.0)0.693
 Past 30 d: 1 or more drinks of alcohol2982.0 (0.7–5.2)0.1710.7 (0.3–1.6)0.3700.8 (0.3–1.8)0.535
 Past 30 d: 1 or more days of binge drinkingc2983.2 (0.4–28.4)0.2871.5 (0.3–8.4)0.6731.5 (0.3–8.5)0.642
 Past 30 d: smoked cigarettes or E-cigarettes3013.1 (1.1–8.4)0.0291.7 (0.7–4.0)0.2451.4 (0.6–3.2)0.448
 Past 30 d: used marijuana3016.1 (1.8–20.6)0.0041.2 (0.5–2.7)0.6910.6 (0.3–1.3)0.179
 Lifetime: used 1 or more illicit drugs or prescription drugs without prescription2993.5 (1.5–8.3)0.0041.3 (0.6–2.7)0.4380.7 (0.4–1.5)0.373
 Past 12 m: someone offered, sold, or gave you an illegal drug on school property (in teens attending school)2643.0 (1.3–6.9)0.0100.9 (0.4–1.8)0.7080.7 (0.3–1.4)0.288

Bullying and conflicts
 Past 12 m: in physical fight3010.6 (0.3–1.2)0.1571.1 (0.6–2.1)0.8120.7 (0.4–1.4)0.304
 Past 12 m: bullied at school (in teens attending school)2650.5 (0.2–1.1)0.0910.8 (0.4–1.8)0.6242.9 (1.2–6.8)0.018
 Past 12 m: electronically bullied3011.3 (0.5–3.5)0.5770.4 (0.1–0.9)0.0403.2 (1.1–9.4)0.030

Depression and suicide-related behaviors
 Past 12 m: depressed ≥2 wk3010.8 (0.4–1.3)0.3340.4 (0.2–0.7)0.0010.6 (0.3–1.0)0.063
 Past 12 m: seriously considered attempting suicide3011.3 (0.6–2.9)0.4680.5 (0.2–1.0)0.0620.7 (0.4–1.6)0.438
 Past 12 m: made a suicidal plan3011.2 (0.5–2.8)0.6680.4 (0.2–0.9)0.0301.2 (0.5–2.8)0.662
 Past 12 m: attempted suicidea2990.7 (0.2–2.5)0.6110.3 (0.1–1.1)0.0640.6 (0.2–2.1)0.454
 Past 12 m: suicide attempt resulted in injury needing doctor or nurse (in teens who attempted suicide)b11

aOdds ratios are unadjusted because the number of teens who had the behavior was too small for logistic regression. bStatistics were not performed because the sample size is too small; 4/11 (36.4%) teens who attempted suicide required medical attention. cBinge drinking is defined as having 5 or more drinks of alcohol in a row, within a couple of hours. AOR, adjusted odds ratio; CI, confidence interval; d, days; m, months; Ref., reference category; wk, weeks; y, years. Multiple logistic regression models included age category, gender, race, type of kidney disease, and number of medications/day. na, odds ratio not available because no 13- to 15-year-olds drank or used drugs the last time had sex.