Adolescents’ risk perceptions in relation to risk behavior with long-term health consequences; antecedents and outcomes: A literature review

There is a need for a systematic literature review focusing on adolescents’ risk perceptions in relation to risk behavior with long-term health consequences with delayed onset. The aim of this literature review was to review the results of such empirical studies, and to interpret these results from a general risk psychology perspective. Special focus was on factors influencing adolescents’ risk perceptions, and on the risk perceptions – risk behavior relationship. Literature searches were conducted in the PsycInfo, PubMed, and Cinahl databases. In total 51 journal articles were included in the review. Evidence, although inconsistent, was found for age, ethnicity, socioeconomic status, close exposure to negative outcome, perceived control, and knowledge, stereotyping and misconceptions as covariates of risk perceptions. Evidence was found both for a negative and a positive association between risk perceptions and risk behavior. The results suggest that the adolescent’s risk perception, knowledge, perceived control (response- and self-efficacy) as well as benefits and costs of health behavior must be well balanced. Any agent, such as care providers, aiming at encouraging adolescents to take active responsibility for their long term health, must be able to determine each young person’s status regarding these issues concomitantly, in order not to evoke risk denial, exaggerated unrealistic optimism, or impaired mental wellbeing.

► Evidence was found for a number of antecedents of risk perception.
► Person centered risk communication should consider the interaction of predictors.
► The relation between adolescents’ risk perception and health behavior is complex.
► Perceived risk susceptibility rather than severity may promote adolescents’ self-care.