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Health Behavior Branch (HBB)

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HBB Research - Adolescent Behavior

NEXT Longitudinal Study 2009-2016

NEXT is a 7-year longitudinal assessment of a representative sample of U.S. adolescent and young adults starting at grade 10. The goals of the NEXT longitudinal study include: to identify the trajectory of adolescent health status and health behaviors from mid-adolescence through the post high school years; to examine individual predictors of the onset of key adolescent risk behaviors and risk indicators during this period; to identify genetic, personal, family, school, and social/environmental factors that promote or sustain positive health behaviors; to identify transition points in health risk and risk behaviors and changes in family, school, and social/environmental precursors to these transitions, and to examine the role of potential gene-environment interactions in the development of health status and health behaviors.

Assessments are conducted annually for seven years beginning in the 2009-2010 school year. African American youth are oversampled to provide a better population estimate and to provide an adequate sample to examine racial/ethnic differences in longitudinal predictors of health, health behaviors, and health behavior change. Self-reports of health status, health behaviors, and health attitudes are collected by in-school and online surveys. Anthropometric data, genetic information, and neighborhood characteristics are gathered on all participants as well. The study also incorporates a School Administrator Survey and other data files to obtain related information on school-level health programs and community-level contextual data.

A subsample of students participate in more extensive assessments of factors affecting cardiovascular health including: physical activity, sedentary behavior, and sleep patterns; adolescent diet and nutrient intake; and biological markers for obesity and cardiovascular disease. Driving performance is evaluated in 150 young adults.

The NEXT Generation Health Study is supported by Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Heart, Lung and Blood Institute (NHLBI), National Institute on Drug Abuse (NIDA), National Institute on Alcohol Abuse and Alcoholism (NIAAA) and the Maternal and Child Health Branch of the Health Resources and Services Administration (HRSA/MCHB).

Principal Investigator

Bruce Simons-Morton, Ed.D., M.P.H.

DIPHR Collaborators

Selected Publications

  • Luk, JW, Wang, J, Simons-Morton, BG. The co-occurrence of substance use and bullying behaviors among U.S. Adolescents: understanding demographic characteristics and social influences. Journal of Adolescence 35(5): 1351-1360, 2012. DOI: 10.1016/j.adolescence.2012.05.003 External Web Site Policy, PMCID: PMC3432689, PMID: 22698675
  • Farhat, T, Simons-Morton, BG, Kokkevi, A, van der Sluijs, W, Fotiou, A, Kuntsche, E. Early Adolescent and Peer Drinking Homogeneity: Similarities and Differences among European and North American countries. The Journal of Early Adolescence  32(1): 81-103, 2012. DOI: 10.1177/0272431611419511 External Web Site Policy, PMCID: PMC4831631,  PMID: 27087733
  • Hingson, RW, Zha, W, Iannotti, RJ, Simons-Morton, B. Physician advice to adolescents about drinking and other health behaviors. Pediatrics 131(2): 249-257, 2013. DOI: 10.1542/peds.2012-1496 External Web Site Policy, PMCID: PMC4074674, PMID: 23359580
  • Conway, KP, Vullo, GC, Nichter, B, Wang, J, Compton, WM, Iannotti, RJ, Simons-Morton, B. Prevalence and patterns of polysubstance use in a nationally representative sample of 10th graders in the United States. The Journal of Adolescent Health 52(6): 716-723, 2013. DOI: 10.1016/j.jadohealth.2012.12.006 External Web Site Policy, PMCID: PMC3746553, PMID: 23465320
  • Li, K, Simons-Morton, BG, Hingson, R. Impaired-driving prevalence among US high school students: associations with substance use and risky driving behaviors. American Journal of Public Health 103(11): e71-77, 2013. DOI: 10.2105/AJPH.2013.301296 External Web Site Policy, PMCID: PMC3828696, PMID: 24028236
  • Hingson, RW, Zha, W, Iannotti, RJ, Simons-Morton, B. Physician advice to adolescents about drinking and other health behaviors. Pediatrics 131(2): 249-257, 2013. DOI: 10.1542/peds.2012-1496 External Web Site Policy, PMCID: PMC4074674, PMID: 23359580
  • Conway, KP, Vullo, GC, Nichter, B, Wang, J, Compton WM, Iannotti, RJ, Simons-Morton, B. Prevalence and patterns of polysubstance use in a nationally representative sample of 10th graders in the United States. The Journal of Adolescent Health 52(6): 716-723, 2013. DOI: 10.1016/j.jadohealth.2012.12.006 External Web Site Policy, PMCID: PMC3746553, PMID: 23465320
  • Haynie, DL, Farhat, T, Brooks-Russell, A, Wang, J, Barbieri, B, Iannotti, RJ. Dating violence perpetration and victimization among U.S. adolescents: Prevalence, patterns, and associations with health complaints and substance use. The Journal of Adolescent Health 53(2): 194-201, 2013. DOI: 10.1016/j.jadohealth.2013.02.008 External Web Site Policy, PMCID: PMC3725188, PMID: 23664626
  • Kenney, MK, Wang, J, Iannotti, R. Residency and racial/ethnic differences in weight status and lifestyle behaviors among US youth. The Journal of Rural Health 30(1): 89-100, 2014. DOI: 10.1111/jrh.12034 External Web Site Policy, PMCID: PMC4696387, PMID: 24383488
  • Li, K, Simons-Morton, BG, Brooks-Russell, A, Ehsani, J, Hingson, R. Drinking and parenting practices as predictors of impaired driving behaviors among U.S. adolescents.  Journal of Studies on Alcohol and Drugs 75(1): 5-15, 2014. PMCID: PMC3893633, PMID: 24411792
  • Li, K, Iannotti, RJ, Haynie, DL, Perlus, JG, Simons-Morton, BG. Motivation and planning as mediators of the relation between social support and physical activity among U.S. adolescents: a nationally representative study. The International Journal of Behavioral Nutrition and Physical Activity 11(1): 42, 2014. DOI: 10.1186/1479-5868-11-42 External Web Site Policy, PMCID: PMC3994425, PMID: 24656181
  • Li, K, Simons-Morton, BG, Vaca, FE, Hingson, R. Association between riding with an impaired driver and driving while impaired. Pediatrics 133(4): 620-626, 2014. DOI: 10.1542/peds.2013-2786 External Web Site Policy, PMCID: PMC3966504, PMID: 24639277
  • Brooks-Russell, A, Simons-Morton, B, Haynie, D, Farhat, T, Wang, J. Longitudinal relationship between drinking with peers, descriptive norms, and adolescent alcohol use.  Prevention Science 15(4): 497-505, 2014. DOI: 10.1007/s11121-013-0391-9 External Web Site Policy, PMCID: PMC4160800, PMID: 23564529
  • Brooks-Russell, A, Farhat, T, Haynie, D, Simons-Morton, B. Trends in substance use among 6th- to 10th-grade students from 1998 to 2010: findings from a national probability study. The Journal of Early Adolescence 34(5): 667-680, 2014. DOI: 10.1177/0272431613501409 External Web Site Policy, PMCID: PMC4778563, PMID: 26949282
  • Li, K, Simons-Morton, BG, Vaca, FE, Hingson, R. Reciprocal Associations Between Parental Monitoring Knowledge and Impaired Driving in Adolescent Novice Drivers.  Traffic Injury Prevention 16(7): 645-651, 2015. DOI: 10.1080/15389588.2014.996215 External Web Site Policy, PMCID: PMC4692247, PMID: 25941751
  • Fan, R, Chen, V, Xie, Y, Yin, L, Kim, S, Albert, PS, Simons-Morton, B. A functional data analysis approach for circadian patterns of activity of teenage girls. Journal of Circadian Rhythms 13: 3, 2015. DOI: 10.5334/jcr.ac External Web Site Policy, PMCID: PMC4831276, PMID: 27103929
  • Hingson, R, Zha, W, White, A, Simons-Morton, B. Screening and brief alcohol counseling of college students and person not in school. JAMA Pediatrics 169(11):1068-1070, 2015. DOI: 10.1001/jamapediatrics.2015.2231 External Web Site Policy, PMCID: PMC4709036, PMID: 26414397
  • Lipsky, LM, Haynie, DL, Liu, D, Chaurasia, A, Gee, B, Li, K, Iannotti, RJ, Simons-Morton, B. Trajectories of eating behaviors in a nationally representative cohort of U.S. adolescents during the transition to young adulthood. The International Journal of Behavioral Nutrition and Physical Activity 12: 138, 2015. DOI: 10.1186/s12966-015-0298-x External Web Site Policy, PMCID: PMC4632654, PMID: 26537771
  • Li, K, Simons-Morton, BG, Vaca, FE, Hingson, R. Reciprocal associations between parental monitoring knowledge and impaired driving in adolescent novice drivers.  Traffic Injury Prevention 16(7): 645-651, 2015. DOI: 10.1080/15389588.2014.996215 External Web Site Policy, PMCID: PMC4692247, PMID: 25941751
  • Brooks-Russell, A, Conway, KP, Liu, D, Xie, Y, Vullo, GC, Li, K, Iannotti, RJ, Compton, W, Simons-Morton, B. Dynamic patterns of adolescent substance use: results from a nationally representative sample of high school students. Journal of Studies of Alcohol and Drugs 76(6): 962-970, 2015. PMCID: PMC4712666, PMID: 26562606
  • Li, K, Haynie, D, Palla, H, Lipsky, L, Iannotti, RJ, Simons-Morton, B. Assessment of adolescent weight status: similarities and differences between CDC, IOTF, and WHO references. Preventive Medicine 87: 151-154, 2016. DOI: 10.1016/j.ypmed.2016.02.035 External Web Site Policy, PMCID: PMC4884484, PMID: 26921658
  • Hingson, R, Zha, W, Simons-Morton, BG, White, A. Alcohol-induced blackouts as predictors of other drinking related harms among emerging young adults. Alcoholism, Clinical and Experimental Research 40(4): 776-784, 2016. DOI: 10.1111/acer.13010 External Web Site Policy,  PMCID: PMC4820355, PMID: 27012148
  • Li, K,f Simons-Morton, B, Gee, B, Hingson, R. Marijuana-, alcohol-, and drug-impaired driving among emerging adults: changes from high school to one-year post-high school. Journal of Safety Research 58: 15-20, 2016. DOI: 10.1016/j.jsr.2016.05.003 External Web Site Policy, PMCID: PMC5022791 [Available on 2017-09-01], PMID: 27620930
  • Li, K, Haynie, D, Lipsky, L, Iannotti, RJ, Pratt, C, Simons-Morton, B. Changes in moderate-to-vigorous physical activity among older adolescents. Pediatrics 138(4), 2016. DOI: 10.1542/peds.2016-1372 External Web Site Policy, PMCID: PMC5051211 [Available on 2017-10-01], PMID: 27669737
  • Simons-Morton, B, Haynie, D, Liu, D, Chaurasia, A, Li, K, Hingson, R. The effect of residence, school status, work status, and social influence on the prevalence of alcohol use among emerging adults. Journal of Studies of Alcohol and Drugs 77(1):121-132, 2016. PMCID: PMC4711312, PMID: 26751362
  • Vaca, FE, Li, K, Hingson, R, Simons-Morton, BG. Transitions in Riding with an Alcohol/Drug-Impaired Driver from Adolescence to Emerging Adulthood in the United States. Journal of Studies on Alcohol and Drugs 77(1):77-85, 2016. PMCID: PMC4711323, PMID: 26751357
  • Hingson, R, Zha, W, Simons-Morton, B, White, A. Alcohol-induced blackouts as predictors of other drinking related harms among emerging young adults. Alcoholism: Clinical and Experimental Research 40(4): 776-784, 2016. DOI: 10.1111/acer.13010 External Web Site Policy, PMCID: PMC4820355, PMID: 27012148  
  • Simons-Morton, B, Haynie, D, O’Brien, F, Lipsky L, Bible, J, Liu, D. Variability in Measures of Health and Health Behavior Among Emerging Adults 1 Year After High School According to College Status. Journal of American College Health 65(1): 58-66, 2017. DOI: 10.1080/07448481.2016.1238384 External Web Site Policy, PMID: 27661849
  • Kar, IN, Li, K, Haynie, DL, Simons-Morton, BG. Emerging adults without a driver’s license engage in more transportation-related physical activity to school/work in certain environmental contexts. Preventive Medicine 96: 42-48, 2017. DOI: 10.1016/j.ypmed.2016.12.018 External Web Site Policy, PMCID: PMC5328841 [Available on 2018-03-01], PMID: 28011136
  • Lipsky, LM, Nansel, TR, Haynie, DL, Liu, D, Li, K, Pratt, CA, Iannotti, RJ, Dempster, KW, Simons-Morton, B. Diet quality of US adolescents during the transition to adulthood: changes and predictors. The American Journal of Clinical Nutrition 105(6): 1424-1432, 2017. DOI: 10.3945/ajcn.116.150029 External Web Site Policy, PMCID: PMC5445678 [Available on 2018-06-01], PMID: 28446498

Contact Information

Name: Dr Stephen Gilman
Acting Branch Chief
Health Behavior Branch
Phone: 301-435-8395
E-mail: stephen.gilman@nih.gov

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