فهرست نشریات علمی دسترسی آزاد ایران

Background: Over the past two decades, the prevalence of risky behaviors among adolescents has emerged as a significant societal concern. Understanding these behaviors is crucial for developing effective preventive programs and promoting adolescent health. However, existing definitions do not clearly delineate the concept of high-risk adolescence.Objectives: This integrative review aimed to clarify the concept of high-risk adolescence and identify its key dimensions.Methods: A systematic search was conducted in PubMed, Scopus, Web of Science, Embase, SID, and Magiran, covering all publications up to January 9, 2024. Keywords included “adolescence, adolescent, dangerous behavior, unhealthy dietary pattern, physical inactivity, sexual behavior, sleep pattern, high-risk peer, unsafe sex, health risk behaviors,” and their Persian equivalents. Two independent reviewers evaluated study eligibility and quality, and performed data extraction. Data were analyzed using Whittemore and Knafl's four-stage method (2005). Thematic synthesis was performed using the Thomas and Harden (2008) method, comprising line‑by‑line coding, development of descriptive themes, and generation of higher‑order analytical themes. Results: A total of 89 studies were included and synthesized, resulting in the identification of four primary dimensions of high-risk adolescence: 1) Health-Compromising Behaviors: Including substance use and smoking, high-risk sexual behavior, and delinquent and aggressive behavior. 2) Psychosocial and Emotional Vulnerabilities: Encompassing mental health risks and risky environments. 3) Digital and Online Risks: Including harmful digital practices and excessive use. 4) Lifestyle and Habitual Risks: Encompassing sedentary behavior and poor nutrition. This four-dimensional framework offers a comprehensive perspective on high-risk adolescence.Conclusion: This study presents an integrative framework for understanding high-risk adolescence and emphasizes the need for multidimensional assessment tools and early interventions that address the complex and overlapping nature of adolescent risk. Future initiatives should adopt multidisciplinary approaches involving families, educators, healthcare providers, and policymakers to identify at-risk youth early and implement targeted preventive strategies. These findings lay the groundwork for developing culturally sensitive screening tools and evidence-based policies to promote adolescent health across diverse contexts.