Multiple Health-Risk Behaviour and Psychological Distress in Adolescence

Objective: To examine the prevalence and correlates of psychological distress in a school-based sample of Canadian adolescents. Method: Self-reported data of demographics, weight status, physical activity, screen-time, diet, substance use, and psychological distress were derived from a representative sample of 2935 students in grades 9 to 12 (M-age = 15.9 years) from the 2009 Ontario Student Drug Use and Health Survey. Results: Overall prevalence of psychological distress was 35.1%. Significant associations were shown between psychological distress and the following: being female, tobacco use, not meeting physical activity and screen- time recommendations, and inadequate consumption of breakfast and vegetables. Conclusions: These findings highlight the need for targeting greater physical health promotion for adolescents at risk of mental health problems.