ABSTRACT This study examined within- and between-person associations between health-risk behaviors (smoking, drinking, insulin withholding) and type 1 diabetes (T1D) outcomes (adherence and HbA1c) during the high-risk transition from late adolescence to early emerging adulthood utilizing a 2-year longitudinal study. Beginning in the senior year of high school, participants (n = 197) with T1D completed measures of health-risk behaviors, adherence, and HbA1c annually at three time points. Health-risk behaviors were associated with poorer diabetes outcomes during the transition from late adolescence to early emerging adulthood. These results highlight the importance of monitoring health-risk behaviors regularly and intervening to reduce health-risk behaviors during this important developmental transition.

中文翻译：

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从青春期晚期到成年初期过渡期间的健康风险行为和 1 型糖尿病结局。

摘要 本研究探讨了从青春期晚期到成年早期的高风险转变过程中，健康风险行为（吸烟、饮酒、胰岛素不足）与 1 型糖尿病 (T1D) 结局（依从性和 HbA1c）之间的人内和人与人之间的关联利用为期 2 年的纵向研究。从高中高年级开始，患有 T1D 的参与者 (n = 197) 每年在三个时间点完成健康风险行为、依从性和 HbA1c 的测量。从青春期后期到成年早期的过渡期间，健康风险行为与较差的糖尿病结局相关。这些结果强调了在这一重要的发育转变期间定期监测健康风险行为并进行干预以减少健康风险行为的重要性。