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We examined trends in the prevalence of multiple risky health\u2010 and school\u2010related behaviours and outcomes to test whether this was the case.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data on multiple behaviours and outcomes were collated from Australian government agencies and other relevant sources for 10\u201319\u2010year\u2010olds from the year 2000 onward. Trends were examined descriptively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Rates of substance use, youth offending and injuries due to underage driving declined over the study period. Some health\u2010related behaviours (physical activity and diet) worsened between 2001 and 2017; however, obesity rates remained stable. Risky sexual behaviours increased in terms of early initiation of lifetime sexual intercourse and decreased condom use. However, sexual health outcomes improved with a reduction in teenage pregnancies and there was a recent decline in sexually transmitted infection rates from 2011 onward. Suicide rates and rates of major depressive disorders increased. School attendance and engagement in full\u2010time work or study remained stable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>The decline in adolescent drinking does not appear to correspond with increased engagement in healthier behaviours; however, it may be related to a more risk\u2010averse way of living. Future work could be directed towards identifying which social, economic, policy and environmental factors have impacted positive changes in risky behaviours. Public health efforts can then be directed towards behaviours or outcomes, which have not yet improved.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13269","type":"journal-article","created":{"date-parts":[[2021,3,14]],"date-time":"2021-03-14T19:01:10Z","timestamp":1615748470000},"page":"1071-1082","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Trends in adolescent alcohol and other risky health\u2010 and school\u2010related behaviours and outcomes in Australia"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1890-7765","authenticated-orcid":false,"given":"Rakhi","family":"Vashishtha","sequence":"first","affiliation":[{"name":"Centre for Alcohol Policy Research La Trobe University  Melbourne Australia"},{"name":"Health Services and Systems Research Duke\u2010NUS Medical School  Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6271-8996","authenticated-orcid":false,"given":"Amy","family":"Pennay","sequence":"additional","affiliation":[{"name":"Centre for Alcohol Policy Research La Trobe University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7871-6234","authenticated-orcid":false,"given":"Paul M.","family":"Dietze","sequence":"additional","affiliation":[{"name":"National Drug Research Institute Curtin University  Melbourne Australia"},{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Australia"},{"name":"Centre of Population Health Burnet Institute  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8995-9386","authenticated-orcid":false,"given":"Michael","family":"Livingston","sequence":"additional","affiliation":[{"name":"Centre for Alcohol Policy Research La Trobe University  Melbourne Australia"},{"name":"National Drug Research Institute Curtin University  Melbourne Australia"},{"name":"Department of Clinical Neurosciences Karolinska Institute  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12695"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/16066359.2019.1629426"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckv031"},{"key":"e_1_2_8_5_1","volume-title":"ASSAD 1996\u20102017","author":"Australian Secondary Students' Alcohol and Drug Survey","year":"2018"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/16066359.2019.1663831"},{"key":"e_1_2_8_7_1","volume-title":"Youthful abandon: why are young people drinking less","author":"Bhattacharya A","year":"2016"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2017.09.013"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12255"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1614"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-017-0793-2"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/arc0000046"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717002999"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-020320"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12427"},{"key":"e_1_2_8_16_1","first-page":"12","article-title":"Declining adolescent cannabis use occurred across all demographic groups and was accompanied by declining use of other psychoactive drugs, New Zealand, 2001\u20132012","volume":"132","author":"Ball J","year":"2019","journal-title":"N Z Med J"},{"key":"e_1_2_8_17_1","first-page":"23","article-title":"Current trends for teenage births in New Zealand","volume":"23","author":"Pawar S","year":"2014","journal-title":"Sex Educ"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12640"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.15089"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13132"},{"key":"e_1_2_8_21_1","volume-title":"Key data on adolescence 2013","author":"Hagell A","year":"2013"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-1878"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckaa193"},{"key":"e_1_2_8_24_1","unstructured":"Recorded Crime \u2010 Offenders 2015\u201316. 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