{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:40:40Z","timestamp":1791229240771,"version":"4.1.0"},"reference-count":20,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,5,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE:<\/jats:title>\n                  <jats:p>To examine the risk behaviors associated with participation in the \u201cchoking game\u201d by eighth-graders in Oregon.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>We obtained data from the 2009 Oregon Healthy Teens survey, a cross-sectional weighted survey of 5348 eighth-graders that questioned lifetime prevalence and frequency of choking game participation. The survey also included questions about physical and mental health, gambling, sexual activity, nutrition, physical activity\/body image, exposure to violence, and substance use.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>Lifetime prevalence of choking game participation was 6.1% for Oregon eighth-graders, with no differences between males and females. Of the eighth-grade choking game participants, 64% had engaged in the activity more than once and 26.6% &amp;gt;5 times. Among males, black youth were more likely to participate than white youth. Among both females and males, Pacific Islander youth were much more likely to participate than white youth. Multivariate logistic regression revealed that sexual activity and substance use were significantly associated with choking game participation for both males and females.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>At &amp;gt;6%, the prevalence of choking game participation among Oregon youth is consistent with previous findings. However, we found that most of those who participate will put themselves at risk more than once. Participants also have other associated health risk behaviors. The comprehensive adolescent well visit, as recommended by the American Academy of Pediatrics, is a good opportunity for providers to conduct a health behavior risk assessment and, if appropriate, discuss the dangers of engaging in this activity.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2011-2482","type":"journal-article","created":{"date-parts":[[2012,4,17]],"date-time":"2012-04-17T00:32:20Z","timestamp":1334622740000},"page":"846-851","source":"Crossref","is-referenced-by-count":28,"title":["Health Risks of Oregon Eighth-Grade Participants in the \u201cChoking Game\u201d: Results From a Population-Based Survey"],"prefix":"10.1542","volume":"129","author":[{"given":"Sarah K.","family":"Ramowski","sequence":"first","affiliation":[{"name":"Oregon Health Authority, Public Health Division, Portland, Oregon; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Nystrom","sequence":"additional","affiliation":[{"name":"Oregon Health Authority, Public Health Division, Portland, Oregon; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth D.","family":"Rosenberg","sequence":"additional","affiliation":[{"name":"Oregon Health Authority, Public Health Division, Portland, Oregon; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Gilchrist","sequence":"additional","affiliation":[{"name":"Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigel R.","family":"Chaumeton","sequence":"additional","affiliation":[{"name":"Oregon Health Authority, Public Health Division, Portland, Oregon; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2012,5,1]]},"reference":[{"key":"2022051623100668500_B1","unstructured":"The Los Angeles Times. Public safety officials warn students away from deadly activities. Available at: www.latimes.com\/health\/fl-choking-game-presentation-20110426,0,4333583.story. Accessed April 29, 2011"},{"key":"2022051623100668500_B2","unstructured":"Fox News. Boy, 11, dies from \u2018choking game.\u2019 Available at: www.foxnews.com\/health\/2010\/12\/22\/boy-dies-choking-game. Accessed December 22, 2010"},{"issue":"6","key":"2022051623100668500_B3","first-page":"141","article-title":"Unintentional strangulation deaths from the \u201cchoking game\u201d among youths aged 6-19 years\u2014United States, 1995-2007.","volume":"57","author":"Centers for Disease Control and Prevention (CDC)","year":"2008","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"4","key":"2022051623100668500_B4","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1097\/PAF.0b013e318148bdb2","article-title":"Asphyxial games in children and adolescents.","volume":"28","author":"Andrew","year":"2007","journal-title":"Am J Forensic Med Pathol"},{"issue":"5","key":"2022051623100668500_B5","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.1542\/peds.2009-0730","article-title":"Autoerotic asphyxiation: secret pleasure\u2014lethal outcome?","volume":"124","author":"Cowell","year":"2009","journal-title":"Pediatrics"},{"issue":"1","key":"2022051623100668500_B6","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1136\/ip.2008.018523","article-title":"Asphyxial games or \u201cthe choking game\u201d: a potentially fatal risk behaviour.","volume":"15","author":"Macnab","year":"2009","journal-title":"Inj Prev"},{"issue":"6","key":"2022051623100668500_B7","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1016\/j.acap.2010.09.006","article-title":"Association of adolescent choking game activity with selected risk behaviors.","volume":"10","author":"Dake","year":"2010","journal-title":"Acad Pediatr"},{"issue":"1","key":"2022051623100668500_B8","first-page":"1","article-title":"\u201cChoking game\u201d awareness and participation among 8th graders\u2014Oregon, 2008.","volume":"59","author":"Centers for Disease Control and Prevention (CDC)","year":"2010","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"6","key":"2022051623100668500_B9","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/j.jpeds.2009.06.043","article-title":"Update on \u201cthe choking game.\u201d","volume":"155","author":"Andrew","year":"2009","journal-title":"J Pediatr"},{"key":"2022051623100668500_B10","unstructured":"Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance Survey. Available at: www.cdc.gov\/HealthyYouth\/yrbs\/index.htm. Accessed July 2, 2011"},{"key":"2022051623100668500_B11","unstructured":"Oregon Healthy Teens survey. 2009. Available at: http:\/\/public.health.oregon.gov\/BirthDeathCertificates\/Surveys\/OregonHealthyTeens\/results\/2009\/8\/Pages\/results8.aspx. Accessed July 10, 2011"},{"key":"2022051623100668500_B12","unstructured":"University of Michigan. The Monitoring the Future Study. Available at: http:\/\/monitoringthefuture.org\/data\/10data\/pr10t1.pdf, http:\/\/monitoringthefuture.org\/data\/10data\/pr10t2.pdf, and http:\/\/monitoringthefuture.org\/data\/10data\/pr10t3.pdf. Accessed January 9, 2011"},{"key":"2022051623100668500_B13","unstructured":"Oregon Student Wellness survey. 2010. Available at: http:\/\/oregon.pridesurveys.com\/dl.php?pdf=Oregon_SWS_Statewide_Report_2010.pdf&type=esd. Accessed January 9, 2011"},{"issue":"2","key":"2022051623100668500_B14","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1067\/mem.2003.49","article-title":"\u201cSuffocation roulette\u201d: a case of recurrent syncope in an adolescent boy.","volume":"41","author":"Shlamovitz","year":"2003","journal-title":"Ann Emerg Med"},{"issue":"3","key":"2022051623100668500_B15","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1136\/ip.7.3.231","article-title":"Self strangulation by hanging from cloth towel dispensers in Canadian schools.","volume":"7","author":"Le","year":"2001","journal-title":"Inj Prev"},{"issue":"3","key":"2022051623100668500_B16","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1097\/PEC.0b013e3181d1e3e3","article-title":"The choking game: a cause of unintentional strangulation.","volume":"26","author":"Egge","year":"2010","journal-title":"Pediatr Emerg Care"},{"issue":"8","key":"2022051623100668500_B17","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1007\/s10802-008-9252-6","article-title":"Predicting early sexual activity with behavior problems exhibited at school entry and in early adolescence.","volume":"36","author":"Schofield","year":"2008","journal-title":"J Abnorm Child Psychol"},{"issue":"1","key":"2022051623100668500_B18","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1542\/peds.2009-1287","article-title":"The choking game: physician perspectives.","volume":"125","author":"McClave","year":"2010","journal-title":"Pediatrics"},{"key":"2022051623100668500_B19"},{"issue":"1","key":"2022051623100668500_B20","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1001\/archpediatrics.2008.517","article-title":"Language matters: unintentional strangulation, strangulation activity, and the \u201cchoking game.\u201d","volume":"163","author":"Katz","year":"2009","journal-title":"Arch Pediatr Adolesc Med"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/129\/5\/846\/896532\/peds_2011-2482.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/129\/5\/846\/896532\/peds_2011-2482.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,16]],"date-time":"2022-05-16T23:10:26Z","timestamp":1652742626000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/129\/5\/846\/73783\/Health-Risks-of-Oregon-Eighth-Grade-Participants"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5,1]]},"references-count":20,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2012,5,1]]},"published-print":{"date-parts":[[2012,5,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2011-2482","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,5,1]]}}}