Exploring Potential Protective Factors for the Relationship between Low Self-Control in Adolescence and Negative Health Outcomes in Adulthood

AuthorCashen M. Boccio
Published date01 November 2021
DOI10.1177/0306624X20931441
Date01 November 2021
Subject MatterArticles
https://doi.org/10.1177/0306624X20931441
International Journal of
Offender Therapy and
Comparative Criminology
2021, Vol. 65(15) 1559 –1585
© The Author(s) 2020
Article reuse guidelines:
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DOI: 10.1177/0306624X20931441
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Article
Exploring Potential Protective
Factors for the Relationship
between Low Self-Control in
Adolescence and Negative
Health Outcomes in
Adulthood
Cashen M. Boccio1
Abstract
Previous research links low levels of self-control with criminal involvement and negative
life outcomes. A similar line of inquiry has begun to explore whether low levels of self-
control are also associated with developing health problems in adulthood. This paper
extends this research by examining associations between adolescent levels of self-
control and four different categories of health outcomes in adulthood. In addition, this
study examines whether associations between adolescent levels of low self-control and
health outcomes in adulthood are moderated by environmental protective factors. The
results reveal that low levels of self-control in adolescence are consistently associated
with reporting more health problems. In addition, some evidence emerged in support
of the role of environmental protective factors in buffering the risk of developing health
problems conferred by low levels of self-control in adolescence.
Keywords
health, self-control, social disorganization, peers, life-course theory
Introduction
Low self-control is one of the most robust predictors of criminal behavior in the extant
criminological literature (Pratt & Cullen, 2000). A significant body of research links
1The University of Texas at San Antonio, USA
Corresponding Author:
Cashen M. Boccio, Department of Criminology and Criminal Justice, The University of Texas at San
Antonio, 501 W. cesar Chavez Blvd, San Antonio, TX 78207-4415, USA.
Email: cashen.boccio@utsa.edu
931441IJOXXX10.1177/0306624X20931441International Journal of Offender Therapy and Comparative CriminologyBoccio
research-article2020
1560 International Journal of Offender Therapy and Comparative Criminology 65(15)
low self-control with a plethora of criminal and deviant acts including theft, property
crimes, assault, drunk driving, risky sex, gambling, etc. (Baron, 2003; Longshore,
1998; Jones & Quisenberry, 2004; Paternoster & Brame, 1998; Tittle et al., 2003;
Welch et al., 2008). However, considerably less research has examined how self-con-
trol may be connected with other life outcomes outside of crime and contact with the
criminal justice system. What research has been conducted in this area suggests that
low self-control is negatively associated with relationship quality, educational attain-
ment, labor market outcomes, and employment outcomes (Baron, 2003; Chapple,
2005; Evans et al., 1997; Gibson et al., 2000; Tangney et al., 2004).
One merging line of inquiry also suggests that levels of self-control might be asso-
ciated with health outcomes in adulthood (Miller et al., 2011; Moffitt et al., 2011;
Nedelec & Beaver, 2014). For instance, some research links low self-control with
asthma, cancer, mental illness, high blood pressure, and high cholesterol (Moffitt
et al., 2011). Given the emerging literature suggesting an association between low self-
control and health problems, what remains to be investigated is whether this associa-
tion between levels of self-control and health outcomes may be affected by
environmental protective factors. That is, it is possible that positive environmental
influences such as parental socioeconomic status, neighborhood factors, and peer rela-
tionships may reduce the influence of low self-control on health outcomes. This paper
aims to extend the research exploring the connection between low self-control in ado-
lescence and health outcomes in adulthood and explores possible environmental pro-
tective factors that may moderate the association between low self-control and
developing health problems in adulthood.
Low Self-control
Low self-control has been consistently linked with involvement in criminal and delin-
quent behavior (Arneklev et al., 1993; Pratt & Cullen, 2000). Previous research, for
instance, links low self-control with theft, fraud, assault, drunk driving, and property
crimes (Baron, 2003; Holtfreter et al., 2010; Keane et al., 1993; Longshore, 1998;
Tittle et al., 2003; Welch et al., 2008). However, there is also some evidence suggest-
ing that self-control may not be linked with involvement in all types of crimes (i.e.,
white-collar crime) and may be more closely associated with impulsive types of crimes
(Benson & Moore, 1992).
As originally described by Gottfredson and Hirschi (1990), self-control refers to
“the differential tendency of people to avoid criminal acts whatever the circumstances”
(p. 87). The definition of self-control was later reconfigured by Hirschi (2004), as the
“tendency to consider the full range of potential costs of a particular act” (p. 543).
Both of these definitions of self-control can be interpreted to suggest that self-control
is a (relatively) stable trait and that it influences a wide range of behaviors. In particu-
lar, these definitions suggest that low self-control is associated with criminal, delin-
quent, and self-defeating behaviors. In general, people who have low levels of
self-control are characterized by six mains traits: impulsivity, self-centeredness, risk
seeking behavior, hot temperedness, attraction to simple rather than complex tasks,

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