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A common strategy employed by students to gain social acceptance from their peers is to engage in risk-taking behavior. Due to their pre-existing health complications, students with chronic health conditions (CHCs) are far more likely than their healthy peers to experience more severe health consequences due to risk-taking behavior. Recent studies have explored risk-taking behaviors in relation to specific CHCs (e.g. smoking and asthma; diet and diabetes); the literature now requires a comprehensive understanding o risk behaviors in adolescents with CHCs. The Health Behavior in School-aged Children (HBSC) study was used to discover unique patterns of risk taking behavior across Canadian youth with and without CHCs.