Grunbaum J A, Lowry R, Kann L, Pateman B
Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.
J Adolesc Health. 2000 Nov;27(5):322-30. doi: 10.1016/s1054-139x(00)00093-8.
[corrected] To compare the prevalence of selected risk behaviors among Asian American/Pacific Islander (AAPI) students and white, black, and Hispanic high school students in the United States.
The national Youth Risk Behavior Survey conducted in 1991, 1993, 1995, and 1997 by the Centers for Disease Control and Prevention produced nationally representative samples of students in grades 9 through 12 in all 50 states and the District of Columbia. To generate a sufficient sample of AAPI students, data from these four surveys were combined into one dataset yielding a total sample size of 55, 734 students.
In the month preceding the survey, AAPI students were significantly less likely than black, Hispanic, or white students to have drunk alcohol or used marijuana. AAPI students also were significantly less likely than white, black, or Hispanic students to have had sexual intercourse; however, once sexually active, AAPI students were as likely as other racial or ethnic groups to have used alcohol or drugs at last intercourse or to have used a condom at last intercourse. AAPI students were significantly less likely than white, black, or Hispanic students to have carried a weapon or fought but were as likely as any of the other groups to have attempted suicide.
A substantial percentage of AAPI students engage in risk behaviors that can affect their current and future health. Prevention programs should address the risks faced by AAPI students using culturally sensitive strategies and materials. More studies are needed to understand the comparative prevalence of various risk behaviors among AAPI subgroups.
[已修正]比较美国亚裔/太平洋岛民(AAPI)学生与白人、黑人及西班牙裔高中生中特定风险行为的流行情况。
疾病控制与预防中心于1991年、1993年、1995年和1997年开展的全国青少年风险行为调查,在全美50个州及哥伦比亚特区产生了9至12年级学生具有全国代表性的样本。为获得足够数量的AAPI学生样本,将这四项调查的数据合并为一个数据集,得到的学生样本总数为55734名。
在调查前一个月,AAPI学生饮酒或使用大麻的可能性显著低于黑人、西班牙裔或白人学生。AAPI学生发生性行为的可能性也显著低于白人、黑人或西班牙裔学生;然而,一旦开始有性行为,AAPI学生在最近一次性行为时饮酒或使用毒品以及使用避孕套的可能性与其他种族或族裔群体相同。AAPI学生携带武器或打架的可能性显著低于白人、黑人或西班牙裔学生,但自杀未遂的可能性与其他任何群体相同。
相当比例的AAPI学生从事可能影响其当前及未来健康的风险行为。预防项目应采用对文化敏感的策略和材料来应对AAPI学生面临的风险。需要开展更多研究以了解AAPI亚群体中各种风险行为的相对流行情况。