Kim Jinsook, McCarthy William J
Department of Community Health Sciences, UCLA School of Public Health, 650 Charles E Young Dr. South, 41-257 Center for Health Sciences, Los Angeles, CA 90095-1772, USA.
Drug Alcohol Depend. 2006 Sep 1;84(1):56-68. doi: 10.1016/j.drugalcdep.2005.12.004. Epub 2006 Jan 18.
In this study, we seek to identify school contextual predictors of tobacco and alcohol use patterns (smoking only, drinking only, and both) among Asian and Pacific Islander (API) adolescents in California public schools and ethnic variation in determinants of substance use. The data included a sample of 26,692 Asian and 3518 Pacific Islander (PI) adolescents from the 2000-2001 California Healthy Kids Survey. School-level information (n=836 schools) was from the California Basic Educational Data System and the 2000 census. Multilevel multinomial logistic regression was used to assess the association of school contexts with substance use patterns, controlling for individual-level factors. Pacific Islanders showed much higher prevalence of smoking and drinking than Asians, and the prevalence varied by school. School contexts were independently associated with API adolescents' substance use beyond the individual-level characteristics. The associations between school factors and outcomes also varied by ethnic group. Latino majority schools and schools with a high Asian immigrant concentration in the surrounding neighborhood had a lower risk of substance use among Asians but only to a modest degree among PIs. This study confirmed the importance of distinguishing Asians and PIs and the need for more attention to school contextual factors in adolescent substance use research.
在本研究中，我们试图确定加利福尼亚州公立学校中亚太裔（API）青少年烟草和酒精使用模式（仅吸烟、仅饮酒以及两者皆有）的学校环境预测因素，以及物质使用决定因素中的种族差异。数据包括来自2000 - 2001年加利福尼亚州健康儿童调查的26,692名亚裔青少年和3518名太平洋岛民（PI）青少年的样本。学校层面的信息（n = 836所学校）来自加利福尼亚基础教育数据系统和2000年人口普查。使用多水平多项逻辑回归来评估学校环境与物质使用模式之间的关联，并控制个体层面的因素。太平洋岛民的吸烟和饮酒患病率远高于亚裔，且患病率因学校而异。除个体层面特征外，学校环境与API青少年的物质使用独立相关。学校因素与结果之间的关联也因种族而异。拉丁裔占多数的学校以及周边社区亚洲移民集中度高的学校，亚裔学生物质使用风险较低，但太平洋岛民学生仅略有降低。本研究证实了区分亚裔和太平洋岛民的重要性，以及在青少年物质使用研究中需要更多关注学校环境因素。
