Beebe Laura A, Vesely Sara K, Oman Roy F, Tolma Eleni, Aspy Cheryl B, Rodine Sharon
Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, 801 NE 13th Street, CHB 309, Oklahoma City, OK 73104, USA.
Matern Child Health J. 2008 Jul;12 Suppl 1:82-90. doi: 10.1007/s10995-008-0325-5. Epub 2008 Feb 16.
This study explored associations between nine youth assets and tobacco, alcohol and other drug non-use among participating American Indian adolescents.
Data from 134 American Indians, ages 13-19 years, participating in an inner-city youth asset study, were analyzed. Individual logistic regression analyses were conducted, controlling for demographic variables, with nine youth assets as the independent variables and alcohol, tobacco and other drug non-use as the dependent variables.
Among American Indian youth, nearly 79% reported not using alcohol in the past 30 days. The prevalence of tobacco non-use was somewhat lower than that of alcohol, with 71% reporting not using tobacco in the past 30 days. For other drug non-use, 87% reported not using other drugs in the past 30 days. The non-parental adult role models asset was significantly associated with non-use of alcohol (OR = 4.4, 95% CI 1.5-13.3), tobacco (OR = 7.5, 95% CI 2.2-25.6), and other drugs (OR = 5.0, 95% CI 1.5-16.8). The use of time (religion) asset was also significantly associated with alcohol non-use (OR = 2.8, 95% CI 1.1-7.2). The family communication asset was associated only with other drug non-use (OR = 3.1, 95% CI 1.02-9.4). For tobacco non-use, an interaction was observed between family structure and the good health practices (exercise/nutrition) asset. Among youth in single-parent households, the odds of tobacco non-use were 4.4 times greater among those who possessed the good health practices (exercise/nutrition) asset.
Despite the relatively small sample size of American Indian youth, these results suggest an important role for specific youth assets in the prevention of substance abuse among American Indian youth.
本研究探讨了九种青少年资产与参与研究的美国印第安青少年不使用烟草、酒精及其他毒品之间的关联。
对134名年龄在13 - 19岁、参与市中心青少年资产研究的美国印第安人的数据进行了分析。进行了个体逻辑回归分析，控制人口统计学变量，将九种青少年资产作为自变量，不使用酒精、烟草及其他毒品作为因变量。
在美国印第安青少年中，近79%报告在过去30天内未使用酒精。不使用烟草的比例略低于不使用酒精的比例，71%报告在过去30天内未使用烟草。对于不使用其他毒品，87%报告在过去30天内未使用其他毒品。非父母成年榜样资产与不使用酒精（比值比 = 4.4，95%置信区间1.5 - 13.3）、烟草（比值比 = 7.5，95%置信区间2.2 - 25.6）和其他毒品（比值比 = 5.0，95%置信区间1.5 - 16.8）显著相关。利用时间（宗教）资产也与不使用酒精显著相关（比值比 = 2.8，95%置信区间1.1 - 7.2）。家庭沟通资产仅与不使用其他毒品相关（比值比 = 3.1，95%置信区间1.02 - 9.4）。对于不使用烟草，在家庭结构与良好健康习惯（锻炼/营养）资产之间观察到一种交互作用。在单亲家庭的青少年中，拥有良好健康习惯（锻炼/营养）资产的青少年不使用烟草的几率高4.4倍。
尽管美国印第安青少年的样本量相对较小，但这些结果表明特定的青少年资产在预防美国印第安青少年药物滥用方面具有重要作用。
