Lee Sung-Jae, Rotheram-Borus Mary Jane
University of California, Los Angeles, CA, USA.
J Sch Health. 2009 Aug;79(8):347-54. doi: 10.1111/j.1746-1561.2009.00420.x.
Asian/Pacific Islander (API) students have been stereotyped as the "model minority." The objective of this study was to examine the trends in health risk behaviors among API students who participated in the San Diego City Schools Youth Risk Behavior Survey (YRBS) between 1993 and 2005.
High school students from the San Diego City School District completed the self-administered YRBS between 1993 and 2005. Among sexually active students, logistic regression for survey data was used to examine trends in health risk behaviors.
From 1993 to 2005, condom use at last sexual intercourse was consistently lower among API students than their cross-ethnic peers. We observed a significant increasing trend in lifetime smoking, drinking, and marijuana use. Parental communications regarding human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS) were significantly less frequent and decreased over time.
Our findings challenge the notion of API youth being the "model minority." API students face unique challenges, including barriers to good communication about sex and lower rates of condom use. School-based prevention programs are needed for API students, including a focus on HIV communication with parents.
亚太裔(API)学生一直被刻板地视为“模范少数族裔”。本研究的目的是调查1993年至2005年间参加圣地亚哥市学校青少年危险行为调查(YRBS)的API学生中健康风险行为的趋势。
圣地亚哥市学区的高中生在1993年至2005年间完成了自我管理的YRBS。在有性行为的学生中,使用调查数据进行逻辑回归分析,以研究健康风险行为的趋势。
1993年至2005年间,API学生在最近一次性交时使用避孕套的比例始终低于其他族裔的同龄人。我们观察到终生吸烟、饮酒和使用大麻的情况有显著增加的趋势。关于人类免疫缺陷病毒(HIV)或获得性免疫缺陷综合征(AIDS)的家长沟通显著减少,且随时间推移而下降。
我们的研究结果挑战了API青少年是“模范少数族裔”的观念。API学生面临独特的挑战,包括在性方面良好沟通的障碍以及较低的避孕套使用率。需要为API学生开展以学校为基础的预防项目,包括关注与家长就HIV进行沟通。