Vaca Federico E, Anderson Craig L
Yale University School of Medicine, Department of Emergency Medicine University of California, Irvine School of Medicine, Center for Trauma and Injury Prevention Research.
Ann Adv Automot Med. 2011;55:41-50.
The adolescent Latino male mortality profile is an anomaly when compared to an otherwise more favorable overall U.S. Latino population mortality profile. Motor vehicle crash fatalities bear a considerable proportion of mortality burden in this vulnerable population. Friend influence and relational connection are two contextual domains that may mediate crash injury risk behavior in these adolescents. Our study goal was to assess the role of friend influence over time and relational connections associated with crash injury risk behavior (CIRB) in adolescent Latino males. Waves I and II data from the National Longitudinal Study of Adolescent Health were used. Scale of CIRB, and three relational connections; school connectedness, parent connectedness, and expectation of academic success were developed and tested. Friend nomination data were available and the index student responses were linked to friend responses. Linear regression was used to assess the relationship of relational connections and friend CIRB on index student CIRB at wave I and II. Longitudinal analysis did not show significant evidence for friend influence among adolescent Latino males on CIRB. The best predictor of CIRB at wave II for adolescent Latino males was their CIRB at wave I. Relational connections were important yet exaggerated cross-sectionally but their effect was substantially attenuated longitudinally. The lack of friend influence on CIRB for adolescent Latino males may be specific to this demographic group or characteristic of the sample studied. Prevention strategies that focus on modulating friend influence in adolescent Latino males may not yield the desired prevention effects on CIRB.
与总体上更为有利的美国拉丁裔人口死亡率状况相比,拉丁裔青少年男性的死亡率状况是反常的。在这一弱势群体中,机动车碰撞致死在死亡负担中占相当大的比例。朋友影响和关系联结是两个可能调节这些青少年碰撞伤害风险行为的背景领域。我们的研究目标是评估朋友影响随时间的作用以及与拉丁裔青少年男性碰撞伤害风险行为(CIRB)相关的关系联结。使用了来自全国青少年健康纵向研究的第一波和第二波数据。开发并测试了CIRB量表以及三种关系联结;学校联结、父母联结和学业成功期望。有朋友提名数据,且指标学生的回答与朋友的回答相关联。使用线性回归来评估在第一波和第二波时关系联结和朋友的CIRB对指标学生CIRB的关系。纵向分析没有显示出拉丁裔青少年男性中朋友影响对CIRB有显著证据。拉丁裔青少年男性在第二波时CIRB的最佳预测因素是他们在第一波时的CIRB。关系联结很重要,但在横断面分析中被夸大了,但其影响在纵向分析中大幅减弱。拉丁裔青少年男性中朋友对CIRB缺乏影响可能是这一特定人群所特有的,或者是所研究样本的特征。侧重于调节拉丁裔青少年男性中朋友影响的预防策略可能不会对CIRB产生预期的预防效果。