Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
J Adolesc Health. 2013 May;52(5):627-33. doi: 10.1016/j.jadohealth.2012.10.001. Epub 2012 Nov 30.
To use cluster analysis to explore how coping, stress, and social support align and intersect with each other and relate to internalizing and externalizing behavior among urban adolescents and young adults disconnected from school and work.
Baseline audio computer assisted self-interview (ACASI) data from a study of 683 urban, low-income, African-American 16-24-year-old youth (mean age = 18.7; SD = 1.8) participating in an employment training program was cluster analyzed. This method reveals how well youth group together based on coping strategies, stress exposure, and social support.
Using four coping, two support, and two stress subscales, a three-cluster solution best fit the data. One cluster, representing 65% of the sample, was characterized by moderate coping, high support, and low stress. These youth also reported lower weapon carrying compared to youth in the remaining two clusters. Another cluster, representing 17% of the sample, was defined by high coping, moderate support, and high stress. Youth in this cluster reported the highest levels of depressive symptoms and high levels of suicidal ideation as well as high levels of perpetrating intimate partner violence compared to other youth. The final cluster, also representing 17% of the sample, was marked by low coping, low support, and low stress. These youth also reported high levels of suicidal ideation.
Given the varying profiles of stress, support, and coping reported by urban adolescents and young adults, future research and policy should further explore targeted and tailored intervention approaches for these youth.
运用聚类分析探索城市青少年和青年群体在离开学校和工作后,应对方式、压力和社会支持之间的相互作用和关系,以及这些因素与内化和外化行为的关系。
对参与就业培训项目的 683 名城市低收入非裔美国青少年和青年(平均年龄=18.7;标准差=1.8)进行基线音频计算机辅助自我访谈(ACASI)数据的聚类分析。该方法揭示了青少年根据应对策略、压力暴露和社会支持分组的情况。
使用四个应对、两个支持和两个压力分量表,得出了三聚类解决方案。其中一个代表 65%样本的聚类,其特点是中等应对、高支持和低压力。与其余两个聚类相比,这些青年携带武器的比例也较低。另一个聚类代表 17%的样本,其特点是高应对、中等支持和高压力。与其他青年相比,该聚类的青年报告抑郁症状水平较高、自杀意念水平较高以及实施亲密伴侣暴力的水平较高。最后一个聚类也代表 17%的样本,其特点是低应对、低支持和低压力。这些青年也报告了较高的自杀意念水平。
鉴于城市青少年和青年群体报告的压力、支持和应对方式存在不同特征,未来的研究和政策应进一步探索针对这些青年的有针对性和量身定制的干预方法。