Abebe Dawit S, Hafstad Gertrud S, Brunborg Geir Scott, Kumar Bernadette Nirmal, Lien Lars
Norwegian Center for Minority Health (NAKMI), Oslo, Norway,
J Immigr Minor Health. 2015 Aug;17(4):992-1001. doi: 10.1007/s10903-014-0077-9.
The aim of the study was to assess prevalence and factors associated with binge drinking, cannabis use and tobacco use among ethnic Norwegians and ethnic minority adolescents in Oslo. We used data from a school-based cross-sectional survey of adolescents in junior- and senior high schools in Oslo, Norway. The participants were 10,934 adolescents aged 14-17 years, and just over half were females. The sample was comprised of 73.2 % ethnic Norwegian adolescents, 9.8 % 1st generation immigrants, and 17 % 2nd generation adolescents from Europe, the US, the Middle East, Asia and Africa. Logistic regression models were applied for the data analyses. Age, gender, religion, parental education, parent-adolescent relationships, depressive symptoms and loneliness were covariates in the regression models. Ethnic Norwegian adolescents reported the highest prevalence of binge drinking (16.1 %), whereas the lowest prevalence was found among 2nd generation adolescents from Asia (2.9 %). Likewise, the past-year prevalence for cannabis use ranged from 10.6 % among 2nd generation Europeans and those from the US to 3.7 % among 2nd generation Asians. For daily tobacco use, the prevalence ranged from 12.9 % among 2nd generation Europeans and the US to 5.1 % among 2nd generation Asians. Ethnicity, age, gender, religion, parental education, and parent-adolescent relationships and mental health status were significantly associated with binge drinking, cannabis and tobacco use. These factors partly explained the observed differences between ethnic Norwegians and ethnic minority adolescents in the current study. There are significant differences in substance use behaviors between ethnic Norwegian and immigrant youth. Factors like age, gender, religion, parental education and relationships and mental health status might influence the relationship between ethnicity and substance abuse. The findings have implications for planning selective- as well as universal prevention interventions.
该研究的目的是评估挪威族青少年和奥斯陆少数民族青少年中暴饮暴食、吸食大麻和吸烟的患病率及相关因素。我们使用了挪威奥斯陆初中和高中青少年基于学校的横断面调查数据。参与者为10934名14 - 17岁的青少年，其中略超过半数为女性。样本包括73.2%的挪威族青少年、9.8%的第一代移民以及17%来自欧洲、美国、中东、亚洲和非洲的第二代青少年。数据分析采用逻辑回归模型。年龄、性别、宗教、父母教育程度、亲子关系、抑郁症状和孤独感是回归模型中的协变量。挪威族青少年报告的暴饮暴食患病率最高（16.1%），而亚洲第二代青少年中的患病率最低（2.9%）。同样，过去一年吸食大麻的患病率在第二代欧洲人和美国人中为10.6%，在第二代亚洲人中为3.7%。对于每日吸烟，患病率在第二代欧洲人和美国人中为12.9%，在第二代亚洲人中为5.1%。种族、年龄、性别、宗教、父母教育程度、亲子关系和心理健康状况与暴饮暴食、吸食大麻和吸烟显著相关。这些因素部分解释了本研究中挪威族青少年和少数民族青少年之间观察到的差异。挪威族青少年和移民青年在物质使用行为方面存在显著差异。年龄、性别、宗教、父母教育程度、关系和心理健康状况等因素可能会影响种族与物质滥用之间的关系。这些发现对规划选择性和普遍性预防干预措施具有启示意义。
