Brindis C, Wolfe A L, McCarter V, Ball S, Starbuck-Morales S
Center for Reproductive Health Policy Research, University of California at San Francisco 94109, USA.
J Adolesc Health. 1995 Aug;17(2):99-105. doi: 10.1016/1054-139X(94)00101-J.
The purpose of this study was to identify differences in patterns of risk-taking behavior among Latino adolescents with respect to immigrant status and in comparison to their native non-Hispanic white counterparts.
In fall of 1988 and spring of 1989 a confidential Teen Health Risk Survey was administered to 1,789 students at two high schools in northern California, both of which have a school health center on-site, and which had large numbers of Latino students enrolled. We divided the Latino adolescent population into two groups: Latinos who were born in the United States (native-born Latinos) and Latinos who had immigrated to the United States (Latino immigrants). Eight different risk-taking behaviors were identified for this study: alcohol, cigarette, marijuana, illicit drug use, self-violence, drunk driving, unintended pregnancy, and violence.
We found that in general, Latino students engaged in a greater number of risk-taking behaviors than native non-Hispanic whites. The mean number of risk behaviors was highest for Latino immigrants (1.78), followed by native-born Latinos (1.71), and native non-Hispanic whites (.99). A t-test revealed that non-Hispanic whites were statistically different from both Latino populations in either level of risk-taking behavior (p < 0.05).
This sample of immigrant Latino students appeared to be vulnerable to engaging in risk-taking behaviors and did not exhibit the anticipated cultural protective factors associated with recent immigrants. The extent and variety of risk-taking behaviors clearly call for the development of culturally sensitive and accessible health education and health care services within a broader array of social, educational and support services.
本研究旨在确定拉丁裔青少年在冒险行为模式上因移民身份而异,并与非西班牙裔白人本土同龄人进行比较。
1988年秋季和1989年春季,对加利福尼亚州北部两所高中的1789名学生进行了一项保密的青少年健康风险调查。这两所学校都设有校内健康中心,且有大量拉丁裔学生入学。我们将拉丁裔青少年群体分为两组:在美国出生的拉丁裔(本土出生的拉丁裔)和移民到美国的拉丁裔(拉丁裔移民)。本研究确定了八种不同的冒险行为:饮酒、吸烟、吸食大麻、使用非法药物、自我暴力、酒后驾车、意外怀孕和暴力行为。
我们发现,总体而言,拉丁裔学生比非西班牙裔白人本土学生参与的冒险行为更多。冒险行为的平均数量在拉丁裔移民中最高(1.78),其次是本土出生的拉丁裔(1.71),非西班牙裔白人本土学生最低(0.99)。t检验显示,非西班牙裔白人在冒险行为水平上与两个拉丁裔群体在统计学上均有差异(p < 0.05)。
这批移民拉丁裔学生样本似乎容易出现冒险行为,且未表现出与新移民相关的预期文化保护因素。冒险行为的程度和多样性显然需要在更广泛的社会、教育和支持服务范围内,制定具有文化敏感性且易于获得的健康教育和医疗服务。