Palti H, Halevy A, Epstein Y, Knishkowy B, Meir M, Adler B
Department of Social Medicine, Hadassah Medical Organization, Israel.
J Adolesc Health. 1995 Jul;17(1):51-7. doi: 10.1016/1054-139X(95)91196-S.
To study the distribution, prevalence, determinants, and association between the health, social, and environmental concerns and risk behaviors of high school students in Jerusalem in order to provide a better basis for preventive and health promotion services.
1078 tenth grade high school students, 15-16 years old answered an anonymous questionnaire including, perceived concerns and risk behaviors, (e.g., smoking, alcohol, drugs, and sexual activity). Concerns were grouped into six domains.
The most frequently reported concerns related to school, weight, coping with aggression, fatigue, war, enlistment into army, and relationships with peers. Girls had more concerns in the domains of self-image, anxiety, and relationships with peers (p < .05). Adolescents with mothers who had less education had significantly more concerns in the domains of anxiety and relationships with peers and adults (p < .05). Forty-seven percent engaged in at least one risk behavior (boys 63% and girls 34%). The Guttman scalogram indicated the following sequence of risk behaviors: alcohol, cigarettes, sex, and drugs. There were statistically significant associations between concerns and risk behaviors in the domains of anxiety, sex, and relationships with adults and peers.
Many adolescent concerns are universal, although the ranking and prevalence may vary based on different regional and population characteristics (e.g., in this population a high rate of concerns relating to aggression and war were identified). The results support the need to develop prevention and health promotion programs relating to the concerns and risk behaviors in the school and community, and individual counseling programs in primary care settings.
研究耶路撒冷高中生的健康、社会和环境问题及风险行为之间的分布、患病率、决定因素和关联，以便为预防和健康促进服务提供更好的依据。
1078名15 - 16岁的十年级高中生回答了一份匿名问卷，内容包括感知到的问题和风险行为（如吸烟、饮酒、吸毒和性行为）。问题被分为六个领域。
最常报告的问题涉及学校、体重、应对攻击行为、疲劳、战争、参军以及与同伴的关系。女孩在自我形象、焦虑以及与同伴关系等领域有更多问题（p < .05）。母亲受教育程度较低的青少年在焦虑以及与同伴和成年人关系等领域有显著更多问题（p < .05）。47%的学生至少有一项风险行为（男孩为63%，女孩为34%）。古特曼量表显示风险行为的顺序如下：饮酒、吸烟、性行为和吸毒。在焦虑、性行为以及与成年人和同伴关系等领域，问题与风险行为之间存在统计学上的显著关联。
许多青少年问题是普遍存在的，尽管根据不同的地区和人群特征，其排名和患病率可能有所不同（例如，在这个人群中，发现与攻击行为和战争相关的问题发生率较高）。结果支持有必要制定与学校和社区中的问题及风险行为相关的预防和健康促进计划，以及在初级保健环境中的个体咨询计划。
