明尼苏达青少年中危害健康行为的模式：社会人口统计学差异
Patterns of health-compromising behaviors among Minnesota adolescents: sociodemographic variations.
作者信息
Neumark-Sztainer D, Story M, French S, Cassuto N, Jacobs D R, Resnick M D
机构信息
Division of Epidemiology, University of Minnesota, Minneapolis 55454, USA.
出版信息
Am J Public Health. 1996 Nov;86(11):1599-606. doi: 10.2105/ajph.86.11.1599.
OBJECTIVES
This study compared prevalence rates of health-compromising behaviors among boys and girls from different ethnic backgrounds in early, middle, and late adolescence and compared co-occurrences of such behaviors across gender and ethnic groups.
METHODS
The study population included 123 132 adolescents in grades 6, 9, and 12. Adolescents completed a classroom-administered statewide survey focusing on high-risk behaviors, including unhealthy weight loss, substance abuse, suicide risk, delinquency, and sexual activity.
RESULTS
Prevalence rates of most health-compromising behaviors differed by gender, increased with age, and tended to be highest among American Indian youth and lowest among Asian Americans. Strong associations were found between substance abuse and delinquency across all ethnic groups. Substance abuse and delinquency were associated with suicide risk across most ethnic groups. Covariations with sexual activity and unhealthy weight loss behaviors showed more ethnic variation.
CONCLUSIONS
Prevention interventions should take into account the tendency for health-compromising behaviors to co-occur and should be sensitive to demographic and socioeconomic differences in behavior patterns.
目的
本研究比较了不同种族背景的男孩和女孩在青春期早期、中期和晚期的危害健康行为发生率，并比较了这些行为在不同性别和种族群体中的共现情况。
方法
研究人群包括123132名6年级、9年级和12年级的青少年。青少年完成了一项在课堂上进行的全州范围的调查，重点关注高风险行为，包括不健康的体重减轻、药物滥用、自杀风险、犯罪和性行为。
结果
大多数危害健康行为的发生率因性别而异，随年龄增长而增加，在美国印第安青少年中往往最高，在亚裔美国人中往往最低。在所有种族群体中，药物滥用和犯罪之间存在强烈关联。在大多数种族群体中，药物滥用和犯罪与自杀风险相关。与性行为和不健康体重减轻行为的共变显示出更多的种族差异。
结论
预防干预应考虑到危害健康行为共现的趋势，并应对行为模式中的人口统计学和社会经济差异保持敏感。
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