A Latent Class Analysis of the Co-occurrence of Risk Behaviors among Adolescents
A Latent Class Analysis of the Co-occurrence of Risk Behaviors among Adolescents
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DOI：
10.5993/ajhb.43.3.1
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发表时间：
2019-05-01
影响因子：
2.3
通讯作者：
Dino, Geri A.
中科院分区：
文献类型：
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作者：
Ahmadi-Montecalvo, Halima;Lilly, Christa L.;Dino, Geri A.
目的：在这项研究中，我们检查了多种健康危险行为的共同发生，以确定性别共同发生的模式是否有任何差异。方法：以2013年全国青少年危险行为调查数据为样本，按性别(N=13,583)进行潜伏期分析。结果：超过一半的样本(53%)属于低危亚组(1类)。第二类青少年占15%，在这一亚群中，超过40%的人报告与酒后驾车的人一起骑车，63%的人报告在开车时发短信。超过14%的人属于3班，他们有更高的抑郁和自杀倾向(分别为81%和)。在报告当前吸烟(97%)、烟草(99%)和饮酒(73%)的高概率青少年中，四年级占9%以上；超过一半的青少年报告当前使用大麻(52%)。在被确定为高危多物质使用者的青少年中，5类占8.5%。分析表明，不同性别的人在共同出现的模式上存在差异。结论：青少年的几种危险行为与性别无关。然而，在女孩中出现抑郁症状和自杀的可能性较高的性别差异突出了考虑青少年人口构成的干预措施的必要性。
Objectives: In this study, we examined the co-occurrence of multiple health-risk behaviors to determine whether there are any differences in the pattern of co-occurrence by sex. Methods: We conducted latent class analysis using the national 2013 Youth Risk Behavior Survey data for the overall sample, and separately by sex (N = 13,583). Results: Over half of the sample (53%) belonged to the low risk subgroup (Class 1). Class 2 accounted for 15% of adolescents, and over 40% in this subgroup reported riding with a drunk driver, and 63% reported texting while driving a vehicle. Over 14% belonged to Class 3, which had a higher probability of being depressed and suicidal (81% and 64%, respectively). Class 4 accounted for over 9% of adolescents who reported high probabilities for current cigarette (97%), tobacco (99%), and alcohol use (73%); and over half reported current marijuana use (52%). Class 5 accounted for 8.5% of adolescents identified as high-risk polysubstance users. Analyses showed differences by sex in the pattern of co-occurrences. Conclusion: Several adolescent risk behaviors are interrelated regardless of sex. However, sex differences in the higher probability of depressive symptoms and suicidality among girls highlight the need for interventions that consider the demographic composition of adolescents.