Examining risk and protective predictors of substance use among low-income Native Hawaiian and Pacific Islander adolescents.

Examining risk and protective predictors of substance use among low-income Native Hawaiian and Pacific Islander adolescents.
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检查低收入夏威夷人和太平洋岛民青少年的风险和保护性预测因素。

DOI:
10.1037/ort0000582
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发表时间:
2022
期刊:
The American journal of orthopsychiatry
影响因子:
--
通讯作者:
Uchigakiuchi P
Uchigakiuchi P
中科院分区:
其他
文献类型:
--
作者:
Huang CY;Nishioka SA;Zane NW;Uchigakiuchi P

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青少年的药物使用(SU)是一个重要的公共卫生问题,它会增加负面结果的风险。尽管亚裔美国 (AA) 青少年往往报告 SU 的使用率较低,但夏威夷原住民和太平洋岛民 (NH/PI) 青少年的 SU 使用率往往明显较高。然而,NH/PI 青少年很少作为一个单独的群体进行研究。因此,人们对 NH/PI 青少年 SU 的影响因素以及如何预防知之甚少。这项前瞻性研究调查了个人、家庭和学校层面的生态风险和保护因素对 NH/PI 青少年 SU 的影响。这项前瞻性研究利用了 120 名 NH/PI 青少年的纵向数据,他们是 SU 预防计划的一部分。在两个时间点(时间 1 和时间 2(32 周后))收集信息,包括青少年的 SU 行为以及个人、家庭和学校因素。这些青少年的父母也提供了数据;所有信息均为自我报告。时间 1 的积极学术态度与时间 2 的酒精和其他药物(例如大麻)使用呈负相关。具体来说,对学校、同龄人和老师持更积极态度的 NH/PI 青少年报告称,酒精和其他 SU 较少。如果在学校范围内进行预防工作,对于 NH/PI 青少年来说可能是最有效的。这可能包括在学校实施的计划,利用教师作为榜样,和/或促进亲社会同伴关系以支持积极的行为。讨论了其他影响。
Substance use (SU) among adolescents is a critical public health concern that increases the risk for negative outcomes. Although Asian American (AA) adolescents tend to report low rates of SU, Native Hawaiian and Pacific Islander (NH/PI) adolescents often report significantly higher rates of use. Yet, NH/PI youth are seldom studied as a separate group. Consequently, little is known about the factors involved in SU among NH/PI adolescents and how to prevent it. This prospective study investigated the effect of ecological risk and protective factors at the individual, family, and school levels on SU for NH/PI adolescents. This prospective study utilized longitudinal data from 120 NH/PI adolescents who were7 part of an SU prevention program. Information was collected at two time points—Time 1 and Time 2 (32 weeks later)—and included adolescents’ SU behaviors and individual, family, and school factors. The parents of these adolescents also provided data; all information was self-report. Positive academic attitudes at Time 1 were negatively associated with alcohol and other drug (e.g., marijuana) use at Time 2. Specifically, NH/PI adolescents who had more positive attitudes toward their school, peers, and teachers reported less alcohol and other SU. Prevention efforts may be most effective for NH/PI adolescents if addressed within the school context. This may include programs implemented in schools, utilizing teachers as role models, and/or promoting prosocial peer relationships to support positive behaviors. Additional implications are discussed.
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