Ethnic variation in drinking, drug use, and sexual behavior among adolescents in Hawaii
Ethnic variation in drinking, drug use, and sexual behavior among adolescents in Hawaii
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DOI：
10.1111/j.1746-1561.2004.tb06596.x
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发表时间：
2004-01-01
影响因子：
2.2
通讯作者：
Nishimura, S
中科院分区：
文献类型：
--
作者：
Ramisetty-Mikler, S;Caetano, R;Nishimura, S
本研究调查了夏威夷原住民（NH）、白种人和亚洲/太平洋岛民（API）高中生在物质使用和性行为方面的种族差异，以及饮酒和吸毒是否构成不安全性行为的危险因素。对青少年危险行为调查（1997年和1999年）进行了二次数据分析，使用了2,657名9-12年级学生的代表性样本。进行双变量关联的卡方检验和多变量回归分析以确定预测因子。英国国民保健制度的人性生活更活跃，开始性生活的时间更早，而且往往有多个伴侣。NH、白种人和男性的终生酒精使用量较高。NHs更有可能在12岁之前开始饮酒，并且更多地参与间歇性饮酒。非间断性饮酒者或间断性饮酒者以及吸毒的学生有发生性行为、有多个性伴侣以及在性行为中使用酒精/药物的风险。如果在10岁或更小的时候开始饮酒，那么在性行为中使用物质的风险是15岁或更大的时候的两倍。与不喝酒的人相比，如果在13-14岁开始喝酒，那么终生多伴侣的风险会增加一倍。总体而言，女性在性方面更活跃。因为饮酒与性启蒙和危险行为有关；酒精的不良影响必须在针对未成年人饮酒的计划中加以解决，从而帮助青少年推迟或尽量减少性活动，并防止其他相关问题。干预工作应提高提倡戒酒和戒毒的生活技能。
This study examined ethnic differences in substance use and sexual behavior and whether drinking and drug use constitute risk factors for unsafe sexual practices among Native Hawaiian (NH), Caucasian, and Asian/Pacific Islander (API) high school students in Hawaii. A secondary data analysis of the Youth Risk Behavior Survey (1997 and 1999) using a representative sample of 2,657 students in 9-12 grades was performed. Chi-square tests for bivariate associations and multivariate regression analyses were conducted to identify predictors. NHs were more sexually active, initiated sex earlier, and tended to have multiple partners. Alcohol lifetime use was higher in NH, Caucasians, and males. NHs were more likely to initiate drinking by age 12 and engage more in episodic drinking. Non-episodic or episodic drinkers and students who use drugs were at risk to engage in sexual activity, have multiple partners, and use alcohol/drugs during sex. Risk was two times higher for substance use during sex if drinking was initiated at age 10 or younger compared to 15 years or older. Compared to abstainers, the risk doubled for lifetime multiple partners if drinking was initiated at ages 13-14. Overall, females were more sexually active. Because drinking was associated with sexual initiation and risky behavior; adverse effects of alcohol must be addressed in programs targeting underage drinking, thus helping youth delay or minimize sexual activity and prevent other associated problems. Intervention efforts should enhance life skills that endorse abstinence from alcohol and drug use.