Variations in associations of health risk behaviors among ethnic minority early adolescents.
Variations in associations of health risk behaviors among ethnic minority early adolescents.
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DOI：
10.1016/j.jadohealth.2004.09.017
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发表时间：
2006-01-01
期刊：
影响因子：
--
通讯作者：
Booy, Robert
中科院分区：
文献类型：
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作者：
Viner, Russell M;Haines, Mary M;Booy, Robert
目的：调查少数民族青少年早期危险行为的易损性和保护因素的模式以及危险行为的共生情况。方法：分析与东伦敦青少年社区健康调查(RELACHS)研究的数据，该研究以2001年具有代表性的2789名11-14岁青少年为样本(样本73%为非高加索人，21%出生在英国以外)。调查对象包括社会人口学变量、种族、吸烟、饮酒、吸毒、心理健康、身体健康以及来自家庭和同龄人的社会支持。结果：292例(10.9%)报告1种危险行为，84例(3.1%)报告2种危险行为，25例(0.9%)报告3种行为。在多变量模型中，心理疾病与所有行为和共同发生的风险较高相关，而在所有模型中，较高的家庭支持与较低风险相关。非高加索人种与经常吸烟和共生的风险较低有关，但与饮酒或毒品无关。在英国以外出生与个人行为的风险较低有关，但不会同时发生。宗教和宗教习俗与吸烟和饮酒的风险较低有关，但与吸毒或同时发生无关。同伴之间的联系与吸毒有关，但也会增加风险。社会经济地位只与吸烟有关。结论：个人、家庭和环境因素的关联模式在吸烟、饮酒、终生吸毒以及这些行为的共同发生之间似乎不同。关于与健康危险行为相关的共同因素的假设在少数民族和移民中可能具有误导性。同时发生可能代表了一种不同的风险行为领域，这部分是由文化决定的。
PURPOSE: To investigate patterns of vulnerability and protection factors associated with risk behaviors and the co-occurrence of risk behaviors in minority ethnicity early adolescents.METHODS: Analysis of data from the Research with East London Adolescents Community Health Survey (RELACHS), a school-based study of a representative sample of 2789 adolescents age 11-14 in 2001 (sample 73% non-Caucasian, 21% born outside the United Kingdom). Questionnaire data were obtained on sociodemographic variables, ethnicity, smoking, drinking, drug use, psychological well-being, physical health, and social support from family and peers. Models of associations for each behavior and co-occurrence of risk behaviors (defined as engaging in > or = 2 behaviors) were developed by hierarchical stepwise logistic regression.RESULTS: Two hundred ninety-two (10.9%) reported 1 risk behavior, 84 (3.1%) reported 2, and 25 (0.9%) reported 3 behaviors. In multivariate models, psychological morbidity was associated with higher risk of all behaviors and co-occurrence, while higher family support was associated with lower risk in all models. Non-Caucasian ethnicity was associated with lower risk of regular smoking and co-occurrence but not drinking or drugs. Birth outside the United Kingdom was associated with lower risk for individual behaviors but not co-occurrence. Religion and religious observance were associated with lower risk of smoking and drinking but not drug use or co-occurrence. Peer connectedness was associated with drug use, but with increased risk. Socioeconomic status was associated only with smoking.CONCLUSIONS: Patterns of associations of personal, family, and environmental factors appear to differ between smoking, drinking, lifetime drug use, and the co-occurrence of these behaviors. Hypotheses regarding common factors related to health risk behaviors may be misleading in ethnic minorities and immigrants. Co-occurrence may represent a distinct behavioral domain of risk that is partly culturally determined.