From early to late adolescence: American Indian youths' behavioral trajectories and their major influences.
From early to late adolescence: American Indian youths' behavioral trajectories and their major influences.
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从青春期早期到晚期：美洲印第安人青少年的行为轨迹及其主要影响。
DOI：
10.1097/chi.0b013e318053753a
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发表时间：
2007
影响因子：
13.3
通讯作者：
Brown,Eddie
中科院分区：
文献类型：
--
作者：
Stiffman,ArleneRubin;Alexander-Eitzman,Benjamin;Silmere,Hiie;Osborne,Victoria;Brown,Eddie
本文确定的行为轨迹的美国印第安人青少年和检查他们的predictors.METHODA共401城市和保留地美国印第安人青少年进行了采访，每年从2001年至2004年（341青年，或85%，保留到2004年，和385完成至少两次采访）。青少年自我报告的总问题分数被用来模拟行为变化轨迹，心理（成瘾和心理健康）和环境（家庭，同伴，社区和服务）变量作为自变量。分析基于PROC TRAJ，一个SAS的宏。结果发现了五个轨迹组。开始时青年自我报告评分低于临床临界值的青年为低稳定（n = 142）或低改善（n = 175）。初始评分超过临界值的青少年是非常高的慢性（n = 5），高改善（n = 30），或高慢性（n = 33）。到2004年，高改进组的得分接近低改进组。在基线时，高改善组比高慢性组更有可能来自保留地（比值比5.94），有更高的家庭满意度（1.14），有更少的学校问题（0.84）。随着时间的推移，高改善组的物质使用和抑郁下降，家庭满意度增加，精神健康或成瘾问题的父母减少，使用物质的同龄人减少，邻里问题和压力源减少。（超过82%）的青少年在所有4年中表现出相对较低的问题行为，42%的有临床显著问题的患者随着时间的推移而改善。
OBJECTIVEThis article identifies behavioral trajectories of American Indian adolescents and examines their predictors.METHODA total of 401 urban and reservation American Indian adolescents were interviewed yearly from 2001 to 2004 (with 341 youths, or 85%, retained to 2004, and 385 completing at least two interviews). The Youth Self-Report total problem score is used to model behavior change trajectories, with psychological (addictions and mental health) and environmental (family, peer, community, and services) variables as independent variables. Analyses were based on PROC TRAJ, an SAS macro.RESULTSFive trajectory groups were found. Youths who started with a Youth Self-Report score less than the clinical cutoff were low stable (n = 142) or low improving (n = 175). Youths with initial scores over the cutoff were very high chronic (n = 5), high improving (n = 30), or high chronic (n = 33). High improvers scored close to the low improving group by 2004. At baseline, the high improving group was more likely than the high chronic group to be from the reservation (odds ratio 5.94), have greater family satisfaction (1.14), and have fewer school problems (0.84). Over time, the high improving group had substance use and depression drop, family satisfaction increase, fewer parents with mental health or addictions problems, fewer peers using substances, and a decrease in neighborhood problems and stressors.CONCLUSIONSA significant majority (more than 82%) of the youths exhibited relatively low levels of problem behaviors over all 4 years, and 42% of those with clinically significant problems improved over time.