Protecting adolescents from harm - Findings from the National Longitudinal Study on Adolescent Health
Protecting adolescents from harm - Findings from the National Longitudinal Study on Adolescent Health
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DOI：
10.1001/jama.278.10.823
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发表时间：
1997-09-10
影响因子：
120.7
通讯作者：
Udry, JR
中科院分区：
文献类型：
--
作者：
Resnick, MD;Bearman, PS;Udry, JR
背景。-对青少年健康的主要威胁是他们选择的危险行为，他们的社会环境如何塑造他们的行为是很难理解的。为了确定风险和保护因素在家庭，学校和个人层面，因为它们涉及到青少年健康和发病率的4个领域：情绪健康，暴力，物质使用和性。全国青少年健康纵向研究访谈数据的横断面分析。共有12118名7至12年级的青少年从80所高中及其附属中学的90118名青少年的初步全国学校调查中抽取。访谈在受试者家中完成。主要结果测量。评估了八个领域：精神痛苦;自杀想法和行为;暴力;使用3种物质（香烟、酒精、大麻）和2种类型的性行为（首次性行为的年龄和怀孕史）。自变量包括家庭环境、学校环境和个人特征。父母与家庭的联系和学校的联系对除怀孕史外的每一种健康危险行为都有保护作用。相反，在家里容易获得枪支与自杀有关（9-12年级：P
Context.-The main threats to adolescents' health are the risk behaviors they choose, How their social context shapes their behaviors is poorly understood.Objective.-To identify risk and protective factors at the family, school, and individual levels as they relate to 4 domains of adolescent health and morbidity: emotional health, violence, substance use, and sexuality.Design.-Cross-sectional analysis of interview data from the National Longitudinal Study of Adolescent Health.Participants.-A total of 12 118 adolescents in grades 7 through 12 drawn from an initial national school survey of 90 118 adolescents from 80 high schools plus their feeder middle schools.Setting.-The interview was completed in the subject's home.Main Outcome Measures.-Eight areas were assessed: emotional distress; suicidal thoughts and behaviors; violence; use of 3 substances (cigarettes, alcohol, marijuana); and 2 types of sexual behaviors (age of sexual debut and pregnancy history), Independent variables included measures of family context, school context, and individual characteristics.Results.-Parent-family connectedness and perceived school connectedness were protective against every health risk behavior measure except history of pregnancy, Conversely, ease of access to guns at home was associated with suicidality (grades 9-12: P