Rural Adolescent Health: The Importance of Prevention Services in the Rural Community
Rural Adolescent Health: The Importance of Prevention Services in the Rural Community
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DOI：
10.1111/j.1748-0361.2010.00319.x
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发表时间：
2011-12-01
影响因子：
4.9
通讯作者：
Brindis, Claire
中科院分区：
文献类型：
--
作者：
Curtis, Alexa C.;Waters, Catherine M.;Brindis, Claire
背景：青春期是建立积极的健康和健康做法的关键发展时期。然而，发展推动的风险行为与健康服务的障碍相一致，可能会增加青春期不良健康结果的倾向。此外，农村环境的社会文化背景可能对青少年的健康构成挑战。关于农村青少年健康的数据有限，特别是在人口亚群中，阻碍了充分宣传青少年健康预防服务的能力。方法：2005年加州健康访谈调查青少年问卷进行了二次分析。选择的调查项目对应的健康青年2010年的目标进行了分析，为663名青少年年龄在12-17居住在农村地区的加州。青少年亚组分析包括种族/民族，年龄和贫困水平。结果：在这项研究中特别关注的青少年健康问题包括性健康，物质使用，心理健康和肥胖的危险因素。可以预见的是，危险行为随着青少年年龄的增长而增加。少数民族和贫困青年表现出最大的脆弱性untoward health outcomes.Conclusion：农村青少年人口中存在重大的风险行为和健康问题，特别是在贫困和少数民族青年，主张在农村社区为青年建立和维护预防服务。未来的研究可能需要使用其他抽样方法，以充分代表农村社区的高风险青少年。需要更多关于农村社区易受伤害青少年人口的数据，以便充分宣传预防服务。
Context: Adolescence is a pivotal developmental period for the establishment of positive health and health practices. However, developmentally propelled risk behaviors coinciding with barriers to health services may increase the propensity for untoward health outcomes in adolescence. In addition, the sociocultural context of the rural environment can present challenges to the health of adolescents. Limited data on rural adolescent health, particularly among population subgroups, hinder the ability to adequately advocate for adolescent health prevention services.Methods: A secondary analysis of the 2005 California Health Interview Survey Adolescent questionnaire was conducted. Selected survey items corresponding to the Healthy Youth 2010 objectives were analyzed for 663 adolescents aged 12-17 residing in rural regions of California. Adolescent subgroup analysis included race/ethnicity, age, and poverty level.Findings: Adolescent health issues of particular concern in this study include sexual health, substance use, mental health, and risk factors for obesity. Predictably, risk behaviors increase with the age of the adolescent. Minority and poor youth demonstrate the greatest vulnerability to untoward health outcomes.Conclusion: Significant risk behaviors and health concerns exist among the rural adolescent population, particularly among poor and minority youth, arguing for the creation and preservation of prevention services for youth in the rural community. Future research using alternative sampling methodologies may be necessary to adequately represent the higher-risk adolescent in the rural community. More data are needed on vulnerable adolescent populations in the rural community in order to adequately advocate for prevention services.