Asian American adolescents' health risk behaviors

本论文的研究将确定的风险和保护因素与使用烟草和酒精，并参与风险性行为的亚裔美国青少年使用国家青少年健康纵向研究（添加健康）。虽然亚裔美国青少年的总体吸毒率和危险性行为倾向于低于其他种族的青少年，但那些已经参与大量饮酒的青少年往往比其他种族的青少年有更高的每日饮酒量，而那些有过性经历的青少年表现出与白色青少年一样的高风险。亚裔美国青少年的精神病理学和健康风险行为的预防需要了解社会文化风险因素和父母保护因素之间的相互作用。此外，有证据表明文化适应是心理社会功能的核心，在少数民族群体的健康风险行为中起主导作用，但关于这一主题的研究仍然是不确定的和零散的。本研究的具体目的是（1）确定a）文化适应水平和B）父母-青少年依恋对亚裔美国青少年吸烟、饮酒和涉及危险性行为的预测作用，（2）确定强烈的父母-青少年依恋在多大程度上缓冲了文化适应和亚裔美国青少年吸烟之间的关系，饮酒和参与危险的性行为。 _将使用纵向设计（两波）分析1584名7至12年级亚裔美国青少年的全国代表性样本。多元回归和逻辑回归将用于预测亚裔美国青少年的烟草和酒精的使用以及在Wave II中参与性活动。这项研究的结果可能为亚裔美国青少年制定文化上适当的物质使用和性教育计划提供重要步骤，并为家庭的保护作用提供新的见解。

This dissertation research will identify the risk and protective factors associated with the use of tobacco and alcohol and involvement with risk sexual behaviors among Asian American adolescents using National Longitudinal Study of Adolescent Health (Add Health). Although Asian American adolescents' overall rates of drug use and risky sexual behaviors tend to be lower than other ethnic adolescents, those who are already involved in heavy drinking tends to have higher daily alcohol consumption than other ethnic adolescents, and those who have been sexually experienced exhibit as high risk as those of White adolescents. The prevention of psychopathology and health risk behaviors in Asian American adolescents requires an understanding of the interplay between socio-cultural risk factors and parental protective factors. In addition, there are evidences that acculturation is central to psychosocial functioning and play a leading role in ethnic minority groups' health risk behaviors, but the studies on this topic is still inconclusive and fragmentary. The specific aims of this study are (1) to determine the predictive role of a) level of acculturation, and b) parent-adolescent attachment on Asian American adolescents' use of tobacco, consumption of alcohol, and involvement with risky sexual behaviors, (2) to determine the degree to which strong parent-adolescent attachment buffers the relationship between acculturation and Asian American adolescents' use of tobacco, consumption of alcohol, and involvement with risky sexual behaviors. _ The nationally representative sample of 1584 Asian American adolescents grade 7 to 12 will be analyzed using a longitudinal design (two waves). Multiple regression and logistic regression will be used to predict Asian American adolescents' use of tobacco and alcohol and involvement with sexual activities at Wave lI. Findings from this study may offer important steps toward developing culturally appropriate substance use and sexual education programs for Asian American adolescents and provide new insights into the protective role of the family.