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Indígena Americano - Alaska Nativo salud juventud salud
1Division of General Pediatrics and Adolescent Health, University of Minnesota, Hospital and Clinic, Minneapolis 55455.
JAMA
|March 25, 1992
Resumen
Los adolescentes indígenas americanos-nativos de Alaska enfrentan altas tasas de riesgos para la salud que incluyen lesiones, abuso de sustancias y angustia emocional. Las intervenciones culturalmente sensibles son cruciales para mejorar los resultados de salud de los adolescentes.
Área de la Ciencia:
- Salud Pública La salud pública.
- Salud de los Adolescentes.
- Disparidades en la salud Disparidades en la salud
Sus antecedentes:
- Los jóvenes indígenas americanos-nativos de Alaska (AI/AN) experimentan desafíos de salud únicos.
- Comprender los comportamientos de riesgo y los factores de protección es vital para las intervenciones dirigidas.
Objetivo del estudio:
- Evaluar los comportamientos de riesgo, los problemas de salud y los factores de resiliencia entre los adolescentes con IA/AN.
- Identificar áreas clave para la promoción de la salud y la intervención.
Principales métodos:
- Se administró una encuesta transversal a 13.454 estudiantes de AI / AN en los grados 7-12.
- Se utilizó la Encuesta de Salud de Adolescentes, un cuestionario anónimo de 162 ítems.
- Los datos se recopilaron de escuelas no urbanas en ocho áreas del Servicio de Salud Indio.
Principales resultados:
- Se informaron altas tasas de comportamientos de riesgo de lesiones (por ejemplo, uso del cinturón de seguridad, consumo de alcohol y conducción).
- Se observó una prevalencia significativa de abuso físico (23,9% de las mujeres) y sexual (21,6% de las mujeres).
- Se identificaron tasas elevadas de angustia emocional (6%), intentos de suicidio (17%), y el uso de sustancias.
- Los adolescentes AI/AN mostraron tasas más altas de la mayoría de los factores de riesgo en comparación con los jóvenes blancos rurales.
Conclusiones:
- Los adolescentes con IA/AN exhiben altas tasas de comportamientos y factores de riesgo que comprometen la salud.
- Las intervenciones deben ser culturalmente sensibles, reconocer la diversidad de la población e involucrar la participación de la comunidad.
- Centrarse en las tradiciones culturales puede promover la salud y el bienestar en los jóvenes de AI/AN.
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