アメリカン・インディアン--アラスカ・ネイティブ・ユース・ヘルス
1Division of General Pediatrics and Adolescent Health, University of Minnesota, Hospital and Clinic, Minneapolis 55455.
JAMA
|March 25, 1992
まとめ
アメリカン・インディアン・アラスカ先住民の青年は,怪我,薬物乱用,感情的苦痛など,高い健康リスクに直面しています. 文化に敏感な介入は,青少年の健康状態を改善するために不可欠です.
科学分野:
- 公衆衛生は公衆衛生である.
- 青少年の健康について
- 健康の格差について
背景:
- アメリカン・インディアン・アラスカ・ネイティブ (AI/AN) の若者は,ユニークな健康上の課題を経験しています.
- リスク行動や保護因子の理解は,標的を絞った介入に不可欠です.
研究 の 目的:
- AI/ANの青少年におけるリスク行動,健康問題,回復力要因を評価する.
- 健康促進と介入の重要な分野を特定する.
主な方法:
- 7年生から12年生までの13,454人のAI/ANの生徒に横断調査が行われました.
- 162項目の匿名アンケートである青少年健康調査が使用されました.
- データは,インド保健サービスの8つの領域の非都市部の学校から収集されました.
主要な成果:
- 怪我の危険性のある行動 (例えば,シートベルトの使用,飲酒および運転) の高い割合が報告されました.
- 身体的 (23.9%の女性) と性的虐待 (21.6%の女性) の有意な流行が観察されました.
- 感情的苦痛 (6%),自殺未遂 (17%) および薬物使用率が高いことが確認されました.
- AI/ANの若者は,田舎の白人若者と比較して,ほとんどの危険因子の高い割合を示しました.
結論:
- AI/ANの若者は,健康を損なう行動や危険因子の高い割合を示しています.
- 介入は文化に敏感で,人口の多様性を認識し,コミュニティの参加を伴う必要があります.
- 文化的伝統に焦点を当てることで,AI/ANの若者の健康と福祉を向上させることができます.
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