美国印第安人--阿拉斯加土著青年健康健康
1Division of General Pediatrics and Adolescent Health, University of Minnesota, Hospital and Clinic, Minneapolis 55455.
JAMA
|March 25, 1992
概括
美国印第安人-阿拉斯加原住民青少年面临高水平的健康风险,包括伤害,药物滥用和情绪困扰. 对文化敏感的干预措施对于改善青少年健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 健康差异 在健康上的差异
背景情况:
- 美国印第安人-阿拉斯加原住民 (AI/AN) 年轻人经历了独特的健康挑战.
- 了解风险行为和保护因素对于有针对性的干预至关重要.
研究的目的:
- 评估AI/AN青少年的风险行为,健康问题和弹性因素.
- 确定促进和干预健康的关键领域.
主要方法:
- 一项横截面调查对7-12年级的13,454名AI/AN学生进行.
- 使用了青少年健康调查,一个162项匿名调查问卷.
- 从八个印度卫生服务区域的非城镇学校收集数据.
主要成果:
- 报告了高比例的受伤风险行为 (例如,使用安全带,饮酒和驾驶).
- 观察到身体虐待 (23.9%的女性) 和性虐待 (21.6%的女性) 的严重流行.
- 他们发现情绪困扰率 (6%),自杀企图 (17%) 和药物使用率较高.
- 与农村白人青年相比,AI/AN青少年的大多数风险因素的发病率更高.
结论:
- AI/AN青少年表现出高比例的危害健康的行为和风险因素.
- 干预措施必须具有文化敏感性,承认人口多样性,并涉及社区参与.
- 专注于文化传统可以促进AI/AN年轻人的健康和福祉.
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