关于青少年风险行为之间的共变国际视角
1College of Community Engagement and Professions, Helen Bader School of Social Welfare, Department of Social Work, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin.
概括
在125个国家/地区,青少年吸烟和饮酒等风险行为之间的相关性很小. 预防计划应针对共同和个人风险因素,以获得更好的结果.
科学领域:
- 青少年健康 青少年健康
- 行为科学 行为科学
- 全球公共卫生 全球公共卫生
背景情况:
- 青少年的风险行为往往同时发生,但这些相关性的强度在全球范围内有所不同.
- 了解这些相关性对于开发有效的公共卫生干预措施至关重要.
研究的目的:
- 在125个国家记录青少年选择的风险行为 (吸烟,饮酒,使用大麻,身体斗争,性交,自杀想法/企图) 之间的相关性.
- 探索相关性大小的国家一级预测因素 (财富,收入不平等,卫生/教育支出,民主).
主要方法:
- 分析了全球学校学生健康调查和学龄儿童健康行为调查 (N=343,652) 的数据.
- 使用了具有强大的方差估计和随机效应模型的元回归.
- 检查了来自世界银行数据库等来源的国家级指标.
主要成果:
- 二分类风险行为之间的平均相关性为0.19;对于计数结果,它是0.23.
- 最高的相关性 (大约. 0.36) 在饮酒和吸烟之间观察到.
- 在国家特征和风险行为共变之间发现了适度的关系;确定了四个国家概况.
结论:
- 在全球范围内,青少年风险行为之间的相关性是温和的,这表明更独特而不是共享的差异.
- 预防策略应解决每个风险行为的共同和独特决定因素.
- 调查结果强调了为预防青少年风险行为采取量身定制,多方面的方法的必要性.
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