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Are American Indian/Alaska Native Adolescent Health Behaviors Different? A Review of AI/AN Youth Involved in Native STAND Curriculum, 2014–2017 United States.
- Source :
- Maternal & Child Health Journal; Dec2021, Vol. 25 Issue 12, p1893-1902, 10p, 3 Charts, 1 Map
- Publication Year :
- 2021
-
Abstract
- Objectives: To explore health behavior profiles of AI/AN youth involved in native students together against negative decisions (STAND), a national culture-based curriculum. Methods: We analyzed data from 1236 surveys conducted among AI/AN youth at 40 native STAND implementation sites located in 16 states throughout the US from 2014 to 2017. Health profiles included demographics, sexual orientation, sexual activity, STI testing, cigarette use, and suicide attempts in the past 12-months. We used t-tests and chi square tests of independence to compare risk behavior prevalence among the sample. Results: Health behavior profiles of AI/AN youth indicate that 45.6% of youth did not use condoms the last time they had sex, and 82.7% have never been tested for STIs. Differences in cigarette smoking were observed in questioning youth (questioning: 80.3%, straight/heterosexual: 63.8%, LGBTQ2S + : 49.9%, p = 0.03). Conclusions for Practice: Health behaviors related to sex, substance, violence and self-harm, are at least as common for AI/AN youth as those observed in other US teens. Future research should consider similarities and differences in health profiles of AI/AN youth when designing interventions that affect them. Further, our findings underscore the need for culturally-relevant curricula like native STAND, not because their health behavior is different, but because their socio-ecologic environment is different. [ABSTRACT FROM AUTHOR]
- Subjects :
- SEXUAL orientation
RISK-taking behavior
HETEROSEXUALS
SUBSTANCE abuse
ALASKA Natives
HUMAN sexuality
PSYCHOLOGY of LGBTQ+ people
MULTIVARIATE analysis
CURRICULUM
MEDICAL screening
VIOLENCE
PSYCHOLOGY of Native Americans
SUICIDAL behavior
T-test (Statistics)
SEXUALLY transmitted diseases
HEALTH behavior
RESEARCH funding
CHI-squared test
PSYCHOSOCIAL factors
DESCRIPTIVE statistics
QUESTIONNAIRES
SEX customs
SMOKING
CONDOMS
DATA analysis software
CULTURAL awareness
SELF-mutilation
ADOLESCENCE
Subjects
Details
- Language :
- English
- ISSN :
- 10927875
- Volume :
- 25
- Issue :
- 12
- Database :
- Complementary Index
- Journal :
- Maternal & Child Health Journal
- Publication Type :
- Academic Journal
- Accession number :
- 153625958
- Full Text :
- https://doi.org/10.1007/s10995-021-03256-7