Are American Indian/Alaska Native Adolescent Health Behaviors Different? A Review of AI/AN Youth Involved in Native STAND Curriculum, 2014-2017 United States.


Journal

Maternal and child health journal
ISSN: 1573-6628
Titre abrégé: Matern Child Health J
Pays: United States
ID NLM: 9715672

Informations de publication

Date de publication:
Dec 2021
Historique:
accepted: 30 09 2021
pubmed: 28 10 2021
medline: 20 11 2021
entrez: 27 10 2021
Statut: ppublish

Résumé

To explore health behavior profiles of AI/AN youth involved in native students together against negative decisions (STAND), a national culture-based curriculum. 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. 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). 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.

Identifiants

pubmed: 34705192
doi: 10.1007/s10995-021-03256-7
pii: 10.1007/s10995-021-03256-7
pmc: PMC8599210
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1893-1902

Subventions

Organisme : CDC HHS
ID : U48DP0015006
Pays : United States

Informations de copyright

© 2021. The Author(s).

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Auteurs

Megan Skye (M)

Oregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR, 97239, USA. skyem@ohsu.edu.

Stephanie Craig (S)

Northwest Portland Area Indian Health Board, Portland, OR, 97201, USA.

Caitlin Donald (C)

Oregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR, 97239, USA.

Allyson Kelley (A)

Allyson Kelley and Associates, Sisters, OR, 97759, USA.

Brittany Morgan (B)

Oregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR, 97239, USA.

Kavita Rajani (K)

Oregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR, 97239, USA.

Michelle Singer (M)

Northwest Portland Area Indian Health Board, Portland, OR, 97201, USA.

Tosha Zaback (T)

Oregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR, 97239, USA.

William Lambert (W)

Oregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR, 97239, USA.

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