UNASSIGNED:了解种族和族裔群体的健康危险行为,是改善种族和族裔少数群体健康结果的重要一步。我们比较了亚裔美国人和夏威夷原住民/太平洋岛民(NHPI)学生与非西班牙裔白人学生的特定健康风险行为和经历的国家患病率估计值,非西班牙裔黑人,和西班牙裔学生。
未经评估:我们分析了来自青年风险行为调查的数据,对美国高中生的全国代表性调查。为了产生足够的亚裔美国人和NHPI学生样本进行分析,我们结合了5个调查部门的数据,在2011年、2013年、2015年、2017年和2019年进行(N=73074)。我们计算了患病率和95%CIs;我们分别分析了亚裔美国人和NHPI青少年的数据,以揭示重要的差异。
未经评估:与其他种族和种族的学生相比,亚裔美国学生的酒精使用率最低(16.7%),大麻使用率最低(10.3%)。相比之下,NHPI学生比亚裔美国学生更有可能参与几种健康风险行为和经历,例如药物使用(从注射非法药物的4.8%到目前饮酒的31.5%不等),参加过体力战斗(15.4%),并曾受到武器威胁或受伤(11.6%)。在NHPI和亚裔美国学生中观察到由于感到不安全而缺课的患病率存在差异。
UNASSIGNED:在亚裔美国人和NHPI人群的广泛类别中进一步分解种族亚组可能会显示出与整体人群患病率的差异,和额外的策略来识别这些差异应该调查。
Understanding the health-risk behaviors of racial and ethnic groups when disaggregated is an important step in improving the health outcomes of racial and ethnic minority groups. We compared national prevalence estimates for selected health-risk behaviors and experiences of Asian American and Native Hawaiian/Pacific Islander (NHPI) students with those of non-Hispanic White, non-Hispanic Black, and Hispanic students.
We analyzed data from the Youth Risk Behavior Survey, a nationally representative survey of US high school students. To generate a sufficient sample of Asian American and NHPI students for analyses, we combined data from 5 survey administrations, conducted in 2011, 2013, 2015, 2017, and 2019 (N = 73 074). We calculated the prevalence and 95% CIs; we analyzed data on Asian American and NHPI adolescents separately to unmask important differences.
Compared with students of other races and ethnicities, Asian American students had the lowest prevalence of alcohol use (16.7%) and marijuana use (10.3%). In contrast, NHPI students were more likely than Asian American students to participate in several health-risk behaviors and experiences, such as substance use (ranging from 4.8% for ever injecting an illegal drug to 31.5% for current alcohol use), having been in a physical fight (15.4%), and having been threatened or injured with a weapon (11.6%). Differential patterns in the prevalence of ever having missed school due to feeling unsafe among NHPI and Asian American students were observed among male and female students.
Further disaggregating racial subgroups within broad categories of Asian American and NHPI populations may reveal differences from overall group prevalence, and additional strategies to identify these differences should be investigated.