Alcohol/Drug Exposure, HIV-Related Sexual Risk among Urban American Indian and Alaska Native Youth: Evidence from a National Survey

Autor/inn/en	Ramisetty-Mikler, Suhasini; Ebama, Malembe S.
Titel	Alcohol/Drug Exposure, HIV-Related Sexual Risk among Urban American Indian and Alaska Native Youth: Evidence from a National Survey
Quelle	In: Journal of School Health, 81 (2011) 11, S.671-679 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/j.1746-1561.2011.00643.x
Schlagwörter	Urban Schools; Health Needs; Prevention; Urban American Indians; Alaska Natives; Educational Attainment; Ethnicity; Minority Groups; Poverty; Unemployment; One Parent Family; Risk; Health Behavior; Drinking; Drug Use; Contraception; Sexuality; African Americans; Hispanic Americans; Correlation; Health Services; Program Implementation; Educational Environment; Multiracial Persons; Acquired Immunodeficiency Syndrome (AIDS) + Suchen Sie Ihr Suchwort? Urban area; Urban areas; School; Schools; Stadtregion; Stadt; Schule; Prävention; Vorbeugung; Inuit; Bildungsabschluss; Bildungsgut; Ethnizität; Ethnische Minderheit; Armut; Arbeitslosigkeit; Single parent family; Ein-Eltern-Familie; Risiko; Health behaviour; Gesundheitsverhalten; Trinken; Drug consumption; Substance abuse; Drogenkonsum; Empfängnisverhütung; Sexualität; Afroamerikaner; Hispanic; Hispanoamerikaner; Korrelation; Health service; Gesundheitsdienst; Gesundheitswesen; Lernumgebung; Pädagogische Umwelt; Schulumwelt; Mischling
Abstract	Background: Migration of the native populations from reservations to the urban areas has resulted in mixed ethnicities of American Indian/Alaskan Native (AIAN) children. Minority youth require special attention and services in urban schools as they disproportionately experience poverty, low educational attainment, unemployment, and single-parent status. Methods: We used 2005 and 2007 Youth Risk Behavior Survey data to examine alcohol/drug use patterns and their association with sexual risk taking among AIAN only (single-racial) and biracial youth in combination with White, African American, or Hispanic ethnicities (N = 1178). Results: Overall, one half of the students were sexually active, with significantly higher rates among males; AIAN-Black students initiated sex earlier than the other groups. Condom nonuse is higher among AIAN-Whites (greater than 50%) compared to one third of AIAN-Hispanics and one fourth of AIAN-Blacks. Nearly 10% of all students, except AIAN-Blacks, reported lifetime use of heroin/meth. Sexual behavior was significantly associated with episodic drinking. Students with Hispanic background have twice the odds of being sexually active compared to AIANs. Conclusions: Our findings underscore growing health care needs and targeted prevention initiatives for mixed racial underserved native youth. Urban school settings have potential to deliver services and offer alcohol/drug prevention programs to address the needs of mixed racial native urban youth. Using the School Based Health Clinic model has been successful; we need to reform prevention approaches to accommodate needs of multiracial urban native youth. (Contains 4 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10