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Journal Article

Citation

Jones SE, Satter DE. J. Health Care Poor Underserved 2022; 33(3): 1245-1257.

Copyright

(Copyright © 2022, Johns Hopkins University Press)

DOI

10.1353/hpu.2022.0110

PMID

36245161

Abstract

OBJECTIVES: To examine the impact of racial/ethnic coding strategies on the estimated prevalence of risk behaviors among American Indian/Alaska Native (AI/AN) high school students.

METHODS: Data from the national Youth Risk Behavior Survey (2017 and 2019) were analyzed (N=28,422). Racial/ethnic data were coded to identify "Multiracial/ethnic AI/AN students" and "AI/AN alone students." The prevalence of persistent feelings of sadness or hopelessness, suicidality, and violence victimization were compared across the coding schemes and with non-Hispanic White students.

RESULTS: Of students who selfidentified as AI/AN, one in six (18%) were AI/AN alone. The prevalence of many health risk behaviors was significantly higher among AI/AN students than non-Hispanic/Latino White students. The precision of the risk behavior prevalence estimates, however, varied considerably.

CONCLUSION: How racial/ethnic data were coded affected the precision of calculations of risk behavior prevalence among AI/AN students, who are often multiracial and of Hispanic/Latino ethnicity.


Language: en

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