@article{ref1,
title="What are we missing? Risk behaviors among Arab-American adolescents and emerging adults",
journal="Journal of the American Association of Nurse Practitioners",
year="2016",
author="Munro-Kramer, Michelle L. and Fava, Nicole M. and Saftner, Melissa A. and Darling-Fisher, Cynthia S. and Tate, Nutrena H. and Stoddard, Sarah A. and Martyn, Kristy K.",
volume="28",
number="9",
pages="493-502",
abstract="BACKGROUND AND PURPOSE: Research on Arab-Americans as a distinct ethnic group is limited, especially when considering the health of Arab-American youth. This study describes health risk (substance use, violence); health promotive behaviors (hope, spirituality); and sexual activity (oral, vaginal, anal sex) of Arab-American adolescents and emerging adults (aged 15-23) within their life context, as well as the association between these behaviors. <br><br>METHODS: A secondary analysis of data on a subset of Arab-American participants obtained from a randomized-control trial was utilized to conduct mixed methods analyses. Qualitative analyses completed on the open-ended questions used the constant comparative method for a subsample (n = 24) of participants. Descriptive quantitative analyses of survey data utilized bivariate analyses and stepwise logistic regression to explore the relation between risk behaviors and sexual activity among the full sample (n = 57). <br><br>CONCLUSIONS: Qualitative analyses revealed two groups of participants: (a) multiple risk behaviors and negative life-events, and (b) minimal risk behaviors and positive life-events. Quantitative analyses indicated older youth, smokers, and those with higher hope pathways were more likely to report vaginal sex. IMPLICATIONS FOR PRACTICE: The unique cultural and social contexts of Arab-American youth provide a framework for recommendations for the prevention of risk behaviors.<br><br>©2016 American Association of Nurse Practitioners.<p /> <p>Language: en</p>",
language="en",
issn="2327-6886",
doi="10.1002/2327-6924.12352",
url="http://dx.doi.org/10.1002/2327-6924.12352"
}