TY  - JOUR
PY  - 2014//
TI  - Substance use and sexual risk behaviors among American Indian and Alaska Native high school students
JO  - Journal of school health
A1  - De Ravello, Lori
A1  - Everett Jones, Sherry
A1  - Tulloch, Scott
A1  - Taylor, Melanie
A1  - Doshi, Sonal
SP  - 25
EP  - 32
VL  - 84
IS  - 1
N2  - BACKGROUND: We describe the prevalence of behaviors that put American Indian and Alaska Native (AI/AN) high school students at risk for teen pregnancy and sexually transmitted infections (STIs) and the relationships among race/ethnicity and these behaviors. METHODS: We analyzed merged 2007 and 2009 data from the national Youth Risk Behavior Survey, a biennial, self-administered, school-based survey of US students in grades 9-12 (N = 27,912). Prevalence estimates and logistic regression, controlling for sex and grade, were used to examine the associations between race/ethnicity, and substance use, and sexual risk behaviors. RESULTS: Of the 26 variables studied, the adjusted odds ratios (AOR) were higher among AI/AN than White students for 18 variables (ranging from 1.4 to 2.3), higher among AI/AN than Black students for 13 variables (ranging from 1.4 to 4.2), and higher among AI/AN than Hispanic students for 5 variables (ranging from 1.4 to 1.5). Odds were lower among AI/AN than Black students for many of the sexual risk-related behaviors. CONCLUSIONS: The data suggest it is necessary to develop targeted, adolescent-specific interventions aimed at reducing behaviors that put AI/AN high school students at risk for teen pregnancy, STI/HIV, and other health conditions.<p />  <p>Language: en</p>
LA  - en
SN  - 0022-4391
UR  - http://dx.doi.org/10.1111/josh.12114
ID  - ref1
ER  -