TY - JOUR PY - 2016// TI - What are we missing? Risk behaviors among Arab-American adolescents and emerging adults JO - Journal of the American Association of Nurse Practitioners A1 - Munro-Kramer, Michelle L. A1 - Fava, Nicole M. A1 - Saftner, Melissa A. A1 - Darling-Fisher, Cynthia S. A1 - Tate, Nutrena H. A1 - Stoddard, Sarah A. A1 - Martyn, Kristy K. SP - 493 EP - 502 VL - 28 IS - 9 N2 - 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.

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).

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.

©2016 American Association of Nurse Practitioners.

Language: en

LA - en SN - 2327-6886 UR - http://dx.doi.org/10.1002/2327-6924.12352 ID - ref1 ER -