Think Inside the Box: the Heterogeneity of 'in Risk' Among 'at Risk' Female African American Adolescents in North Carolina
| Autor: | Wendee M. Wechsberg, Irene Doherty, Felicia A. Browne |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Health (social science) Sociology and Political Science Adolescent Substance-Related Disorders Sexual Behavior Ethnic group Odds 03 medical and health sciences Young Adult 0302 clinical medicine Risk-Taking Surveys and Questionnaires Epidemiology medicine North Carolina Humans 030212 general & internal medicine Poverty African american 030505 public health Health Policy Public Health Environmental and Occupational Health medicine.disease Substance abuse Black or African American Logistic Models Sexual abuse Anthropology Female Ordered logit 0305 other medical science Psychology Demography |
| Zdroj: | Journal of racial and ethnic health disparities. 7(6) |
| ISSN: | 2196-8837 |
| Popis: | An abundance of research investigates the health of often referred to as “at risk” or “high risk” youth from underserved communities and usually racial/ethnic minorities. These ubiquitous terms relate to poverty, violence, and unsafe behaviors (e.g., sex without condoms, alcohol, and drug use). This analysis distinguished the heterogeneity of risks among African American female adolescents recruited for an intervention study from underserved communities in North Carolina. Eligibility included: ages 16–19, considered or dropped out of school, never completed high school, and during the past 3 months had sex with a male partner and used drugs or alcohol. A variable was created to represent the continuum of risk comprised of history of homelessness, or trading sex, or current heavy alcohol and marijuana use. Participants fell into 0, 1, or 2–3 categories. Ordinal logistic regression estimated the odds of adverse poor outcomes by category. Linear regression estimated reduction in material and emotional support by category. Of the 237 participants, 59.5%, 27.8%, and 12.7% were in 0, 1, or 2–3 categories, respectively. Relative to adolescents in 0 categories, participants in other categories were more likely to report food insecurity (OR = 3.27, 95%CI [1.8, 5.94]); past arrest (OR = 3.56 [2.08, 6.09]); run away (OR = 3.30 [1.79, 6.10]); multiple sex partners (2.97 [1.61, 5.48]); and vaginal/anal sexual abuse (OR = 3.21[1.73, 5.96]). Material and emotional support was significantly lower for participants in 2–3 risk categories. Vague use of “at risk” fails to recognize the heterogeneity of experiences and needs of underserved African American youth. |
| Databáze: | OpenAIRE |
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