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310085
Resiliency and American Indian Youth Health Risk Behavior: Protective Patterns and Trends from the Southwest Tribal Youth Project
Monday, November 17, 2014
Kevin English, DrPH
,
Albuquerque Area Indian Health Board, Inc., Albuquerque, NM
Dornell Pete, MPH
,
Albuquerque Area Southwest Tribal Epidemiology Center, Albuquerque, NM
Judith Espinoza, MPH
,
Albuquerque Area Southwest Tribal Epidemiology Center, Albuquerque Area Indian Health Board, Inc., Albuquerque, NM
Background: Health-risk behaviors are often established during childhood, extend into adulthood and are preventable. Valid and timely information about these risk behaviors and protective resiliency factors among American Indian/Alaska Native (AI/AN) youth is critical. Methods: Since 2007, the Albuquerque Area Southwest Tribal Epidemiology Center has conducted a classroom census of the biennial New Mexico Youth Risk and Resiliency Survey (NMYRRS) in middle and high schools with large AI/AN student enrollments. For 2011 data, bivariate and multivariate analyses were calculated to characterize health risk behavior and resiliency among AI/AN youth and assess the protective influence of resiliency factors upon four prevalent risk behaviors– suicidality, alcohol, marijuana and tobacco use. Results: The project significantly increased AI/AN representation in the NMYRRS with an additional 594, 1,985, 3,471, and 4,296 AI/AN youth added to the statewide sample in 2007, 2009, 2011 and 2013 respectively. Common resiliency factors among AI/AN youth were caring/supportive relationships (81.7% middle school; 68.8% high school), extracurricular activity participation (60.7% middle school; 51.3% high school), and high academic achievement (58.7% middle school; 56.6% high school). These resiliency factors also significantly mitigated health risk behaviors. For example, AI/AN high school youth with ample caring/supportive relationships were 1.8, 2.5, 2.6, and 2.9 times less likely to experience suicide issues, alcohol, tobacco, and marijuana use respectively. Conclusions: Surveillance of health risk behaviors and resiliency among AI/AN youth is feasible and valuable towards the identification of key resiliency factors which can serve as intervention leverage points to protect AI/AN youth from adverse health risk behaviors.
Learning Areas:
Assessment of individual and community needs for health education
Epidemiology
Public health or related research
Social and behavioral sciences
Learning Objectives:
Describe resiliency factors among American Indian youth and their protective influence upon common youth health risk behaviors.
Explain methodology for increasing American Indian youth participation in school-based health assessments.
Keyword(s): Adolescents, Risk Factors/Assesment
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am a lead epidemiologist on the analysis and findings being presented. I have worked for tribal epidemiology centers for 8 years.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.