ABSTRACT

Objective

This study examined the factor validity of health risk behaviors and resilience indicators and their covariation across a large racially/ethnically diverse adolescent population.

Design

The study subsample (47% Hispanic, 31% White Non-Hispanic, 17% American Indian) was derived from the 2013 New Mexico Youth Risk Resilience Survey (YRRS; N-19,033). We conducted a confirmatory factor analysis on the 6 health risk domains identified by the CDC as contributing most to adolescent morbidity/mortality: (1) cigarette use, (2) alcohol and other illicit drug use, (3) marijuana use, (4) sexual activity, (5) nutrition habits, and (6) physical activity.

Results

A 4-factor CFA model of adolescent health risk behaviors was replicated, and a hypothesized 6-factor structure based on behaviors that contribute most to adolescent morbidity/mortality was confirmed. The pattern of covarying risk behaviors differed by Hispanic, Native American, and Non-Hispanic White groups. We also confirmed a single external resilience-interference factor (decreased parental support, low school/community engagement, negative peer associations) that positively correlated with all six risk behaviors.

Conclusion

This study described the structure of adolescent health risk behaviors within a context of psychosocial resilience for American Indian and Hispanic adolescents in contrast to Non-Hispanic White adolescents. Our findings provided evidence for the construct validity of six health-risk behavior dimensions within a large racially/ethnically diverse adolescent sample, which reveal different patterns of loadings, degrees of model fit, and factor inter-correlations across the three racial/ethnic groups. Patterns of covarying risk behaviors differed in strength and direction by racial/ethnic group. Results suggest that interventions should target multiple behaviors and be tailored for different racial/ethnic groups. Targeting health risk and resilience indicators supports the use of multi-level health interventions at the individual, school, family, and community level by identifying individuals based on external resilience scores.

中文翻译：

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了解新墨西哥州多种族/族裔青少年健康风险行为和复原力的因素分析方法

摘要

客观的

本研究检查了健康风险行为和复原力指标的因子有效性及其在大量种族/民族多样化的青少年群体中的协变。

设计

研究子样本（47% 西班牙裔、31% 非西班牙裔白人、17% 美洲印第安人）来自 2013 年新墨西哥州青年风险复原力调查 (YRRS; N-19,033)。我们对 CDC 确定的对青少年发病率/死亡率贡献最大的 6 个健康风险领域进行了验证性因素分析：(1) 使用香烟，(2) 使用酒精和其他非法药物，(3) 使用大麻，(4)性活动，（5）营养习惯，和（6）身体活动。

结果

复制了青少年健康风险行为的 4 因子 CFA 模型，并确认了基于对青少年发病率/死亡率贡献最大的行为的假设 6 因子结构。西班牙裔、美洲原住民和非西班牙裔白人群体的共变风险行为模式不同。我们还证实了一个与所有六种危险行为呈正相关的单一外部复原力干扰因素（父母支持减少、学校/社区参与度低、消极同伴关联）。

结论

本研究描述了与非西班牙裔白人青少年相比，美国印第安人和西班牙裔青少年在心理社会复原力的背景下青少年健康风险行为的结构。我们的研究结果为大型种族/族裔青少年样本中六个健康风险行为维度的结构有效性提供了证据，这些样本揭示了三个种族/族裔群体的不同负荷模式、模型拟合程度和因素相互关系。不同种族/族裔群体的共变风险行为模式在强度和方向上有所不同。结果表明，干预措施应针对多种行为，并针对不同的种族/民族群体量身定制。针对健康风险和复原力指标支持在个人、学校、家庭、