Abstract
One in five public school students is from an immigrant-headed household. We used Youth Risk Behavior Survey data from one state and four large urban school districts to examine whether length of time living in the US was associated with health risk behaviors. Logistic regression models, using weighted data, controlled for sex, race/ethnicity, and grade. Compared to US natives, not having always lived in the US was correlated with lower risk for some behaviors (e.g., current marijuana use and alcohol use) among high school students, but higher risk for other behaviors (e.g., attempted suicide, physical inactivity). Many findings were inconsistent across the study sites. Interventions that specifically target recently-arrived school-aged youth to prevent behaviors that put health and safety at risk, may result in the best outcomes for immigrant youth. Care should be taken to understand the specific health risks present in different immigrant communities.
Similar content being viewed by others
References
Camarota SA. Immigrants in the United States, 2010: a profile of America’s foreign-born population. Washington, DC: Center for Immigration Studies. 2012. http://www.cis.org/2012-profile-of-americas-foreign-born-population#execsum. Accessed 25 June 2013.
Hahm HC, Lahiff M, Guterman NB. Asian American adolescents’ acculturation, binge drinking, and alcohol-and tobacco-using peers. J Community Psychol. 2004;32(3):295–308.
Afable-Munsuz A, Brindis CD. Acculturation and the sexual and reproductive health of Latino youth in the United States: a literature review. Perspect Sex Reprod Health. 2006;38(4):208–19.
Hahm HC, Lahiff M, Guterman NB. Acculturation and parental attachment in Asian-American adolescents’ alcohol use. J Adolesc Health. 2003;33:119–29.
Hussey JM, Hallfors DD, Waller MW, Iritani BJ, Halpern CT, Bauer DJ. Sexual behavior and drug use among Asian and Latino adolescents: association with immigrant status. J Immigr Health. 2007;9:85–94.
Yu SM, Huang ZJ, Schwalberg RH, Overpeck M, Kogan MD. Acculturation and health and well-being of US immigrant adolescents. J Adolesc Health. 2003;33:479–88.
Suinn RM. Reviewing acculturation and Asian American: how acculturation affects health, adjustment, school achievement, and counseling. Asian Am J Psychol. 2010;1(1):5–17.
Borges G, Orozco R, Rafful C, Miller E, Breslau J. Suicidality, ethnicity and immigration in the USA. Psychol Med. 2012;42:1175–84.
Potochnick S, Perreira KM, Fuligni A. Fitting in: the roles of social acceptance and discrimination in shaping the daily psychological well-being of Latino youth. Soc Sci Q. 2012;93(1):173–90.
Stein GL, Gonzalez LM, Huq N. Cultural stressors and the hopelessness model of depressive symptoms in Latino adolescents. J Youth Adolesc. 2012;41:1339–49.
Gfroerer JC, Tan LL. Substance use among foreign-born youths in the United States: Does the length of residence matter? Am J Public Health. 2003;93:1892–5.
Thai ND, Connell CM, Tebes JK. Substance use among Asian American adolescents: influence of race, ethnicity, and acculturation in the context of key risk and protective factors. Asian Am J Psychol. 2010;1(4):261–74.
Schwartz SJ, Unger JB, Des Rosiers SE, Huang S, Baezconde-Garbanati L, Lorenzo-Blanco EI, Villamar JA, Soto DW, Pattarroyo M, Szapocznik J. Substance use and sexual behavior among recent Hispanic immigrant adolescents: effects of parent-adolescent differential acculturation and communication. Drug Alcohol Depend. 2012;125S:S26–34.
Singh GK, Kogan MD, Yu SM. Disparities in obesity and overweight prevalence among US immigrant children and adolescents by generational status. J Community Health. 2009;34:271–81.
Shi L, van Meijgaard J, Simon P. The association between acculturation and recreational computer use among Latino adolescents in California. Pediatr Obes. 2012;7:e33–6.
Lee H, Cardinal BJ, Loprinzi PD. Effects of socioeconomic status and acculturation on accelerometer-measured moderate-to-vigorous physical activity among Mexican American adolescents: findings from HNANES 2003–2004. J Phys Act Health. 2012;9:1155–62.
Wilkinson AV, Okeke NL, Springer AE, Stigler MH, Gabriel KP, Bondy ML, Prokhorov AV, Spitz MR. Experimenting with cigarettes and physical activity among Mexican origin youth: a cross sectional analysis of the interdependent associations among sensation seeking, acculturation, and gender. BMC Public Health. 2012;12:33.
Strong LL, Anderson CB, Miranda PY, Bondy ML, Zhou R, Etzel C, Spitz M, Wilkinson AV. Gender differences in sociodemographic and behavioral influences of physical activity in Mexican-origin adolescents. J Phys Act Health. 2012;9:829–39.
Wang M, Kviz FJ, Miller AM. The mediating role of parent-child bonding to prevent adolescent alcohol abuse among Asian American families. J Immigr Minor Health. 2012;14:831–40.
Eaton DK, Kann L, Kinchen S, Shanklin S, Flint KH, Hawkins J, Harris WA, Lowry R, McManus T, Chyen D, Whittle L, Lim C, Wechsler H. Youth risk behavior surveillance—United States, 2011. MMWR Surveil Summ. 2012;61(No. SS-4):1–162.
Brener ND, Kann L, Shanklin S, Kinchen S, Eaton DK, Hawkins J, Flint KH. Methodology of the Youth Risk Behavior Surveillance System—2013. MMWR Recomm Rep. 2013;62(1):1–20.
Schwartz SJ, Weisskirch RS, Zamboanga BL, Castillo LG, Ham JS, Huynh QL, Park IJK, Donovan R, Kim SY, Vernon M. Dimensions of acculturation: associations with health risk behaviors among college students from immigrant families. J Couns Psychol. 2011;58(1):27–41.
Kingon YS, O’Sullivan AL. The family as a protective asset in adolescent development. J Holist Nurs. 2001;19:102–21.
DeVore ER, Ginsburg KR. The protective effects of good parenting on adolescents. Curr Opin Pediatr. 2005;17:460–5.
Fulkerson JA, Pasch KE, Perry CL, Komro K. Relationships between alcohol-related informal social control, parental monitoring and adolescent problem behaviors among racially diverse urban youth. J Community Health. 2008;33:425–33.
Unger JB, Ritt-Olson A, Soto DW, Baezconde-Garbanati L. Parent-child acculturation discrepancies as a risk factor for substance use among Hispanic adolescents in Southern California. J Immigr Minor Health. 2009;11(3):149–57.
Schwartz SJ, Unger JB, Zamboanga BL, Szapocznik J. Rethinking the concept of acculturation: implications for theory and research. Am Psychol. 2010;65(4):237–51.
Maldonado-Molina MM, Reingle JM, Jennings WG, Pradoc G. Drinking and driving among immigrant and US-born Hispanic young adults: results from a longitudinal and nationally representative study. Addict Behav. 2011;36(4):381–8.
Jaccard J, Blanton H, Dodge D. Peer influences on risk behavior: an analysis of the effects of a close friend. Dev Psychol. 2005;41(1):135–47.
Santisteban DA, Coatsworth JD, Briones E, Kurtines W, Szapocznic J. Beyond acculturation; an investigation of the relationship of familism and parenting to behavior problems in Hispanic youth. Fam Process. 2012;51(4):470–82.
Cheung BY, Chudek M, Heine SJ. Evidence for a sensitive period for acculturation: younger immigrants report acculturating at a faster rate. Psychol Sci. 2011;22(2):147–52.
Colon-Lopez V, Haan MN, Aiello AE, Ghosh D. The effect of age at migration on cardiovascular mortality among elderly Mexican immigrants. Ann Epidemiol. 2009;19(1):8–14.
Brener ND, Kann L, McManus T, Kinchen SA, Sundberg EC, Ross JG. Reliability of the 1999 youth risk behavior survey questionnaire. J Adolesc Health. 2002;31:336–42.
Acknowledgments
The authors acknowledge the following YRBS site coordinators/contacts for sharing their data: Donna Eisenhower and Keosha Bond, New York City Department of Health and Mental Hygiene; Lisa Sharp, Seattle Public Schools; Patricia Dao-Tran, Boston Public Schools; Tara Hylton, Florida Department of Health; Kim Levine, San Francisco Unified School District.
Author information
Authors and Affiliations
Corresponding author
Additional information
Disclaimer: The findings and conclusions in this paper are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Rights and permissions
About this article
Cite this article
Jones, S.E., Pezzi, C., Rodriguez-Lainz, A. et al. Health Risk Behaviors by Length of Time in the United States Among High School Students in Five Sites. J Immigrant Minority Health 18, 150–160 (2016). https://doi.org/10.1007/s10903-014-0151-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10903-014-0151-3