Maternal and Child Health Journal

, Volume 9, Issue 1, pp 91–100

The Clustering of Risk Behaviors Among Caribbean Youth

  • Sally-Ann Ohene
  • Marjorie Ireland
  • Robert Wm Blum
Article

Abstract

Objective: To examine the relationships among risk behaviors for Caribbean youth; and to determine the correlations between initiation of sexual activity and other risk behaviors. Methods: The associations between cigarette smoking, alcohol and marijuana use, early initiation of sexual intercourse, involvement in violence and delinquency were examined using odds ratios on data from the Caribbean Youth Health Survey (n = 15,695). Survival analysis was then used to determine the association between initiation of sexual activity and the risk behaviors. Findings: There were statistically significant relationships between all pairs of risk behaviors for both male and female adolescents. Even though more males than females had engaged in each of the behaviors, the strengths of association were higher for females. From survival analysis, initiation of sexual activity was associated with gang involvement and weapon carrying among young adolescents and even more risk behaviors among the older adolescents. Conclusion: Health compromising behaviors cluster among Caribbean youth with associations being stronger for females. Initiating sexual activity was a predictor of other risk behaviors with the likelihood increasing among older adolescents and females.

Keywords

adolescents risk behaviors Caribbean 

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References

  1. 1.
    Flisher AJ, Ziervogol CF, Chalton DO, Leger PH, Robertson BA. Risk-taking behavior of Cape Peninsula high school students. Part IX. Evidence for a syndrome of adolescent risk behavior. S Afr Med J 1996;86:1090–3.Google Scholar
  2. 2.
    Flisher AJ, Kramer RA, Hoven CW, King RA, Bird HR, Davies M, Gould MS, Greenwald S, Lahey BB, Regier DA, Schwab-Stone M, Shaffer D. Risk behavior in a community sample of children and adolescents. J Am Acad of Child Adolesc Psych 2001;39:881–7.Google Scholar
  3. 3.
    Chirinos JL, Salazar VC, Brindis CD. A profile of sexually active male adolescent high school students in Lima, Peru. Cad Saude Publica 2000;16:733–46.Google Scholar
  4. 4.
    Gwede CK, McDermott RJ, Westhoff WW, et al. Health risk behavior of rural secondary school students in Zimbabwe. Health Educ Behav 2001;28:608–23.Google Scholar
  5. 5.
    Anteghini M, Fonseca H, Ireland M, Blum RW. Health risk behaviors and associated risk and protective factors among Brazilian adolescents in Santos, Brazil. J Adolesc Health 2001;28:295–302.Google Scholar
  6. 6.
    Lam TH, Stewart SM, Ho LM. Prevalence and correlates of smoking and sexual activity among Hong Kong adolescents. J Adolesc Health 2001;29:352–8.Google Scholar
  7. 7.
    Neumark-Sztainzer D, Story M, French S, Resnick MD. Patterns of Health-compromising behaviors among Minnesota Adolescents: socio-demographic variations. Am J of Public Health 1996;86(11):1599–606.Google Scholar
  8. 8.
    Brener ND, Collins JL. Co-occurrence of health – risk behaviors among adolescents in the United States. J Adolesc Health 1998;22:209–13.Google Scholar
  9. 9.
    Health in the Americas 1998 Edition Volume 1 Scientific Publication No. 569. Pan American Health Organization. Washington, DC.Google Scholar
  10. 10.
    Juszczak L, Sadler L. Adolescent development: setting the stage for influencing health behaviors. Adolesc Med State Art Rev 1999;10:1–11.Google Scholar
  11. 11.
    Halcón L, Blum RW, Beuhring T, Campbell-Forrester S, Venema A. Adolescent Health in the Caribbean: A regional portrait. Am J Public Health 2003;93:1851–1857.Google Scholar
  12. 12.
    Singh HN, Maharajh H. Alcohol and drug abuse among secondary school children in Trinidad and Tobago. West Indian Med J 1991;40(Suppl. 1):25–26.Google Scholar
  13. 13.
    Smart RG. Comparison of alcohol, tobacco and illicit drug use among students and delinquents in the Bahamas. Bull Pan Am Health Organ 1990;24:39–45.Google Scholar
  14. 14.
    Soyibo K, Lee MG. Use of illicit drugs among high school students in Jamaica. Bull World Health Organ 1999;77:258–61.Google Scholar
  15. 15.
    Lloyd JJ, Delva J, Arria AM. Recent Weapon carrying and substance use among United States Virgin Islands youth. Subst Use Misuse 2000;35:1207–25.Google Scholar
  16. 16.
    Jessor R, Jessor SL. Problem behavior and psychosocial development: A longitudinal study of youth. New York: Academic Press, 1977.Google Scholar
  17. 17.
    Donovan J, Jessor R. Structure of problem behavior in adolescence and young adulthood. J Consult Clin Psychol 1985;53:890–904.Google Scholar
  18. 18.
    Donovan J, Jessor R, Costa F. Syndrome of problem behavior in adolescence: A replication. J Consult Clin Psychol 1988;56:762–5.Google Scholar
  19. 19.
    Farrell AD, Danish SJ, Howard CW. Relationship between drug use and other problem behaviors in urban adolescents. J Consult Clin Psychol 1992;60:705–12.Google Scholar
  20. 20.
    Flisher AJ, Ziervogol CF, Chalton DO, Leger PH, Robertson BA. Risk-taking behavior of Cape Peninsula high school students. Part X. Multivariate relationships among behaviors. S Afr Med J 1996;86:1094–8.Google Scholar
  21. 21.
    Hanna EZ, Yi HY, Dufour MC, Whitmore CC. The relationship of early onset regular smoking to alcohol use, depression, illicit drug use, and other risky behaviors during early adolescence: Results from the youth supplement to the third national health and nutrition examination survey. J Subst Abuse 2001;13:265–82.Google Scholar
  22. 22.
    Resnick MD, Blum RW. The association of consensual intercourse during childhood with adolescent health risk and behaviors. Pediatrics 1994;94:907–913.Google Scholar
  23. 23.
    Blum RW, Halcón L, Beuhring T, Pate E, Campell-Forrester S, Venema A. Adolescent Health in the Caribbean: Risk and Protective Factors. Am J Public Health 2003;93:456–60.Google Scholar
  24. 24.
    Eggleston E, Jackson J, Hardee K. Sexual attitudes and behavior among young adolescents in Jamaica. Int Fam Plann Perspect 1999;25:78–84+91.Google Scholar
  25. 25.
    The Alan Guttmacher Institute. Into a New World: Young Women’s Sexual and Reproductive Lives. 1998 The Alan Guttmacher Institute, New York.Google Scholar
  26. 26.
    Singh S, Wulf D. Today’s adolescents, tomorrow’s parents: A portrait of the Americas. New York: The Alan Guttmacher Institute, 1990.Google Scholar
  27. 27.
    Santelli JS, DiClemente RJ, Miller KS, Kirby D. Sexually transmitted diseases, unintended pregnancy, and adolescent health promotion. Adolesc Med State Art Rev 1999;10:87–108.Google Scholar
  28. 28.
    Smikle MF, Dowe G, Hylton-Kong T, Williams E, Baum M. Risky behavior in Jamaican adolescent patients attending a sexually transmitted disease clinic. West Indian Med J 2000;49(4):327–30.Google Scholar
  29. 29.
    Kirby D. Emerging Answers: Research Findings on Programs to Reduce Teen Pregnancy. Washington, DC: National Campaign to Prevent Teen Pregnancy, 2001.Google Scholar
  30. 30.
    Westhoff WW, McDermott RJ, Holcomb DR. HIV risk behaviors: A comparison of US Hispanic and Dominican Republic Youth. Aids Educ Prev 1996;8:106–4.Google Scholar
  31. 31.
    Harris L, Blum RW, Resnick M. Teen females in Minnesota: a portrait of quiet disturbance. Women Ther 1991;11:119–35.Google Scholar
  32. 32.
    Kann L. The Youth Risk Behavior Surveillance System: Measuring health-risk behavior. Am J Health Behav 2001;25:272–277.Google Scholar
  33. 33.
    Resnick MD, Harris LJ, Blum RW. The impact of caring and connectedness on adolescent health and well-being. J Paediatr Child Health 1993;29:1s–9s.Google Scholar
  34. 34.
    Neumark-Sztainer D, Story M, Resnick MD, Blum RWm. Lessons learned about adolescent nutrition from the Minnesota Adolescent Health Study. J Am Diet Assoc 1998;98:1449–56.Google Scholar
  35. 35.
    Soyibo K, Lee MG. Use of alcohol, tobacco and non-prescription drugs among Jamaican high school students. West Indian Med J 1997;46:111–4.Google Scholar
  36. 36.
    Center for Disease Control. Trends in cigarette smoking among high school students-United States, 1991–2001. MMWR 2002;51(19):409–12.Google Scholar
  37. 37.
    Blum RW, Beuhring T, Shew ML, Bearinger LH, Sieving RE, Resnick MD. The effects of race/ethnicity, income and family structure on adolescent risk behaviors. Am J Pub Health 2000;90(12):1879–84.Google Scholar
  38. 38.
    The World Bank. Caribbean youth development: Issues and policy directions. 2003 The World Bank, Washington DC.Google Scholar
  39. 39.
    Russell-Brown P, Rice JC, Hector O, Bertrand JT. The effect of sex education on teenagers in St. Kitts and Nevis. Bull Pan Am Health Org 1992;26:67–79.Google Scholar
  40. 40.
    Neumark-Sztainer SM, French SA, Resnick MD. Psychosocial correlates of health compromising behaviors among adolescents. Health Educ Res 1997;12:37–52.Google Scholar
  41. 41.
    Ramirez-Valles J, Zimmerman MA, Newcomb MD. Sexual risk behavior among youth: Modeling the influence of prosocial activities and socioeconomic factors. J Health Soc Behav 1998;39:237–53.Google Scholar
  42. 42.
    Resnick M, Bearman PS, Blum RW, et al. Protecting adolescents from harm: Findings from the National Longitudinal Study on adolescent health. JAMA 1997;278:823–32.Google Scholar
  43. 43.
    Stanton B, Li X, Cottrell L, Kaljee L. Early initiation of sex, drug-related risk behaviors, and sensation-seeking among urban, low-income African -American adolescents. J Natl Med Assoc 2001;93(4):129–38.Google Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  • Sally-Ann Ohene
    • 1
    • 2
  • Marjorie Ireland
    • 1
  • Robert Wm Blum
    • 1
  1. 1.Center for Adolescent Health and DevelopmentUniversity of MinnesotaUSA
  2. 2.University of MinnesotaMinneapolis

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