{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T14:48:25Z","timestamp":1788878905241,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,12,10]],"date-time":"2013-12-10T00:00:00Z","timestamp":1386633600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>We describe the prevalence of behaviors that put American Indian and Alaska Native (<jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>) high school students at risk for teen pregnancy and sexually transmitted infections (<jats:styled-content style=\"fixed-case\">STIs<\/jats:styled-content>) and the relationships among race\/ethnicity and these behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>We analyzed merged 2007 and 2009 data from the national Youth Risk Behavior Survey, a biennial, self\u2010administered, school\u2010based survey of <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> students in grades 9\u201012 (N\u2009=\u200927,912). Prevalence estimates and logistic regression, controlling for sex and grade, were used to examine the associations between race\/ethnicity, and substance use, and sexual risk behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Of the 26 variables studied, the adjusted odds ratios (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content>) were higher among <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content> than White students for 18 variables (ranging from 1.4 to 2.3), higher among <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content> than Black students for 13 variables (ranging from 1.4 to 4.2), and higher among <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content> than Hispanic students for 5 variables (ranging from 1.4 to 1.5). Odds were lower among <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content> than Black students for many of the sexual risk\u2010related behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The data suggest it is necessary to develop targeted, adolescent\u2010specific interventions aimed at reducing behaviors that put <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content> high school students at risk for teen pregnancy, <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>, and other health conditions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.12114","type":"journal-article","created":{"date-parts":[[2013,12,10]],"date-time":"2013-12-10T08:25:07Z","timestamp":1386663907000},"page":"25-32","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":68,"title":["Substance Use and Sexual Risk Behaviors Among American Indian and Alaska Native High School Students"],"prefix":"10.1111","volume":"84","author":[{"given":"Lori","family":"de Ravello","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherry","family":"Everett Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Tulloch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonal","family":"Doshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,12,10]]},"reference":[{"issue":"06","key":"e_1_2_6_2_1","first-page":"1","article-title":"Surveillance of health status in minority communities\u2014racial and ethnic approaches to community health across the U.S. (REACH U.S.) Risk Factor Survey, United States, 2009","volume":"60","author":"Centers for Disease Control and Prevention","year":"2011","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_6_3_1","volume-title":"Urban American Indian and Alaska Native Youth: An Analysis of Select National Data Sources","author":"Urban Indian Health Institute","year":"2009"},{"key":"e_1_2_6_4_1","volume-title":"The NSDUH Report: Substance Use among American Indian or Alaska Native Adolescents","author":"Substance Abuse and Mental Health Services Administration","year":"2011"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1425.017"},{"key":"e_1_2_6_6_1","volume-title":"Sexually Transmitted Disease Surveillance 2011","author":"Centers for Disease Control and Prevention","year":"2012"},{"key":"e_1_2_6_7_1","volume-title":"Births: Preliminary data for 2009. 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