Asian American Adolescents’ Substance Use And Risky Sexual Behaviors: Acculturation As A Risk Factor

Hyeouk C Hahm
School of Social Work
Columbia University
2000 Post Street #424
San Francisco CA 94115
hc98@columbia.edu
Purpose: to identify acculturation as a risk factor associated with health risk behaviors among Asian American adolescents.

Method: The nationally representative sample of 1,584 Asian American adolescents grade 7 to 12 were analyzed using a longitudinal design.  Logistic regression was used to exam Asian American adolescents’ health risky behaviors at Wave I (in 1995) and II (in 1996).  Acculturation was measured by using two variables: speaking English at home and the place of birth.  Four groups were categorized: group (1) English, U. S. born; group (2) English, foreign born; group (3) No English, U. S. born; group (4) No English, foreign born.

Results:  One way ANOVA revealed that most acculturated group, group 1 had the greatest propensity to engage in all health risk behaviors.  A series of logistic regression were performed.  All the demographic and background variables were used from Wave I (baseline). Using group 1 as a reference,   In Wave I, a remarkably consistent and statistically significant pattern was evident in that compared to the most acculturated group (group 1), the least acculturated group (group 4)’s odds of using tobacco, consuming alcohol, and having sexual intercourse were lowered by 97%, 77%, and 68% respectively.  However, when used Wave II health risk behavior variables as outcome variables, the least acculturated group (group 4) became no longer statistically significant.  Instead, group 3’s odds of using tobacco and consuming alcohol were lower compared to group 1.
 
Implications for practice: These results reflect that as Asian American adolescents expose and socialize in American culture, they increasingly adopt health risk behaviors.  A clear finding was that not using English at home showed as protective factor.  This provides new insights into the protective role of maintaining traditional culture and language.