Perceived peer norms, health risk behaviors, and clustering of risk behaviors among Palestinian youth

Relatively little is known about patterns of health risk behaviors among Middle Eastern youth, including how these behaviors are related to perceived peer norms. In a sample of approximately 2,500 15-24 year old Palestinian youth, perceived engagement of general peers in alcohol consumption, drug us...

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Published inPloS one Vol. 13; no. 6; p. e0198435
Main Authors Glick, Peter, Khammash, Umaiyeh, Shaheen, Mohammed, Brown, Ryan, Goutam, Prodyumna, Karam, Rita, Linnemayr, Sebastian, Massad, Salwa
Format Journal Article
LanguageEnglish
Published United States Public Library of Science 21.06.2018
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Abstract Relatively little is known about patterns of health risk behaviors among Middle Eastern youth, including how these behaviors are related to perceived peer norms. In a sample of approximately 2,500 15-24 year old Palestinian youth, perceived engagement of general peers in alcohol consumption, drug use and sexual activity was substantially greater than youths' own (self-reported) engagement in these activities, suggesting a tendency to overestimate the prevalence of risk-taking behavior among peers. Individual participation in a risk behavior strongly covaries with the perceived levels of both friends' and peers' engagement in that behavior (p = 0.00 in each case). In addition, significant clustering of risk behaviors is found: youth who participate in one risk behavior are more likely to participate in others. These findings for a rare representative sample of Middle Eastern youth are strikingly similar to those in the US and Europe. The clustering of behaviors suggests that prevention programs should be structured to deal with a range of connected risk behaviors for which certain youth may be at risk. The findings also suggest that adjusting expectations about peers' behavior may reduce young Palestinians' engagement in risk taking.
AbstractList Relatively little is known about patterns of health risk behaviors among Middle Eastern youth, including how these behaviors are related to perceived peer norms. In a sample of approximately 2,500 15–24 year old Palestinian youth, perceived engagement of general peers in alcohol consumption, drug use and sexual activity was substantially greater than youths’ own (self-reported) engagement in these activities, suggesting a tendency to overestimate the prevalence of risk-taking behavior among peers. Individual participation in a risk behavior strongly covaries with the perceived levels of both friends’ and peers’ engagement in that behavior (p = 0.00 in each case). In addition, significant clustering of risk behaviors is found: youth who participate in one risk behavior are more likely to participate in others. These findings for a rare representative sample of Middle Eastern youth are strikingly similar to those in the US and Europe. The clustering of behaviors suggests that prevention programs should be structured to deal with a range of connected risk behaviors for which certain youth may be at risk. The findings also suggest that adjusting expectations about peers’ behavior may reduce young Palestinians’ engagement in risk taking.
Audience Academic
Author Khammash, Umaiyeh
Brown, Ryan
Glick, Peter
Karam, Rita
Linnemayr, Sebastian
Shaheen, Mohammed
Goutam, Prodyumna
Massad, Salwa
AuthorAffiliation 5 Palestinian National Institute of Public Health, Ramallah, Palestine
1 Millennium Challenge Corporation, Washington, DC, United States of America
Leibniz Institute for Prevention Research and Epidemiology BIPS, GERMANY
3 Al Quds University, Abu-Dis, Palestine
2 Juzoor for Health and Social Development, Ramallah, Palestine
4 RAND Corporation, Santa Monica, California, United States of America
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Notes Competing Interests: PG is employed by the Millennium Challenge Corporation, a U.S. Government agency. RB, PG, RK, and SL are employed by the RAND Corporation, a non-profit research institution. The affiliations to these organizations does not alter the authors’ adherence to PLOS ONE policies on sharing data and materials.
Joint Senior Authors.
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Snippet Relatively little is known about patterns of health risk behaviors among Middle Eastern youth, including how these behaviors are related to perceived peer...
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StartPage e0198435
SubjectTerms Adolescent
Adolescent Behavior - psychology
Alcohol Drinking - epidemiology
Alcohol use
Alcohols
Arabs - psychology
At risk youth
Behavior
Biology and Life Sciences
Bisexuality
Cluster Analysis
Clustering
Drinking (Alcoholic beverages)
Drug abuse
Drug use
Female
Health aspects
Health risk assessment
Health Risk Behaviors
Health risks
Humans
Juvenile drug abuse
Medicine and Health Sciences
Norms
Palestinian Arabs
Peer Group
People and Places
Physical Sciences
Prevalence
Prevalence studies (Epidemiology)
Risk perception
Risk taking
Sexual behavior
Sexual Behavior - statistics & numerical data
Social aspects
Substance-Related Disorders - epidemiology
Teenagers
Young Adult
Youth
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Title Perceived peer norms, health risk behaviors, and clustering of risk behaviors among Palestinian youth
URI https://www.ncbi.nlm.nih.gov/pubmed/29927957
https://www.proquest.com/docview/2057884203
https://pubmed.ncbi.nlm.nih.gov/PMC6013164
https://doaj.org/article/8ea8b4e7aef648ddb66278736938857c
http://dx.doi.org/10.1371/journal.pone.0198435
Volume 13
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