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Robert W. Blum, MD, PhD, Linda Halcón, PhD, MPH, Trish Beuhring, PhD, Ernest Pate, MD, Sheila Campell-Forrester, MD, MPH and Anneke Venema, MD

Robert W. Blum and Trish Beuhring are with the Division of General Pediatrics and Adolescent Health, University of Minnesota, Minneapolis. Linda Halcón is with the School of Nursing, University of Minnesota. Ernest Pate is with the Department of Family Health, Pan American Health Organization, Washington, DC. Sheila Campell-Forrester is with the Ministry of Health, Montego Bay, Jamaica. Anneke Venema is with the Department of Family Health, Pan American Health Organization, Bridgetown, Barbados.

Correspondence: Requests for reprints should be sent to Robert W. Blum, MD, PhD, University of Minnesota, 200 Oak St SE, Suite 260, Minneapolis, MN 55455 (e-mail: blumx001{at}umn.edu).

Objectives. This study sought to identify, among youths, factors associated with characteristics such as poor health status, substance use, and suicide risk and to explore the extent to which the risk and protective factors identified cut across health-compromising behaviors.

Methods. A survey was administered to representative samples of young people from 9 Caribbean countries.

Results. Physical/sexual abuse and having a friend or relative who had attempted suicide were associated with an increased prevalence of health-compromising behaviors. Connectedness with parents and school and attendance at religious services were associated with fewer health risk behaviors.

Conclusions. When the identified risk and protective factors were compared with those seen among young people in the United States, similarities as well as important differences were found.

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