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[通过结构化开放式临床访谈,了解两个半城市地区健康中心所见青少年的生活习惯和风险因素]

[To find out the life habits and risk factors of adolescents seen in the Health Centres of two semi-urban populations using a structured open response clinical interview].

作者信息

López García Amador, Rodríguez González Inmaculada, Almagro Martín-Lomeña Paloma, Garófano Gordo Raquel, Fernández Cano Eva María, Maldonado Barrionuevo Almudena

机构信息

Distrito Sanitario Axarquía, Servicio Andaluz de Salud, Torre del Mar, Málaga, Spain.

出版信息

Aten Primaria. 2011 Apr;43(4):176-82. doi: 10.1016/j.aprim.2010.02.008. Epub 2010 May 27.

Abstract

OBJECTIVE

To investigate the habits and risk factors of adolescents from two Health Centres in two semi-urban populations using a structured clinical interview with open questions.

DESIGN

Cross-sectional descriptive study.

SETTING

Two semi-urban populations from the Malaga area.

PARTICIPANTS

Adolescents aged between 16 and 18 years old. We selected 5 medical clinics out of the 19 clinics in the Health Centres, using stratified random sampling. A total of 204 adolescents were included, with 62 (30.39%) of them not attending.

OUTCOMES

42.3% were overweight or obese. The BMI and MBP ratio was R=0.4 They ate fruit, vegetables or dairy products at least once a day 54.2%, 57.8% and 24.5%, respectively. 32.3% of the male teenagers and 63.5% of females did not exercise regularly. 21.8% were smokers, and this was related to a low socio-economical level (OR: 3.38 P=0.001 95% CI: 1.27 to 9) and with abandoning education (OR: 2.88 P=0.015 CI 95%. 1.20 to 6,86). 56.3% usually drink and this habit was also related to abandoning education. (OR: 3.5 95% CI: 1.43 to 8.94). 10.6% of the teenagers consumed illegal substances and their group of friends in 36.6% of the cases. 12.1% had unprotected sex. 12.4% and 13.4% did not use a crash helmet or seat belt, respectively. 24.2% have driven in a drunken state at some point. 20.4% have felt depressed at least once.

CONCLUSIONS

Risk factors and life style habits prevalent in reference to weight, fruit, vegetables and dairy products consumption, sport, smoking, alcohol and depression problems have been similar to the ones found in other studies that have used anonymous surveys. Prevalence of substance abuse has been lower.

摘要

目的

通过开放式问题的结构化临床访谈,调查来自两个半城市地区两个健康中心的青少年的习惯和风险因素。

设计

横断面描述性研究。

地点

马拉加地区的两个半城市地区。

参与者

年龄在16至18岁之间的青少年。我们从健康中心的19家诊所中采用分层随机抽样选取了5家医疗诊所。共纳入204名青少年,其中62名(30.39%)未参与。

结果

42.3%超重或肥胖。体重指数(BMI)与腰臀比(MBP)的比值为R = 0.4。他们每天至少吃一次水果、蔬菜或乳制品的比例分别为54.2%、57.8%和24.5%。32.3%的男性青少年和63.5%的女性青少年没有定期锻炼。21.8%吸烟,这与社会经济水平低(比值比:3.38,P = 0.001,95%置信区间:1.27至9)以及放弃教育(比值比:2.88,P = 0.015,95%置信区间:1.20至6.86)有关。56.3%的人通常饮酒,这种习惯也与放弃教育有关(比值比:3.5,95%置信区间:1.43至8.94)。10.6%的青少年使用非法药物,在36.6%的情况下其朋友群体也使用。12.1%有不安全性行为。分别有12.4%和13.4%的人不使用防撞头盔或安全带。24.2%的人曾在某个时候酒后驾车。20.4%的人至少有过一次抑郁情绪。

结论

在体重、水果、蔬菜和乳制品消费、运动、吸烟、饮酒及抑郁问题方面普遍存在的风险因素和生活方式习惯与其他使用匿名调查的研究中发现的相似。药物滥用的发生率较低。

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本文引用的文献

1
[Child and adolescent programme].
Aten Primaria. 2007 Nov;39 Suppl 3:151-61.
2
[Recommendations on life style].[关于生活方式的建议]
Aten Primaria. 2007 Nov;39 Suppl 3:27-46.
4
Correlates of fruit and vegetable intakes in US children.美国儿童水果和蔬菜摄入量的相关因素
J Am Diet Assoc. 2009 Mar;109(3):474-8. doi: 10.1016/j.jada.2008.11.022.
10
[Prevalence of tobacco use among teenagers and its relation with family environment].
An Pediatr (Barc). 2007 Apr;66(4):357-66. doi: 10.1157/13101240.

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