School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.
J Clin Nurs. 2011 Oct;20(19-20):2733-43. doi: 10.1111/j.1365-2702.2011.03737.x. Epub 2011 Jun 27.
To describe and compare the lifestyle behaviours and psychosocial well-being of Chinese adolescents aged 10-19 in the two cities of Hong Kong and Guangzhou and to identify the factors that most influence adolescents' lifestyle patterns in these two cities.
Health-promoting lifestyle behaviours of adolescents are influenced by economic growth and societal changes.
A cross-sectional comparative survey.
The Chinese version of the Adolescent Lifestyle Questionnaire was used to measure the adolescents' lifestyle behaviours and psychosocial well-being in the primary and secondary schools.
A total of 2014 adolescents aged 10-19 responded to the survey in Hong Kong (n = 1008) and Guangzhou (n = 1006). Adolescents in Guangzhou practised healthier lifestyle behaviours and psychosocial well-being than adolescents in Hong Kong, with statistically significant differences in all the seven dimensions. Adolescents in Guangzhou, when compared with those in Hong Kong, obtained higher mean scores in 'physical participation' (9·6 vs. 8·9, p < 0·001), 'nutrition' (20·2 vs. 17·6, p < 0·001), 'social support' (19·6 vs. 18·9, p = 0·001), 'stress management' (9·6 vs. 9·3, p = 0·022), 'identity awareness' (25·7 vs. 23·5, p < 0·001), 'health practices awareness' (9·2 vs. 8·3, p < 0·001) and 'safety' (21·6 vs. 20·6, p < 0·001). Demographic factors that contributed to adolescents' lifestyle behaviours were living in Guangzhou (OR = 1·92, 95% CI 1·56, 2·44), being in the younger age group (10-14 years old) (OR = 2·44, 95% CI 2·00, 3·03) and living with both parents (OR = 1·92, 95% CI 1·12, 3·27).
Socio-economic disparities, family composition and age group are the key factors associated with adolescents' healthy lifestyle behaviours. Further research is needed to understand the complex causal pathways between ethnicity, social environment and health behaviours.
Parental lifestyles inevitably influence the lifestyles of their young. Therefore, nurses should emphasise the health education of both parents and youth as future parents and support parents in modelling health-promoting lifestyles.
描述和比较香港和广州两个城市 10-19 岁青少年的生活方式行为和心理社会健康，并确定影响这两个城市青少年生活方式模式的因素。
青少年促进健康的生活方式行为受到经济增长和社会变革的影响。
一项横断面比较调查。
采用青少年生活方式问卷中文版测量中小学校青少年的生活方式行为和心理社会健康。
共有 2014 名 10-19 岁的青少年对香港（n=1008）和广州（n=1006）的调查做出了回应。与香港的青少年相比，广州的青少年更倾向于健康的生活方式行为和心理社会健康，在所有七个维度上均存在统计学显著差异。与香港的青少年相比，广州的青少年在“身体参与”（9.6 对 8.9，p<0.001）、“营养”（20.2 对 17.6，p<0.001）、“社会支持”（19.6 对 18.9，p=0.001）、“压力管理”（9.6 对 9.3，p=0.022）、“身份意识”（25.7 对 23.5，p<0.001）、“健康实践意识”（9.2 对 8.3，p<0.001）和“安全”（21.6 对 20.6，p<0.001）方面的得分更高。影响青少年生活方式行为的人口统计学因素包括居住在广州（OR=1.92，95%CI 1.56，2.44）、年龄较小（10-14 岁）（OR=2.44，95%CI 2.00，3.03）和与父母同住（OR=1.92，95%CI 1.12，3.27）。
社会经济差异、家庭结构和年龄组是与青少年健康生活方式行为相关的关键因素。需要进一步研究以了解族裔、社会环境和健康行为之间的复杂因果关系。
父母的生活方式不可避免地会影响其子女的生活方式。因此，护士应强调父母和青年作为未来父母的健康教育，并支持父母塑造促进健康的生活方式。
