Sagatun Åse, Heyerdahl Sonja, Wentzel-Larsen Tore, Lien Lars
Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway.
Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway.
BMJ Open. 2015 May 12;5(5):e007139. doi: 10.1136/bmjopen-2014-007139.
To examine the extent to which smoking, alcohol, physical activity and mental health problems in 15-16-year-olds are associated with receipt of medical benefits in young adulthood, after adjustment for confounders.
Prospective population-based cohort survey linked to national registers.
In the 'Youth studies' from the Norwegian Institute of Public Health, 15 966 10th graders in 6 Norwegian counties answered a health behaviour and mental health questionnaire; 88% were linked to National Insurance Administration Registers (FD-Trygd).
Time to receipt of medical benefits, based on FD-Trygd. Follow-up was from age 18 years until participants were aged 22-26 years.
We performed Cox regression analyses to examine the extent to which variations in health behaviour and mental health problems during 10th grade were associated with receipt of medical benefits during follow-up.
Daily smoking at age 15-16 years was associated with a significant increase in hazard of receiving health benefits at follow-up compared with not smoking for boys, HR (95% CI) 1.56 (1.23 to 1.98), and for girls 1.47 (1.12 to 1.93). Physical activity was associated with a decrease in hazard compared with inactivity from 23% to 53% in boys and from 21% to 59% in girls, while use of alcohol showed a mixed pattern. The hazard for benefits use rose with increasing levels of emotional symptoms, peer problems, conduct problems and hyperactivity-inattention problems (Strengths and Difficulties Questionnaire) at 15-16 years among both genders.
Health behaviour and mental health problems in adolescence are independent risk factors for receipt of medical benefits in young adulthood.
在对混杂因素进行调整后，研究15至16岁青少年的吸烟、饮酒、身体活动和心理健康问题与青年期获得医疗福利之间的关联程度。
与国家登记册相关联的基于人群的前瞻性队列调查。
在挪威公共卫生研究所开展的“青年研究”中，挪威6个县的15966名十年级学生回答了一份健康行为和心理健康问卷；88%的学生与国家保险管理登记册（FD-Trygd）相关联。
基于FD-Trygd的获得医疗福利的时间。随访从18岁开始，直至参与者年龄达到22至26岁。
我们进行了Cox回归分析，以研究十年级期间健康行为和心理健康问题的变化与随访期间获得医疗福利之间的关联程度。
与不吸烟相比，15至16岁时每日吸烟的男孩在随访期间获得健康福利的风险显著增加，风险比（95%置信区间）为1.56（1.23至1.98），女孩为1.47（1.12至1.93）。与不活动相比，身体活动与男孩风险降低23%至53%、女孩风险降低21%至59%相关，而饮酒则呈现出混合模式。15至16岁时，无论男女，随着情绪症状、同伴问题、行为问题和多动-注意力不集中问题（优势与困难问卷）水平的增加，使用福利的风险都会上升。
青少年时期的健康行为和心理健康问题是青年期获得医疗福利的独立危险因素。
