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城市青少年的自感健康状况、心理健康问题与身体活动不足之间的关联。

Associations between self-rated health, mental health problems and physical inactivity among urban adolescents.

机构信息

Department of Social and Behavioural Medicine, Faculty of Medicine, PJ Safarik University, Kosice, Slovak Republic.

Slovak Public Health Association - SAVEZ, Kosice, Slovak Republic.

出版信息

Eur J Public Health. 2017 Dec 1;27(6):984-989. doi: 10.1093/eurpub/ckx051.

DOI:10.1093/eurpub/ckx051
PMID:28486676
Abstract

BACKGROUND

Self-rated health is a valid and reliable subjective indicator of general health. We aimed to assess the associations between self-rated health, mental health problems, physical activity, sedentary behaviour and BMI among Slovak urban adolescents.

METHODS

Data were collected within the EU-FP7: EURO-URHIS 2 (The European Health Indicator System Part 2) project in two largest Slovak cities: Bratislava and Kosice. Sample included 1111 adolescents (response rate 73.7%, mean age 14.32 ± 0.48 years, 52.8% boys). Self-rated health was measured with the first item from the Short Form Health Survey 36 questionnaire, mental health problems were assessed by the Strengths and Difficulties Questionnaire and for physical activity and sedentary behaviour questions from the WHO HBSC questionnaire were used. Logistic regression was performed to determine the associations between self-rated health and the independent variables.

RESULTS

Self-rated health was found to be significantly associated with mental health problems, sedentary behaviour and BMI. However, the strongest association was found with engagement in physical activity every day (OR 8.0; 95% CI 1.6-39.9).

CONCLUSIONS

Previous research revealed that self-rated health was associated with various mental health problems. Our findings add to these results by showing that physical activity and sedentary behaviour are also very important additional factors related to self-rated health. Better understanding of these associations can help in developing more effective public health intervention programmes for adolescents.

摘要

背景

自感健康是一种有效的、可靠的整体健康的主观指标。我们旨在评估自感健康、心理健康问题、身体活动、久坐行为和 BMI 之间的关系,在斯洛伐克城市青少年中。

方法

数据是在欧盟- FP7 : EURO-URHIS 2 (欧洲健康指标系统第 2 部分)项目中收集的,在两个最大的斯洛伐克城市:布拉迪斯拉发和科希策。样本包括 1111 名青少年(响应率 73.7%,平均年龄 14.32 ± 0.48 岁,52.8%为男孩)。自感健康是用短式健康调查问卷 36 问卷的第一个项目来衡量的,心理健康问题是由优势和困难问卷来评估的,对于身体活动和久坐行为的问题是来自世卫组织 HBSC 问卷的。进行了逻辑回归分析,以确定自感健康与独立变量之间的关系。

结果

自感健康与心理健康问题、久坐行为和 BMI 显著相关。然而,与每天进行身体活动的相关性最强(OR 8.0;95%CI 1.6-39.9)。

结论

以前的研究表明,自感健康与各种心理健康问题有关。我们的研究结果通过显示身体活动和久坐行为也是与自感健康密切相关的非常重要的附加因素,为这些结果增添了新的内容。更好地理解这些关联可以帮助为青少年制定更有效的公共卫生干预计划。

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