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一项使用纵向队列设计对青少年资产、身体活动和体重指数的调查。

An Investigation of Youth Assets and Physical Activity and BMI Using a Longitudinal Cohort Design.

作者信息

Oman Roy F, Clements-Nolle Kristen, Lu Minggen, Lensch Taylor

机构信息

1 University of Nevada Reno, School of Community Health Sciences, Reno, NV, USA.

出版信息

Am J Health Promot. 2018 Nov;32(8):1751-1754. doi: 10.1177/0890117118769561. Epub 2018 Apr 12.

Abstract

PURPOSE

Substantial research has demonstrated that assets (eg, family communication, school connectedness) protect youth from participation in numerous risk behaviors. However, very few studies have explored the relationship between assets and positive health behaviors. This study investigated prospective associations among assets and physical activity (PA) and body mass index (BMI).

DESIGN

Longitudinal design with 5 waves of data collected annually over a 4-year period.

SETTING

Community-based setting with participants recruited via door-to-door canvasing of homes located in stratified (by race and income) randomly selected census tracts and blocks.

PARTICIPANTS

Participants were 1111 youth (baseline mean age = 14.3 years [SD = 1.6]; 53% female; 40.6% white, 28.6% Hispanic, 24.4% black, 6.4% other) and their parents.

MEASURES

Weekly participation in PA, BMI, and 14 youth assets representing multiple levels of influence (individual, family, and community).

ANALYSIS

Generalized linear mixed models assessed associations among the assets and PA and BMI over the 5 waves of data.

RESULTS

There was a significant and graded relationship between assets and weekly participation in PA. For example, at the community-asset level, PA minutes were higher among youth with 2 assets ( P = .006), 3 assets ( P = .0006), and 4 to 5 assets ( P < .0001) compared to youth with 0 to 1 assets. No effects were found for BMI.

CONCLUSION

Asset-based health promotion programs for youth may promote positive health behaviors and prevent participation in risk behaviors.

摘要

目的

大量研究表明,资产(如家庭沟通、学校归属感)可保护青少年不参与多种危险行为。然而,极少有研究探讨资产与积极健康行为之间的关系。本研究调查了资产与身体活动(PA)及体重指数(BMI)之间的前瞻性关联。

设计

纵向设计,在4年期间每年收集5波数据。

设置

基于社区的设置,通过对位于分层(按种族和收入)随机选择的普查区和街区的家庭进行挨家挨户的游说招募参与者。

参与者

参与者为1111名青少年(基线平均年龄 = 14.3岁[标准差 = 1.6];53%为女性;40.6%为白人,28.6%为西班牙裔,24.4%为黑人,6.4%为其他)及其父母。

测量

每周参与PA的情况、BMI以及代表多个影响层面(个人、家庭和社区)的14项青少年资产。

分析

广义线性混合模型评估了5波数据中资产与PA及BMI之间的关联。

结果

资产与每周参与PA之间存在显著的分级关系。例如,在社区资产层面,与拥有0至1项资产的青少年相比,拥有2项资产(P = .006)、3项资产(P = .0006)以及4至5项资产(P < .0001)的青少年的PA分钟数更高。未发现对BMI有影响。

结论

针对青少年的基于资产的健康促进项目可能会促进积极的健康行为并预防参与危险行为。

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