学校层面的社会经济地位影响青少年的与健康相关的生活方式行为和意向。
School-Level Socioeconomic Status Influences Adolescents' Health-Related Lifestyle Behaviors and Intentions.
机构信息
Sydney Medical School, The University of Sydney; and Primary Health Care Education and Research Unit (PERU), Western Sydney Local Health District (WSLHD), PO Box 533, Westmead, NSW 2145, Australia.
Faculty of Health Sciences, The University of Sydney; and Westmead Hospital, WSLHD, 75 East Street, Lidcombe, NSW 2141, Australia.
出版信息
J Sch Health. 2018 Aug;88(8):583-589. doi: 10.1111/josh.12647.
BACKGROUND
School-level socioeconomic status (SES) influences on adolescents' lifestyle behaviors is understudied. We examined how school-level SES and sex influence adolescents' health-related lifestyle behaviors and intentions.
METHODS
Grade 8 students aged 13-14 years completed an online questionnaire regarding their sociodemographic characteristics, dietary behaviors, physical activity participation and recreational screen-time, and intentions regarding these behaviors. School-level SES, based on an Index of Community Socio-Educational Advantage (ICSEA), was categorized as low or high. Generalized estimating equations estimated individual-level summary statistics, adjusted for clustering.
RESULTS
Students (N = 2538; response rate = 79%) from 23 high schools (low ICSEA = 16) participated. Compared with low ICSEA students, high ICSEA students were more likely to report eating breakfast daily (OR 1.9 [95% CI 1.5, 2.4]), not drinking sugar-sweetened beverages (SSBs) daily (2.9 [1.9, 4.3]), and were more likely to have intentions to eat breakfast (1.8 [1.3, 2.3]) and ≥ 5 vegetable serves (1.2 [1.0, 1.5]) daily. Boys were more likely than girls to meet recommendations for breakfast eating, vegetable intake, moderate-to-vigorous physical activity and screen-time, but boys were less likely to meet recommendations regarding SSB intake.
CONCLUSIONS
Students from low ICSEA schools would benefit from additional support to improve dietary-related behaviors and intentions. More research is required to identify what targeted approaches will address sex differences in adolescents' lifestyle behaviors.
背景
学校层面的社会经济地位（SES）对青少年生活方式行为的影响研究较少。本研究旨在探讨学校层面 SES 和性别如何影响青少年的与健康相关的生活方式行为和意向。
方法
年龄在 13-14 岁的 8 年级学生完成了一份关于他们社会人口特征、饮食行为、体育活动参与和娱乐屏幕时间以及这些行为意向的在线问卷。以社区社会教育优势指数（ICSEA）为基础的学校 SES 被分为低 SES 和高 SES。采用广义估计方程估计个体水平的汇总统计数据，并进行聚类调整。
结果
来自 23 所高中（低 ICSEA=16）的 2538 名学生（应答率为 79%）参与了研究。与低 ICSEA 学生相比，高 ICSEA 学生更有可能每天吃早餐（OR 1.9 [95%CI 1.5, 2.4]）、不每天喝含糖饮料（SSB）（2.9 [1.9, 4.3]），并且更有可能有每天吃早餐（1.8 [1.3, 2.3]）和吃≥5 份蔬菜（1.2 [1.0, 1.5]）的意向。与女孩相比，男孩更有可能符合早餐、蔬菜摄入、中等至剧烈体力活动和屏幕时间的建议，但男孩更不可能符合 SSB 摄入的建议。
结论
来自低 ICSEA 学校的学生将受益于额外的支持，以改善与饮食相关的行为和意向。需要进一步研究以确定哪些针对性方法将解决青少年生活方式行为中的性别差异。
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