ASEAN Institute for Health Development, Mahidol University, Nakhon Pathom 73170, Thailand.
Deputy Vice Chancellor Research and Innovation Office, North West University, Potchefstroom 2531, South Africa.
Int J Environ Res Public Health. 2019 Jul 25;16(15):2651. doi: 10.3390/ijerph16152651.
The aim of this study was to investigate the prevalence and correlates of behavioral non-communicable disease (NCD) risk factors among a national sample of school-going adolescents in the Seychelles. Cross-sectional data were analyzed from 2540 school adolescents (median age 14 years, interquartile range = 2), in the Seychelles "Global School-Based Student Health Survey (GSHS)" in 2015. Behavioral NCD risk factors (current tobacco use, current alcohol use, inadequate fruit and vegetable consumption, soft drink consumption, overweight or obesity, physical inactivity, and leisure-time sedentary behavior) were assessed by self-report. Among the seven individual behavioral risk factors, the highest prevalence was physical inactivity (82.7%), followed by daily soft drink consumption (68.3%), inadequate fruit and vegetable consumption (60.9%), leisure-time sedentary behavior (51.0%), current alcohol use (47.6%), overweight or obesity (28.2%), and current tobacco use (23.4%). The total mean number of behavioral NCD risk factors was 3.6 (Standard Deviation = 1.3), and the proportion of co-occurrence of having three or more behavioral NCD risk factors was 80.7%. In adjusted linear regression analysis, male sex, older age, and psychological distress were positively, and school attendance and peer support were negatively associated with the total number of behavioral NCD risk factors. A high prevalence of multiple behavioral NCD risk factors were found and several associated factors were identified, such as male sex, older age, psychological distress, school truancy, and lack of peer support, which may help in aiding intervention programs in this population.
本研究旨在调查塞舌尔全国范围内在校青少年行为非传染性疾病（NCD）风险因素的流行情况及其相关因素。对 2015 年塞舌尔“全球学校学生健康调查（GSHS）”中 2540 名在校青少年（中位数年龄为 14 岁，四分位间距=2）的横断面数据进行了分析。通过自我报告评估了行为 NCD 风险因素（当前吸烟、当前饮酒、水果和蔬菜摄入不足、软饮料摄入、超重或肥胖、身体活动不足和闲暇时间久坐行为）。在这 7 个单独的行为风险因素中，发病率最高的是身体活动不足（82.7%），其次是每天饮用软饮料（68.3%）、水果和蔬菜摄入不足（60.9%）、闲暇时间久坐行为（51.0%）、当前饮酒（47.6%）、超重或肥胖（28.2%）和当前吸烟（23.4%）。行为 NCD 风险因素的总平均值为 3.6（标准差=1.3），同时存在 3 种或更多行为 NCD 风险因素的比例为 80.7%。在调整后的线性回归分析中，男性、年龄较大和心理困扰与行为 NCD 风险因素的总数呈正相关，而上学和同伴支持则与行为 NCD 风险因素的总数呈负相关。发现了多种行为 NCD 风险因素的高流行率，并确定了一些相关因素，如男性、年龄较大、心理困扰、逃学和缺乏同伴支持，这些因素可能有助于辅助该人群的干预计划。
