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印度瓦拉纳西市在校少女自评健康状况不佳的相关因素。

Correlates of poor self-rated health among school-going adolescent girls in urban Varanasi, India.

机构信息

Department of Public Health and Mortality Studies, International Institute for Population Sciences, Mumbai, India.

出版信息

BMC Public Health. 2023 Oct 4;23(1):1921. doi: 10.1186/s12889-023-16822-1.

Abstract

BACKGROUND

The concept of self-rated health (SRH) has widely been studied among the adults and older population in developed as well as developing countries, including India. Also, studies are available in abundance examining the various concepts of SRH among adolescents. However, in India, studies on the SRH of adolescents remain scarce, especially those aiming to understand the correlates of SRH among school-going adolescent girls in an urban setting. Therefore, this study aims to determine the correlates of poor SRH among school-going adolescent girls in the urban setting of Varanasi, India.

METHODS

This study is based on the primary data collected in the Varanasi district of Uttar Pradesh, India, from October 2019 to February 2020. Nearly 350 adolescent girls and their mothers were personally interviewed. Self-rated health was the primary outcome variable of this study. The exact wording of the question asked from the adolescent girls was, "In general, how would you say your health is?".

RESULTS

Almost one-fifth (19.4%) of the adolescent girls reported poor SRH. Adolescent girls from Other Backward Class (OBC) [OR: 0.39; 95% CI: .18-.85] and Others caste [OR: 0.58; 95% CI: .23-0.87] were less likely to report poor SRH than their Scheduled Caste/Scheduled Tribe (SC/ST) counterparts. Girls residing in households where number of daughters were more than sons were more likely to report poor SRH [OR: 7.8; 95% CI: 1.5-39.5] than girls who belonged to the daughters only households.

CONCLUSION

Composition of children was one of the important factors as outlined in this study. The role of mothers in improving the overall SRH of the girls is critical as they are involved in caring process of their daughters.

摘要

背景

自我评估健康(SRH)的概念已在发达国家和发展中国家的成年人和老年人群体中得到广泛研究,包括印度。此外,也有大量研究探讨了青少年中 SRH 的各种概念。然而,在印度,青少年的 SRH 研究仍然很少,特别是那些旨在了解城市环境中在校少女 SRH 相关因素的研究。因此,本研究旨在确定印度瓦拉纳西城市环境中在校少女 SRH 较差的相关因素。

方法

本研究基于 2019 年 10 月至 2020 年 2 月在印度北方邦瓦拉纳西区收集的原始数据。将近 350 名少女及其母亲接受了个人访谈。自我评估健康是本研究的主要结果变量。从少女那里询问的问题的准确措辞是:“总的来说,你认为你的健康状况如何?”

结果

近五分之一(19.4%)的少女报告 SRH 较差。与表列种姓/部落(SC/ST)少女相比,属于其他落后种姓(OBC)[OR:0.39;95% CI:.18-.85]和其他种姓的少女[OR:0.58;95% CI:.23-0.87]报告 SRH 较差的可能性较低。居住在女儿多于儿子的家庭中的女孩比仅女儿家庭的女孩更有可能报告 SRH 较差[OR:7.8;95% CI:1.5-39.5]。

结论

正如本研究所述,儿童构成是一个重要因素。母亲在改善女孩整体 SRH 方面的作用至关重要,因为她们参与了女儿的护理过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c296/10552224/fb79d8ec92f9/12889_2023_16822_Fig1_HTML.jpg

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