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在一项对 152860 名巴西学生的全国性横断面调查中,生活方式行为与心理健康的关系。

Associations of lifestyle behaviors with mental health in a nationwide cross-sectional survey of 152,860 Brazilian students.

机构信息

Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, SP, Brazil.

Universidad de Santiago de Chile, Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Santiago, Chile.

出版信息

Rev Paul Pediatr. 2024 Oct 28;43:e2024080. doi: 10.1590/1984-0462/2025/43/2024080. eCollection 2024.


DOI:10.1590/1984-0462/2025/43/2024080
PMID:
Abstract

OBJECTIVE: To evaluate the association between modifiable lifestyle behaviors and mental health indicators in Brazilian adolescents. METHODS: This cross-sectional study used data from the 2019 National Survey of School Health including 152,860 students. The lifestyle behaviors and mental health indicators were obtained from a self-reported questionnaire. Logistic regression analyses were used to examine the association between lifestyle behaviors and mental health indicators. RESULTS: Infrequent healthy eating (OR 1.22; 95%CI 1.14-1.31), being inactive (OR 1.82; 95%CI 1.65-2.01), smoking (OR 1.24; 95%CI 1.10-1.40), and irregular school attendance (OR 1.31; 95%CI 1.22-1.40) were associated with not having close friends. Additionally, not having close friends was also associated with unhealthy eating (OR 0.86; 95%CI 0.81-0.92) and alcohol consumption (OR 0.81; 95%CI 0.75-0.87). Infrequent healthy eating (OR 1.29; 95%CI 1.24-1.33), frequent unhealthy eating (OR 1.39; 95%CI 1.35-1.43), being inactive (OR 1.12; 95%CI 1.07-1.18), excessive screen time and sitting (OR 1.10; 95%CI 1.07-1.14 and OR 1.68; 95%CI 1.63-1.73, respectively), smoking (OR 1.26; 95%CI 1.19-1.34), alcohol (OR 1.33; 95%CI 1.28-1.37), drugs (OR 1.13; 95%CI 1.05-1.22), and irregular school attendance (OR 1.53; 95%CI 1.48-1.59) were associated with worse self-rated mental health. CONCLUSIONS: Various lifestyle behaviors are associated with different indicators of mental health.

摘要

目的:评估巴西青少年可改变的生活方式行为与心理健康指标之间的关系。

方法:本横断面研究使用了 2019 年全国学校卫生调查的数据,包括 152860 名学生。生活方式行为和心理健康指标来自于自我报告问卷。使用逻辑回归分析来检查生活方式行为与心理健康指标之间的关系。

结果:不规律的健康饮食(OR 1.22;95%CI 1.14-1.31)、不活跃(OR 1.82;95%CI 1.65-2.01)、吸烟(OR 1.24;95%CI 1.10-1.40)和不规则的上学出勤率(OR 1.31;95%CI 1.22-1.40)与没有亲密朋友有关。此外,没有亲密朋友也与不健康的饮食(OR 0.86;95%CI 0.81-0.92)和饮酒(OR 0.81;95%CI 0.75-0.87)有关。不规律的健康饮食(OR 1.29;95%CI 1.24-1.33)、频繁的不健康饮食(OR 1.39;95%CI 1.35-1.43)、不活跃(OR 1.12;95%CI 1.07-1.18)、过度的屏幕时间和久坐(OR 1.10;95%CI 1.07-1.14 和 OR 1.68;95%CI 1.63-1.73)、吸烟(OR 1.26;95%CI 1.19-1.34)、饮酒(OR 1.33;95%CI 1.28-1.37)、吸毒(OR 1.13;95%CI 1.05-1.22)和不规则的上学出勤率(OR 1.53;95%CI 1.48-1.59)与自我报告的心理健康状况较差有关。

结论:各种生活方式行为与不同的心理健康指标有关。

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J Phys Act Health. 2023-7-1

[2]
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[3]
Prevalence and Associated Factors of Loneliness Among National Samples of In-School Adolescents in Four Caribbean Countries.

Psychol Rep. 2021-12

[4]
Suicidal behaviours among adolescents from 90 countries: a pooled analysis of the global school-based student health survey.

BMC Public Health. 2020-8-10

[5]
Assessing the Mental Health of Brazilian Students Involved in Risky Behaviors.

Int J Environ Res Public Health. 2020-5-22

[6]
Clusters of Contemporary Risk and Their Relationship to Mental Well-Being Among 15-Year-Old Adolescents Across 37 Countries.

J Adolesc Health. 2020-6

[7]
Effect of alcohol use on the adolescent brain and behavior.

Pharmacol Biochem Behav. 2020-5

[8]
Fast food consumption and suicide attempts among adolescents aged 12-15 years from 32 countries.

J Affect Disord. 2020-4-1

[9]
Behavioral Risk Factors Of Non-Communicable Diseases Among A Nationally Representative Sample Of School-Going Adolescents In Indonesia.

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[10]
Positive affect between close friends: Brain-behavior associations during adolescence.

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