A Comparison of Weight-Related Behaviors Among High School Students Who Are Homeless and Non-Homeless
A Comparison of Weight-Related Behaviors Among High School Students Who Are Homeless and Non-Homeless
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DOI：
10.1111/j.1746-1561.2009.00436.x
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发表时间：
2009-10-01
影响因子：
2.2
通讯作者：
Corliss, Heather L.
中科院分区：
文献类型：
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作者：
Fournier, Mary E.;Austin, S. Bryn;Corliss, Heather L.
先前的研究表明，无家可归的年轻人会从事高风险行为。然而，关于这一人群的营养和体育活动行为的信息很少，比较无家可归的青少年与非无家可归的同龄人的研究也很少。本研究比较了体重相关的风险行为的公立高中学生在马萨诸塞州无家可归的status. METHODS的基础上，我们获得了3264 9日至12日年级的学生参加了2005年马萨诸塞州青年风险行为调查的数据。多变量逻辑回归，控制性别，年级，种族/民族，性取向，进行评估无家可归者的地位之间的关系定义的麦金尼-文托无家可归者援助法案和体重相关指标。分析被加权并调整为多阶段复杂抽样设计。在这个样本中，4.2%的人报告无家可归（n = 152）。无家可归现象在男性、少数种族/族裔、性少数群体和非传统年级的学生中更为普遍。无家可归和非无家可归学生的体重指数分布相似（体重不足分别为4.0%和3.0%，超重分别为27.1%和27.1%）。无家可归的学生比非无家可归的学生更有可能报告体重控制紊乱的行为，包括禁食（aOR 2.5，95%CI 1.4-4.5）和减肥药的使用（aOR 3.3，95%CI 1.6-6.9）。这些学生是在混乱的体重控制行为的高风险。学校、州和联邦各级的政策决定应协同努力，以这些学生为目标，提供社会服务和营养干预。
BACKGROUNDPrevious research has shown that youth who are homeless engage in high-risk behaviors. However, there has been little information published on nutritional and physical activity behaviors in this population, and studies comparing homeless youth in school with their non-homeless peers are scarce. This study compares weight-related risk behaviors of public high school students in Massachusetts based on homeless status.METHODSWe obtained data from 3264 9th through 12th grade students who participated in the 2005 Massachusetts Youth Risk Behavior Survey. Multivariable logistic regression, controlling for gender, grade, race/ethnicity, and sexual orientation, was performed to assess the relationship between homeless status as defined by the McKinney-Vento Homeless Assistance Act and weight-related indicators. Analyses were weighted and adjusted for the multistage complex sampling design.RESULTSOf this sample, 4.2% reported being homeless (n = 152). Higher prevalence of homelessness was found among males, racial/ethnic minorities, sexual minorities, and students who were not in a traditional grade level. The distribution of body mass index was similar among students who were homeless and non-homeless (underweight 4.0 and 3.0%, and overweight 27.1 and 27.1%, respectively). Homeless students were more likely than non-homeless students to report disordered weight-control behaviors including fasting (aOR 2.5, 95% CI 1.4-4.5) and diet pill use (aOR 3.3, 95% CI 1.6-6.9).CONCLUSIONSMore than 4% of public high school students in Massachusetts meet the federal definition of homelessness. These students are at high risk for disordered weight-control behaviors. Policy decisions at the school, state, and federal levels should make a concerted effort to target these students with social services and nutritional interventions.