Factors associated with perceived health among 12-year-old school children.: Relevance of physical exercise and sense of coherence
Factors associated with perceived health among 12-year-old school children.: Relevance of physical exercise and sense of coherence
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DOI：
10.1080/14034940410028307
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发表时间：
2005-01-01
影响因子：
3.4
通讯作者：
Rautava, PT
中科院分区：
文献类型：
--
作者：
Honkinen, PLK;Suominen, SB;Rautava, PT
背景：童年时期的健康状况不佳可能会影响一个人一生的福祉。在成人研究中，连贯感 (SOC) 已被证明与感知健康有关。目的：本研究的目的是确定哪些以 SOC 和体育锻炼为重点的因素与 12 岁儿童的健康感知相关。方法：共有 1,231 名 12 岁学龄儿童（83%）完成了问卷调查。 37 个问题中的大多数都有多项选择题的答案。这些问题主要基于世界卫生组织协调的学龄儿童健康行为（HBSC）研究中使用的问题。 SOC 使用 Antonovsky 开发的 13 项量表来确定。计算学校成绩时使用的因素是数学、母语和第一外语的分数（由老师给出，范围为 4-10，10 为最好）。由于多层次的研究设计，统计分析涉及逻辑回归模型和所谓的广义估计技术的使用。结果：在根据报告的心身症状进行调整的多变量模型中，体育锻炼不足显然（OR 4.6）与感知健康状况不佳相关。其他具有显着关联的变量（OR 1.4-1.7）是数学分数低于 9，属于最弱的 SOC 三分位，报告教师感知支持的问题，以及报告涉及班级氛围的各种问题。结论：在所研究的变量中，体育锻炼与感知健康的相关性最强，即使分析中包含了多个社会和心理危险因素。 SOC 和社会支持变量也很重要。
Background: Poor perceived health during childhood may affect an individual's well-being throughout life. In adult studies, sense of coherence (SOC) has been shown to be associated with perceived health. Aims: The aim of this study was to determine which factors with an emphasis on SOC and physical exercise were associated with perceived health among 12-year-old children. Methods: A total of 1,231 12-year-old school children (83%) completed a questionnaire. Most of the 37 questions had multiple-choice types of response. The questions were largely based on those used in the Health Behaviour in School-aged Children (HBSC) study coordinated by the WHO. SOC was determined using the 13-item scale developed by Antonovsky. Factors used in calculating performance at school were marks (given by the teachers, range 4-10, 10 being the best) in mathematics, native language, and first foreign language. Statistical analysis involved the use of logistic regression models and the so-called generalized estimation technique because of the multi-level study design. Results: In a multivariate model adjusted for reported psychosomatic symptoms, insufficient physical exercise was clearly (OR 4.6) associated with poor perceived health. Other variables with significant associations (OR 1.4-1.7) were a mark below 9 in mathematics, belonging to the weakest SOC tertile, reporting of problems of perceived support from teachers, and reporting of various problems involving the class climate. Conclusions: Among the studied variables physical exercise was the most strongly associated with perceived health, even when several social and psychological risk factors were included in the analysis. SOC and variables of social support were also of importance.