Predictors of adolescent self-rated health - Analysis of the National Population Health Survey

Predictors of adolescent self-rated health - Analysis of the National Population Health Survey
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DOI:
10.1007/bf03404999
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发表时间:
2002-05-01
影响因子:
4.3
通讯作者:
Seeley, JS
Seeley, JS
中科院分区:
医学4区
文献类型:
--
作者:
Vingilis, ER;Wade, TJ;Seeley, JS

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目的:探讨哪些因素可以预测青少年的健康观念。方法:这项研究以纵向全国人口健康调查为基础,纳入了 1,493 名受访时年龄为 12 至 19 岁的青少年。检查了性别、年龄、年级、家庭结构、收入、残疾、慢性健康问题、社会支持、社会参与、学校/工作参与、吸烟、酗酒、体力活动、体重指数(BMI)和心理健康状况变量。使用序数多元回归,对所有预测因子进行自评健康回归,并按层次分块输入。结果:分析显示,青少年对健康的看法不仅取决于他们的身体健康状况,还受到个人、社会环境、行为和心理因素的影响。具体来说,健康问题、残疾、年龄、女性地位、较低收入、吸烟和较高的体重指数与较低的自评健康有关。结论:这项研究表明,青少年对其健康的评价是由他们的整体功能感决定的,其中包括身体健康和非身体健康维度。
Objective: To examine what factors predict adolescents' concepts of their health.Methods: The study, based on the longitudinal National Population Health Survey, included 1,493 adolescents who were 12-19 at the time of interview. Sex, age, grade, family structure, income, disability, chronic health problems, social supports, social involvement, school/work involvement, smoking, alcohol bingeing, physical activities, Body Mass Index (BMI) and psychological health status variables were examined. Using ordinal multivariate regression, self-rated health was regressed on all predictors, which were entered in blocks hierarchically.Results: The analyses revealed that adolescent perceptions of health are framed not only by their physical health status, but also by personal, socio-environmental, behavioural and psychological factors. Specifically, health problems, disability, age, female status, lower income, smoking, and higher BMI were associated with lower self-rated health.Conclusions: This study suggests that adolescent appraisals of their health are shaped by their overall sense of functioning, which includes both physical health and non-physical health dimensions.