1
|
Gautam N, Dessie G, Rahman MM, Khanam R. Socioeconomic status and health behavior in children and adolescents: a systematic literature review. Front Public Health 2023; 11:1228632. [PMID: 37915814 PMCID: PMC10616829 DOI: 10.3389/fpubh.2023.1228632] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Accepted: 09/25/2023] [Indexed: 11/03/2023] Open
Abstract
Socioeconomic status affects individuals' health behaviors and contributes to a complex relationship between health and development. Due to this complexity, the relationship between SES and health behaviors is not yet fully understood. This literature review, therefore, aims to assess the association between socioeconomic status and health behaviors in childhood and adolescence. Preferred Reporting for Systematic Review and Meta-Analysis protocol guidelines were used to conduct a systematic literature review. The electronic online databases EBSCO Host, PubMed, Web of Science, and Science Direct were utilized to systematically search published articles. The Joanna Briggs Institute's critical appeal tool was used to assess the quality of included studies. Eligibility criteria such as study context, study participants, study setting, outcome measures, and key findings were used to identify relevant literature that measured the association between socioeconomic status and health behaviors. Out of 2,391 studies, only 46 met the final eligibility criteria and were assessed in this study. Our review found that children and adolescents with low socioeconomic status face an elevated risk of unhealthy behaviors (e.g., early initiation of smoking, high-energy-dense food, low physical activity, and involvement in drug abuse), in contrast to their counterparts. Conversely, children and adolescents from higher socioeconomic backgrounds exhibit a higher prevalence of health-promoting behaviors, such as increased consumption of fruit and vegetables, dairy products, regular breakfast, adherence to a nutritious diet, and engagement in an active lifestyle. The findings of this study underscore the necessity of implementing specific intervention measures aimed at providing assistance to families from disadvantaged socioeconomic backgrounds to mitigate the substantial disparities in health behavior outcomes in children and adolescents.
Collapse
Affiliation(s)
- Nirmal Gautam
- School of Business, Faculty of Business, Education, Law and Arts, University of Southern Queensland, Toowoomba, QLD, Australia
- Centre for Health Research, University of Southern Queensland, Toowoomba, QLD, Australia
| | - Getenet Dessie
- National Centre for Epidemiology and Population Health, College of Health and Medicine, Australian National University, Canberra, ACT, Australia
- College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Mohammad Mafizur Rahman
- School of Business, Faculty of Business, Education, Law and Arts, University of Southern Queensland, Toowoomba, QLD, Australia
- Centre for Health Research, University of Southern Queensland, Toowoomba, QLD, Australia
| | - Rasheda Khanam
- School of Business, Faculty of Business, Education, Law and Arts, University of Southern Queensland, Toowoomba, QLD, Australia
- Centre for Health Research, University of Southern Queensland, Toowoomba, QLD, Australia
| |
Collapse
|
2
|
Jovičić Burić D, Muslić L, Krašić S, Markelić M, Pejnović Franelić I, Musić Milanović S. Gender Differences in the Prediction of Alcohol Intoxication among Adolescents. Subst Use Misuse 2021; 56:1024-1034. [PMID: 33792493 DOI: 10.1080/10826084.2021.1906278] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Alcohol is one of the most commonly consumed substances in adolescence and can lead to many (mental) health problems. This study aimed to examine social determinants related to family, peers and school achievement as risk factors for alcohol intoxication (AI) among adolescents and to examine whether these risk factors differ in their prediction of AI concerning potential gender differences. METHODS The data used in this study were obtained from the cross-sectional "European School Survey Project on Alcohol and Other Drugs" and involved 2558 participants who were turning 16 in the year of the research. Multinomial and binary logistic regressions were performed for each AI indicator (lifetime, in the last 12 months, in the last 30 days and heavy episodic drinking (HED) in the last 30 days) in relation to gender. RESULTS School achievement, parental knowledge, peer pressure (for alcohol consumption and for AI) were found to be consistent predictors for varying AI among adolescents. High school achievement was found to be a protective factor for all AI indicators explored in our study, regardless of gender. Peer pressure made a more pronounced contribution to AI experience among boys, while parental knowledge demonstrated a more protective nature with regards to AI among girls. CONCLUSION Overall, results indicate that social determinants as predictors of AI among adolescents are consistent across various AI indicators and confirm gender specific predictors for AI. These findings indicate the possible benefit of involving parents in preventive programs and of using a gender perspective regarding observed differences.
Collapse
Affiliation(s)
- Diana Jovičić Burić
- Health Promotion Division, Croatian Institute of Public Health, Zagreb, Croatia
| | - Ljiljana Muslić
- Health Promotion Division, Croatian Institute of Public Health, Zagreb, Croatia
| | - Sandro Krašić
- Department of Psychology, Faculty of Philosophy, University of Zagreb, Zagreb, Croatia
| | - Martina Markelić
- Health Promotion Division, Croatian Institute of Public Health, Zagreb, Croatia
| | - Iva Pejnović Franelić
- Department for International Cooperation, Croatian Institute of Public Health, Zagreb, Croatia
| | - Sanja Musić Milanović
- Health Promotion Division, Croatian Institute of Public Health, Zagreb, Croatia.,The "Andrija Štampar" School of Public Health, The University of Zagreb, School of Medicine, Zagreb, Croatia
| |
Collapse
|
3
|
Van Ruymbeke C, Barrense-Dias Y, Suris JC. Is vulnerability associated with substance use? A study among youth in Switzerland. Arch Pediatr 2020; 27:448-451. [PMID: 33011028 DOI: 10.1016/j.arcped.2020.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 06/02/2020] [Accepted: 08/13/2020] [Indexed: 10/23/2022]
Abstract
Adolescence is a period of exploration and experimentation that includes risk behaviors such as substance use. Adolescents living in a situation of vulnerability could be more prone to using substances. In this cross-sectional study, we aimed to evaluate the association between the level of vulnerability and substance use considering explanatory factors. Data were obtained from the first wave of the GenerationFRee project (http://www.generationfree.ch), a longitudinal study based on data collected yearly between 2014 and 2019 on youth aged 15-24 years in high schools and professional schools. The sample included 5179 participants. We designated four risk behaviors: current tobacco smoking, alcohol misuse, cannabis use, and other illegal drug use. We defined vulnerability based on three criteria: the relationship with parents, school performance, and the family socioeconomic status (SES). According to this definition, participants were divided into three groups: no vulnerability, moderate vulnerability, and high vulnerability. Each substance was compared by vulnerability level and controlled with explanatory factors such as age, gender, perceived health, emotional well-being, academic track, nationality, living with parents, residence, family structure, money earned, and perceived personal financial situation. The results show that all substances except alcohol misuse are associated with vulnerability at the bivariate level. All the explanatory factors were also significant with the exception of academic track and amount of money earned per month. In the multinomial regression, for the moderate- and high-vulnerability groups, cannabis use was the only behavior that remained significant. In conclusion, this study shows the association between level of vulnerability and substance use, especially cannabis use. The results also demonstrate the complexity around vulnerability and how the interaction with social aspects influences vulnerability. Youths presenting familial, educational, or financial problems need to be especially screened for substance use by healthcare providers.
Collapse
Affiliation(s)
- C Van Ruymbeke
- Research Group on Adolescent Health, Department of Epidemiology and Health systems, Center for Primary Care and Public Health-Unisanté, University of Lausanne, Route de la Corniche 10, 1010 Lausanne, Switzerland
| | - Y Barrense-Dias
- Research Group on Adolescent Health, Department of Epidemiology and Health systems, Center for Primary Care and Public Health-Unisanté, University of Lausanne, Route de la Corniche 10, 1010 Lausanne, Switzerland
| | - J-C Suris
- Research Group on Adolescent Health, Department of Epidemiology and Health systems, Center for Primary Care and Public Health-Unisanté, University of Lausanne, Route de la Corniche 10, 1010 Lausanne, Switzerland.
| |
Collapse
|
4
|
Löfstedt P, García-Moya I, Corell M, Paniagua C, Samdal O, Välimaa R, Lyyra N, Currie D, Rasmussen M. School Satisfaction and School Pressure in the WHO European Region and North America: An Analysis of Time Trends (2002-2018) and Patterns of Co-occurrence in 32 Countries. J Adolesc Health 2020; 66:S59-S69. [PMID: 32446610 DOI: 10.1016/j.jadohealth.2020.03.007] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2019] [Revised: 03/03/2020] [Accepted: 03/03/2020] [Indexed: 11/30/2022]
Abstract
PURPOSE The purpose of the study was to examine the trends between 2002 and 2018 in school pressure and school satisfaction among 15-year-old students, across countries and by gender, in the WHO European region and North America, and explore whether there are variations between countries and by gender in the co-occurrence of school pressure and school satisfaction. METHODS Data from the 32 countries that participated in the Health Behaviour in School-aged Children study (HBSC) study between 2002 and 2018 were used. Statistical analyses included t-tests, binary logistic regression analyses, and chi-square tests, as required by each of the study aims. RESULTS School satisfaction tended to increase over the period 2002-2018 among boys, whereas school pressure increased among girls. Also, gender differences tended to dissipate in school satisfaction and generally increase in school pressure. The co-occurrence of school satisfaction and school pressure in 2017/2018 shows that the majority of students are found in the "not pressured-not highly satisfied" and "pressured-not highly satisfied" groups. There were more boys in the former group and more girls in the latter group. CONCLUSION Few students in the 32 countries belonged to the "not pressured-highly satisfied" group, which from a public health perspective may be seen as the most desirable group. The increases in school pressure in girls from 2002 to 2018 and their overrepresentation in the pressured groups require further attention.
Collapse
Affiliation(s)
- Petra Löfstedt
- Department of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Unit for Mental Health, Children and Youth, Public Health Agency of Sweden, Stockholm, Sweden
| | - Irene García-Moya
- Department of Developmental and Educational Psychology, University of Seville, Seville, Spain.
| | - Maria Corell
- Unit for Mental Health, Children and Youth, Public Health Agency of Sweden, Stockholm, Sweden
| | - Carmen Paniagua
- Department of Developmental and Educational Psychology, University of Seville, Seville, Spain
| | - Oddrun Samdal
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
| | - Raili Välimaa
- Faculty of Sport and Health Sciences, University of Jyvaskyla, Jyvaskyla, Finland
| | - Nelli Lyyra
- Faculty of Sport and Health Sciences, University of Jyvaskyla, Jyvaskyla, Finland
| | - Dorothy Currie
- School of Medicine, University of St Andrews, St Andrews, United Kingdom
| | - Mette Rasmussen
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
| |
Collapse
|
5
|
Pape H, Norström T, Rossow I. Adolescent drinking-a touch of social class? Addiction 2017; 112:792-800. [PMID: 27943493 DOI: 10.1111/add.13721] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2016] [Revised: 06/28/2016] [Accepted: 12/06/2016] [Indexed: 01/03/2023]
Abstract
AIMS To estimate whether parental socio-economic status (SES) is associated with adolescent drinking, and the degree to which a possible association may be accounted for by various parental factors. DESIGN AND SETTING Cross-sectional Norwegian school survey from 2006 (response rate: 86%). PARTICIPANTS Students aged 13-14 years (n = 5797), 15-16 years (n = 6613) and 17-18 years (n = 5351), of whom 51% were girls. MEASUREMENTS Parents' education was our main SES indicator, and we distinguished between low (7%) and middle/high (93%) educational level. The outcomes comprised past-year drinking and intoxication. We also applied measures on general parenting, parents' alcohol-related permissiveness and parental intoxication. The main analyses were conducted using Poisson regression. FINDINGS Parents' education had no statistically significant impact on alcohol use among the 17-18-year-olds, while 13-16-year-olds with low educated parents had an elevated relative risk (RR) of both drinking [RR = 1.21, 95% confidence interval (CI) = 1.13-1.29] and intoxication (RR = 1.32, 95% CI = 1.21-1.44). The RRs became statistically insignificant when including all the parental factors as covariates in the regression models. Among adolescents who had consumed alcohol, low parental education was related to more frequent drinking (RR = 1.24, 95% CI = 1.11-1.38) and intoxication episodes (RR = 1.42, 95% CI = 1.22-1.66). Again, the RRs became statistically insignificant when we accounted for all the parental factors. This pattern was replicated when we applied an alternative indicator for low parental SES. CONCLUSIONS Adolescent drinking in Norway appears to be related inversely to parents' social standing. The elevated risk of low socio-economic status vanishes when general parenting, alcohol-related parental permissiveness and parents' drinking are accounted for.
Collapse
Affiliation(s)
- Hilde Pape
- Norwegian Institute of Public Health, Oslo, Norway
| | - Thor Norström
- Norwegian Institute of Public Health, Oslo, Norway.,Swedish Institute for Social Research, Stockholm University, Stockholm, Sweden
| | | |
Collapse
|
6
|
Aura A, Sormunen M, Tossavainen K. The relation of socio-ecological factors to adolescents’ health-related behaviour. HEALTH EDUCATION 2016. [DOI: 10.1108/he-03-2014-0029] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
– The purpose of this paper is to identify and describe adolescents’ health-related behaviours from a socio-ecological perspective. Socio-ecological factors have been widely shown to be related to health behaviours (smoking, alcohol consumption, physical activity and diet) in adolescence and to affect health. The review integrates evidence with socio-ecological factors (social relationships, family, peers, schooling and environment).
Design/methodology/approach
– The data were collected from electronic databases and by manual search consisting of articles (n=90) published during 2002-2014. The selected articles were analysed using inductive content analysis and narrative synthesis.
Findings
– The findings suggest that there was a complex set of relations connected to adolescent health behaviours, also encompassing socio-ecological factors. The authors tentatively conclude that socio-ecological circumstances influence adolescents’ health-related behaviour, but that this review does not provide the full picture. There seemed to be certain key factors with a relation to behavioural outcomes that might increase health inequality among adolescents.
Practical implications
– School health education is an important pathway for interventions to reduce unhealthy behaviours among adolescents including those related to socio-ecological factors.
Originality/value
– Some socio-ecological factors were strongly related to health behaviours in adolescence, which may indicate an important pathway to current and future health. This paper may help schoolteachers, nurses and other school staff to understand the relationships between socio-ecological factors and health-related behaviours, which may be useful in developing health education to reduce health disparities during adolescence.
Collapse
|
7
|
Boričić K, Simić S, Erić JM. Demographic and socio-economic factors associated with multiple health risk behaviours among adolescents in Serbia: a cross sectional study. BMC Public Health 2015; 15:157. [PMID: 25884540 PMCID: PMC4340680 DOI: 10.1186/s12889-015-1509-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2014] [Accepted: 02/05/2015] [Indexed: 03/23/2024] Open
Abstract
BACKGROUND The aim of this study was to examine the relationships between demographic and socioeconomic characteristics and engaging in multiple risk behaviours among adolescents in Republic of Serbia. METHODS This study presents a cross sectional study of 683 adolescents aged 15 to 19 attending high school. The database from the 2006 National Health Survey was used. As a measure of demographic and socio-economic characteristics: age, type of settlement, family structure, having one's own room, school success and the household wealth index were used. Multivariate logistic regression model was performed. RESULTS Boys were more than twice as likely to engage in multiple risk behaviours than girls. Adolescents who were older (OR = 5.82, 95% CI = 3.21-10.54, boys; OR = 3.76, 95% CI =1.77-7.99, girls) and adolescents who achieved low or moderate (OR = 1.82, 95% CI = 1.02-3.26, boys; OR = 3.36, 95% CI =1.51-7.44, girls) school success had significantly higher risk than younger ones and those with high school success. Also, boys who came from a richer class households (OR = 3.14, 95% CI =1.02-9.66) and girls from incomplete family (OR = 5.07, 95% CI = 2.06-12.50) had higher risk than boys from the poorest households and girls from complete family. CONCLUSIONS Further preventive interventions in Serbia should be gender and age specific, oriented towards older adolescents, those who have low or moderate school success, boys from richer class households and girls who live in incomplete families.
Collapse
Affiliation(s)
- Katarina Boričić
- Center for Health Promotion, Institute of Public Health of Serbia "Dr Milan Jovanovic Batut", 5 Dr Subotic Street, 11000, Belgrade, Republic of Serbia.
| | - Snežana Simić
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Republic of Serbia.
| | - Jelena Marinković Erić
- Institute of Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Republic of Serbia.
| |
Collapse
|
8
|
Seil KS, Desai MM, Smith MV. Sexual orientation, adult connectedness, substance use, and mental health outcomes among adolescents: findings from the 2009 New York City Youth Risk Behavior Survey. Am J Public Health 2014; 104:1950-6. [PMID: 25121812 DOI: 10.2105/ajph.2014.302050] [Citation(s) in RCA: 66] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES We examined associations between identifying as lesbian, gay, or bisexual (LGB) and lacking a connection with an adult at school on adolescent substance use and mental health outcomes including suicidality. METHODS We analyzed data from the 2009 New York City Youth Risk Behavior Survey (n=8910). Outcomes of interest included alcohol use, marijuana use, illicit drug use, depressive symptomatology, suicide ideation, and suicide attempt. RESULTS The prevalence of each outcome was significantly higher among LGB adolescents than heterosexual adolescents and among those who lacked an adult connection at school than among those who did have such a connection. Even when LGB adolescents had an adult connection at school, their odds of most outcomes were significantly higher than for heterosexual adolescents. Those LGB adolescents who lacked a school adult connection had the poorest outcomes (about 45% reported suicide ideation; 31% suicide attempt). CONCLUSIONS Adolescents who are LGB, particularly those who lack a connection with school adults, are at high risk for substance use and poorer mental health outcomes. Interventions should focus on boosting social support and improving outcomes for this vulnerable group.
Collapse
Affiliation(s)
- Kacie S Seil
- Kacie S. Seil and Mayur M. Desai are with Yale School of Public Health, Department of Chronic Disease Epidemiology, New Haven, CT. Megan V. Smith is with Yale School of Medicine, Department of Psychiatry, New Haven
| | | | | |
Collapse
|
9
|
Kjærulff TM, Rivera F, Jiménez-Iglesias A, Moreno C. Perceived quality of social relations and frequent drunkenness: a cross-sectional study of Spanish adolescents. Alcohol Alcohol 2014; 49:466-71. [PMID: 24694679 DOI: 10.1093/alcalc/agu012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
AIM The aim of the study was to examine, for female and male students separately, whether perceived quality of relationships with peers and parents and relations in school predict self-reported frequent drunkenness among Spanish adolescents. METHODS The Spanish data from the Health Behaviour in School-aged Children Study (HBSC) 2010 survey were used including 1177 female and 1126 male students aged between 15 and 16 years. RESULTS For both genders, students reporting low school satisfaction had increased odds of frequent drunkenness. Among females, low and medium levels of classmate support were associated with decreased odds of frequent drunkenness, whereas low perceived maternal knowledge as well as medium and low satisfaction with the family increased odds of being frequently drunk. The proportion of male students reporting medium satisfaction with friendships had significantly lower odds of frequent drunkenness compared with those with high level of satisfaction with friendships. CONCLUSION We found different associations between perceived quality of social relations and frequent drunkenness among male and female students. Results showed that social relations seemed to better predictors of frequent drunkenness among female than male students and that other factors than social relations may contribute to explain excessive alcohol use among Spanish adolescents.
Collapse
Affiliation(s)
- Thora M Kjærulff
- National Institute of Public Health, University of Southern Denmark, Øster Farimagsgade 5A, 2., DK-1353 Copenhagen K, Denmark
| | - Francisco Rivera
- Department of Experimental Psychology, Faculty of Psychology, University of Seville, C/ Camilo José Cela s/n, 41018 Seville, Spain
| | - Antonia Jiménez-Iglesias
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Seville, C/ Camilo José Cela s/n, 41018 Seville, Spain
| | - Carmen Moreno
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Seville, C/ Camilo José Cela s/n, 41018 Seville, Spain
| |
Collapse
|
10
|
Richter M, Kuntsche E, de Looze M, Pförtner TK. Trends in socioeconomic inequalities in adolescent alcohol use in Germany between 1994 and 2006. Int J Public Health 2013; 58:777-84. [DOI: 10.1007/s00038-013-0486-x] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2013] [Revised: 05/04/2013] [Accepted: 06/20/2013] [Indexed: 11/29/2022] Open
|
11
|
Opposite social gradient for alcohol use and misuse among French adolescents. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2013; 24:359-66. [DOI: 10.1016/j.drugpo.2012.12.007] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2012] [Revised: 11/27/2012] [Accepted: 12/19/2012] [Indexed: 11/19/2022]
|
12
|
Teshome D, Gedif T. Determinants of alcohol drinking and its association with sexual practices among high school students in Addis Ababa, Ethiopia: Cross sectional study. ACTA ACUST UNITED AC 2013. [DOI: 10.4236/ojpm.2013.36057] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
13
|
Associations between Finnish 9th grade students' school perceptions, health behaviors, and family factors. HEALTH EDUCATION 2012. [DOI: 10.1108/09654281211217786] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
14
|
Takakura M, Wake N, Kobayashi M. The contextual effect of school satisfaction on health-risk behaviors in Japanese high school students. THE JOURNAL OF SCHOOL HEALTH 2010; 80:544-551. [PMID: 21039553 DOI: 10.1111/j.1746-1561.2010.00540.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
BACKGROUND The importance of school contextual effects on health and well-being among young people is currently recognized. This study examines the contextual effects of school satisfaction as well as the effects of individual-level school satisfaction on health-risk behaviors in Japanese high school students. METHODS Self-administered questionnaires were distributed to 3248 students in grades 10 through 12 at 29 public high schools throughout Okinawa, Japan. Using multilevel logistic regression models, the effects of individual- and contextual-level school satisfactions on health-risk behaviors were analyzed. The contextual-level school satisfaction was defined as satisfaction at the school level and was measured using aggregated individual scores. Behaviors studied included current smoking, current drinking, and sexual activity. RESULTS Approximately 15%, 6%, and 5% of the total individual differences in smoking, drinking, and sexual behaviors, respectively, occurred at the school level. Students with lower school satisfaction were more likely to engage in health-risk behaviors compared with those with higher school satisfaction. After adjustment for individual-level school satisfaction and other covariates, the odds of smoking and drinking increased with decreasing contextual-level school satisfaction. However, the association of contextual school satisfaction with sexual activity did not reach statistical significance. CONCLUSIONS This study showed that individual- and contextual-level school satisfactions affected smoking and drinking behaviors in Japanese high school students. However, no significant association between contextual-level school satisfaction and sexual activity was observed.
Collapse
Affiliation(s)
- Minoru Takakura
- Faculty of Medicine, School of Health Sciences, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan.
| | | | | |
Collapse
|
15
|
Large-scale alcohol use and socioeconomic position of origin: Longitudinal study from ages 15 to 19 years. Scand J Public Health 2008; 36:326-9. [DOI: 10.1177/1403494807086975] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Aim: To examine socioeconomic position (SEP) of origin as predictor of large-scale alcohol use in adolescence. Methods: The study population was a random sample of 15-year-olds at baseline (n=843) with a first follow-up 4 years later (n=729). Excess alcohol intake was assessed by consumption last weekend, dichotomized at 14 drinks. Results: The univariate analyses showed no association between SEP at age 15 years and alcohol drinking at age 19 years. The multivariate analyses showed an association between low SEP and excess alcohol drinking among boys (odds ratio=1.76). Conclusions: This longitudinal study found a weak association between low family SEP at age 15 years and excess alcohol drinking at age 19 years, but the association was not significant.
Collapse
|
16
|
Reijneveld SA. Child public health and child (health)care: too far apart? Eur J Public Health 2007; 17:2. [PMID: 17267525 DOI: 10.1093/eurpub/ckl281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|