Influence of individual and socio-environmental factors on self-rated health in adolescents

• Main Authors: Adriana Lúcia Meireles (Author), César Coelho Xavier (Author), Fernando Augusto Proietti (Author), Waleska Teixeira Caiaffa (Author)
• Format: Book
• Published: Associação Brasileira de Pós-Graduação em Saúde Coletiva, 2015-09-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

<sec><title>OBJECTIVE:</title><p> This study aimed to determine if individual and socio-environmental characteristics can influence the self-rated health among Brazilian adolescents.</p></sec><sec><title>METHODS:</title><p> It included 1,042 adolescents from 11 to 17 years old who participated in the <italic>Beagá</italic> Health Study (<italic>Estudo Saúde em Beagá</italic>), a multistage household survey in an urban setting. Logistic regression analyses were performed to determine the association between the self-rated health and the following explanatory variables: sociodemographic factors, social support, lifestyle, physical and psychological health.</p></sec><sec><title>RESULTS:</title><p> Good/very good and reasonable/poor/very poor self-rated health were reported by 88.5 and 11.5% of adolescents, respectively. The data on sociodemographic factors (SES), social support, lifestyle, psychological and physical health were associated with poor self-rated health (p ≤ 0.05). The associated variables were: age 14 - 17 years (OR =1.71; 95%CI 1.06 - 2.74), low SES (OR =1.68; 95%CI 1.05 - 2.69), few (OR = 2.53; 95%CI 1.44 - 4.46) and many quarrels in family (OR = 9.13; 95%CI 4.53 - 18.39), report of unkind and unhelpful peers (OR = 2.21; 95%CI 1.11 - 4.43), consumption of fruits < 5 times a week (OR = 1.78; 95CI% 1.07 - 2.95), physical inactivity (OR = 2.31; 95%CI 1.15 - 4.69), overweight (OR = 2.42; 95%CI 1.54 - 3.79) and low level of life satisfaction (OR = 2.31; 95%CI 1.34 - 3.98).</p></sec><sec><title>CONCLUSIONS:</title><p> Poor self-rated health among adolescents was associated with individual and socio-environmental characteristics related to family, school and neighborhood issues. Quantifying the self-rated health according to the theoretical framework of the child's well-being should help in arguing that self-rated health might be a strong indicator of social inequities for the studied population.</p></sec>

Item Description

1415-790X
10.1590/1980-5497201500030002