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Factors associated with health risk behavior among school children in urban Vietnam

BACKGROUND: Health risk behavior among young people is a public health problem in Vietnam. In addition, road traffic injuries are the leading cause of death for those aged 15–29 years. The consequences can be devastating for adolescents and their families, and can create a significant economic burde...

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Autores principales: Phuong, Tran Bich, Huong, Nguyen Thanh, Tien, Truong Quang, Chi, Hoang Khanh, Dunne, Michael P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3549466/
https://www.ncbi.nlm.nih.gov/pubmed/23336622
http://dx.doi.org/10.3402/gha.v6i0.18876
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author Phuong, Tran Bich
Huong, Nguyen Thanh
Tien, Truong Quang
Chi, Hoang Khanh
Dunne, Michael P.
author_facet Phuong, Tran Bich
Huong, Nguyen Thanh
Tien, Truong Quang
Chi, Hoang Khanh
Dunne, Michael P.
author_sort Phuong, Tran Bich
collection PubMed
description BACKGROUND: Health risk behavior among young people is a public health problem in Vietnam. In addition, road traffic injuries are the leading cause of death for those aged 15–29 years. The consequences can be devastating for adolescents and their families, and can create a significant economic burden on society. OBJECTIVE: The aim of this study was to identify protective and risk factors that may influence three health risk behaviors among school children: suicidal thinking (ST), drinking alcohol (DA), and underage motorbike driving (MD). METHODS: A cross-sectional survey of 972 adolescents (aged 12–15 years) was conducted in two secondary schools in Hanoi, Vietnam. The schools were purposely selected, one each from the inner city and a suburban area, from which classes (grade 6 to 8) were randomly selected. All students attending classes on survey days took part in the survey. The anonymous, self-completed questionnaire included measures of risk behavior, school connectedness, parental bonding, and other factors. Multivariable regression models were used to examine associations between the independent variables and the three health risk behaviors controlling for confounding factors. RESULTS: Young people in the inner city school reported a higher prevalence of all three risk behaviors than those in the suburban area (ST: 16.1% [95% confidence interval, or CI, 12.9–19.3] versus 4.6% [95% CI 2.7–6.5], p<0.001; DA: 20.3% [95% CI 16.8–23.8] versus 8.3% [95% CI 5.8–10.8], p<0.001, and MD: 10.1% [95% CI 7.4–12.8] versus 5.7% [95% CI 3.6–7.8], p<0.01). School connectedness and mother and father care appeared to be significant protective factors. For males, bullying in school was associated with suicidal thoughts, whereas for both males and females, school connectedness may be protective against suicidal ideation. CONCLUSION: This study supports findings from other nations regarding suicidal thoughts and alcohol use, and appears to be one of the first to examine risk and protective factors forMD. Health promotion within schools should be introduced to improve students’ feelings of connectedness in combination with communication and education campaigns focusing on parental care and engaging teachers for the promotion of safer, supportive school environments.
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spelling pubmed-35494662013-01-23 Factors associated with health risk behavior among school children in urban Vietnam Phuong, Tran Bich Huong, Nguyen Thanh Tien, Truong Quang Chi, Hoang Khanh Dunne, Michael P. Glob Health Action Public Health in Vietnam: Here's the Data, Where's the Action? BACKGROUND: Health risk behavior among young people is a public health problem in Vietnam. In addition, road traffic injuries are the leading cause of death for those aged 15–29 years. The consequences can be devastating for adolescents and their families, and can create a significant economic burden on society. OBJECTIVE: The aim of this study was to identify protective and risk factors that may influence three health risk behaviors among school children: suicidal thinking (ST), drinking alcohol (DA), and underage motorbike driving (MD). METHODS: A cross-sectional survey of 972 adolescents (aged 12–15 years) was conducted in two secondary schools in Hanoi, Vietnam. The schools were purposely selected, one each from the inner city and a suburban area, from which classes (grade 6 to 8) were randomly selected. All students attending classes on survey days took part in the survey. The anonymous, self-completed questionnaire included measures of risk behavior, school connectedness, parental bonding, and other factors. Multivariable regression models were used to examine associations between the independent variables and the three health risk behaviors controlling for confounding factors. RESULTS: Young people in the inner city school reported a higher prevalence of all three risk behaviors than those in the suburban area (ST: 16.1% [95% confidence interval, or CI, 12.9–19.3] versus 4.6% [95% CI 2.7–6.5], p<0.001; DA: 20.3% [95% CI 16.8–23.8] versus 8.3% [95% CI 5.8–10.8], p<0.001, and MD: 10.1% [95% CI 7.4–12.8] versus 5.7% [95% CI 3.6–7.8], p<0.01). School connectedness and mother and father care appeared to be significant protective factors. For males, bullying in school was associated with suicidal thoughts, whereas for both males and females, school connectedness may be protective against suicidal ideation. CONCLUSION: This study supports findings from other nations regarding suicidal thoughts and alcohol use, and appears to be one of the first to examine risk and protective factors forMD. Health promotion within schools should be introduced to improve students’ feelings of connectedness in combination with communication and education campaigns focusing on parental care and engaging teachers for the promotion of safer, supportive school environments. Co-Action Publishing 2013-01-18 /pmc/articles/PMC3549466/ /pubmed/23336622 http://dx.doi.org/10.3402/gha.v6i0.18876 Text en © 2013 Tran Bich Phuong et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Public Health in Vietnam: Here's the Data, Where's the Action?
Phuong, Tran Bich
Huong, Nguyen Thanh
Tien, Truong Quang
Chi, Hoang Khanh
Dunne, Michael P.
Factors associated with health risk behavior among school children in urban Vietnam
title Factors associated with health risk behavior among school children in urban Vietnam
title_full Factors associated with health risk behavior among school children in urban Vietnam
title_fullStr Factors associated with health risk behavior among school children in urban Vietnam
title_full_unstemmed Factors associated with health risk behavior among school children in urban Vietnam
title_short Factors associated with health risk behavior among school children in urban Vietnam
title_sort factors associated with health risk behavior among school children in urban vietnam
topic Public Health in Vietnam: Here's the Data, Where's the Action?
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3549466/
https://www.ncbi.nlm.nih.gov/pubmed/23336622
http://dx.doi.org/10.3402/gha.v6i0.18876
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