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Self-Rated Health among Urban Adolescents: The Roles of Age, Gender, and Their Associated Factors

Health status is often analyzed in population surveys. Self-rated health (SRH) is a single-item summary measure of the perception of one’s health. In Brazil, studies on the SRH of adolescents remain scarce, especially those aiming to understand the domains that compose this construct. Therefore, the...

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Autores principales: Meireles, Adriana Lúcia, Xavier, César Coelho, de Souza Andrade, Amanda Cristina, Proietti, Fernando Augusto, Caiaffa, Waleska Teixeira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4503396/
https://www.ncbi.nlm.nih.gov/pubmed/26177464
http://dx.doi.org/10.1371/journal.pone.0132254
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author Meireles, Adriana Lúcia
Xavier, César Coelho
de Souza Andrade, Amanda Cristina
Proietti, Fernando Augusto
Caiaffa, Waleska Teixeira
author_facet Meireles, Adriana Lúcia
Xavier, César Coelho
de Souza Andrade, Amanda Cristina
Proietti, Fernando Augusto
Caiaffa, Waleska Teixeira
author_sort Meireles, Adriana Lúcia
collection PubMed
description Health status is often analyzed in population surveys. Self-rated health (SRH) is a single-item summary measure of the perception of one’s health. In Brazil, studies on the SRH of adolescents remain scarce, especially those aiming to understand the domains that compose this construct. Therefore, the aim of this study is to determine the prevalence of poor SRH and its associated factors among 11- to 13-year-olds and 14- to 17-year-olds living in a large urban center in Brazil. This cross-sectional study was conducted using a household survey across Belo Horizonte that included 1,042 adolescents. Stratified logistic regression models were used for each age group to assess the associations between worse SRH and the following variables: socio-demographic, social and family support, lifestyles, psychological health, and anthropometry. Approximately 11% (95% CIs = 8.7–13.6) of the studied adolescents rated their health as poor, and SHR decreased with age among males and females. This trend was more pronounced among girls (from 6.9% among 11- to 13-year-old girls to 16.9% among 14- to 17-year-old girls) than boys (from 8.3% among 11- to 13-year-old boys to 11% among 14- to 17-year-old boys). Worse SRH was associated with family support (as assessed by the absence of parent-adolescent conversations; odds ratio [OR] = 3.5 among 11- to 13-year-olds), family structure (OR = 2.8 among 14- to 17-year-olds), and argument reporting (OR = 8.2 among 14- to 17-year-olds). Among older adolescents, the consumption of fruit fewer than five times per week (OR = 2.4), life dissatisfaction (OR = 2.8), underweight status (OR = 6.7), and overweight status (OR = 2.7) were associated with poor SRH. As adolescents age, their universe expands from their relationship with their parents to include more complex issues, such as their lifestyles and life satisfaction. Therefore, these results suggest the importance of evaluating SRH across adolescent age groups and demonstrate the influence of the family environment (in addition to other factors) on negative health assessments, particularly among 14- to 17-year-olds.
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spelling pubmed-45033962015-07-17 Self-Rated Health among Urban Adolescents: The Roles of Age, Gender, and Their Associated Factors Meireles, Adriana Lúcia Xavier, César Coelho de Souza Andrade, Amanda Cristina Proietti, Fernando Augusto Caiaffa, Waleska Teixeira PLoS One Research Article Health status is often analyzed in population surveys. Self-rated health (SRH) is a single-item summary measure of the perception of one’s health. In Brazil, studies on the SRH of adolescents remain scarce, especially those aiming to understand the domains that compose this construct. Therefore, the aim of this study is to determine the prevalence of poor SRH and its associated factors among 11- to 13-year-olds and 14- to 17-year-olds living in a large urban center in Brazil. This cross-sectional study was conducted using a household survey across Belo Horizonte that included 1,042 adolescents. Stratified logistic regression models were used for each age group to assess the associations between worse SRH and the following variables: socio-demographic, social and family support, lifestyles, psychological health, and anthropometry. Approximately 11% (95% CIs = 8.7–13.6) of the studied adolescents rated their health as poor, and SHR decreased with age among males and females. This trend was more pronounced among girls (from 6.9% among 11- to 13-year-old girls to 16.9% among 14- to 17-year-old girls) than boys (from 8.3% among 11- to 13-year-old boys to 11% among 14- to 17-year-old boys). Worse SRH was associated with family support (as assessed by the absence of parent-adolescent conversations; odds ratio [OR] = 3.5 among 11- to 13-year-olds), family structure (OR = 2.8 among 14- to 17-year-olds), and argument reporting (OR = 8.2 among 14- to 17-year-olds). Among older adolescents, the consumption of fruit fewer than five times per week (OR = 2.4), life dissatisfaction (OR = 2.8), underweight status (OR = 6.7), and overweight status (OR = 2.7) were associated with poor SRH. As adolescents age, their universe expands from their relationship with their parents to include more complex issues, such as their lifestyles and life satisfaction. Therefore, these results suggest the importance of evaluating SRH across adolescent age groups and demonstrate the influence of the family environment (in addition to other factors) on negative health assessments, particularly among 14- to 17-year-olds. Public Library of Science 2015-07-15 /pmc/articles/PMC4503396/ /pubmed/26177464 http://dx.doi.org/10.1371/journal.pone.0132254 Text en © 2015 Meireles et al http://creativecommons.org/licenses/by/4.0/ 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 author and source are properly credited.
spellingShingle Research Article
Meireles, Adriana Lúcia
Xavier, César Coelho
de Souza Andrade, Amanda Cristina
Proietti, Fernando Augusto
Caiaffa, Waleska Teixeira
Self-Rated Health among Urban Adolescents: The Roles of Age, Gender, and Their Associated Factors
title Self-Rated Health among Urban Adolescents: The Roles of Age, Gender, and Their Associated Factors
title_full Self-Rated Health among Urban Adolescents: The Roles of Age, Gender, and Their Associated Factors
title_fullStr Self-Rated Health among Urban Adolescents: The Roles of Age, Gender, and Their Associated Factors
title_full_unstemmed Self-Rated Health among Urban Adolescents: The Roles of Age, Gender, and Their Associated Factors
title_short Self-Rated Health among Urban Adolescents: The Roles of Age, Gender, and Their Associated Factors
title_sort self-rated health among urban adolescents: the roles of age, gender, and their associated factors
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4503396/
https://www.ncbi.nlm.nih.gov/pubmed/26177464
http://dx.doi.org/10.1371/journal.pone.0132254
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