Prevalência e fatores associados à simultaneidade de comportamentos de risco à saúde em adolescentes

Abstract

Objective:To analyze the prevalence and factors associated with the co-occurrence of health risk behaviors in adolescents.Methods:A cross-sectional study was performed with a sample of high school students from state public schools in Pernambuco, Brazil (n=4207, 14-19 years old). Data were obtained using a questionnaire. The co-occurrence of health risk behaviors was established based on the sum of five behavioral risk factors (low physical activity, sedentary behavior, low consumption of fruits/vegetables, alcohol consumption and tobacco use). The independent variables were gender, age group, time of day attending school, school size, maternal education, occupational status, skin color, geographic region and place of residence. Data were analyzed by ordinal logistic regression with proportional odds model.Results:Approximately 10% of adolescents were not exposed to health risk behaviors, while 58.5% reported being exposed to at least two health risk behaviors simultaneously. There was a higher likelihood of co-occurrence of health risk behaviors among adolescents in the older age group, with intermediate maternal education (9-11 years of schooling), and who reported living in the driest (semi-arid) region of the state of Pernambuco. Adolescents who reported having a job and living in rural areas had a lower likelihood of co-occurrence of risk behaviors.Conclusions:The findings suggest a high prevalence of co-occurrence of health risk behaviors in this group of adolescents, with a higher chance in five subgroups (older age, intermediate maternal education, the ones that reported not working, those living in urban areas and in the driest region of the state).

Urban versus rural lifestyle in adolescents: associations between environment, physical activity levels and sedentary behavior

“…Studies suggest maternal schooling (low to intermediate) is significantly associated with exposure to insufficient levels of physical activity and acquisition of sedentary behaviors. (28,29) However, this study revealed that maternal schooling was lower among adolescents living in rural compared to those living in urban areas, even though the former were more phsically active and less exposed to sedentary behaviors. This may reflect the relation between low parental schooling and lower socioeconomic status (30) and the resulting limited access to electronic devices (computer, video games and television), which would decrease the likelihood of adherence to sedentary behaviors among adolescents living in rural areas, and encourage higher levels of physical activity, in the form of greater use of active transportation means in daily commuting, as well as more participation in household acitvities, with expressive contributions to physical activity levels in this group.…”

Psychometric Properties of the Youth Risk Behavior Survey (YRBS) Instrument in Brazilian College Students

“…Gathering information about health risk behaviors in this age group through the use of validated instruments is necessary to obtain data that adequately assess the measured construct (Guedes & Lopes, 2010). The quality of the results obtained is essential to support the planning and implementation of public policies and appropriate intervention strategies aimed at promoting and protecting health among young people (Brito, Hardman, & Barros, 2015).…”

Simultaneity and aggregation of risk factors for noncommunicable diseases among brazilian adolescents

“…Most studies on the subject treat these risk factors in isolation [6][7][8][9][10][11] . Research on the simultaneity of risk factors for NCDs, with only adolescents, is scarce and recent in Brazil, having investigated beyond the prevalence of simultaneous risk factors 12 , aggregation 13,14 and associated factors 14,15 . Although they bring relevant results, these are local studies, not having national representativeness, justifying the relevance of this study.…”