Factors associated with good self-rated health in European adolescents: a population-based cross-sectional study

Novak, Dario; Štefan, Lovro; Emeljanovas, Arūnas; Miežienė, Brigita; Milanović, Ivana; Janić, Snežana Radisavljević; Kawachi, Ichiro

doi:10.1007/s00038-017-1015-0

Cited by 19 publications

(20 citation statements)

References 40 publications

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“…A number of studies observed a dose-response relationship between PA and SRH, where an increasing level or amount of PA was related to a higher odds of “good or excellent” SRH (see Additional file 3 ) [ 1 , 4 , 27 , 41 , 42 , 46 , 48 , 54 , 60 , 68 , 70 , 86 ]. For example, the study by Lachytova et al (2017) found in a sample of adolescents aged 14–16 years old that relative to students who exercised less than once a week, students who exercised every day were 8.04 times more likely to report “good and excellent” health; students who exercised 4–6 times a week and 2–3 times a week were 3.67 times and 1.35 times, respectively, more likely than those exercised less than once a week to have “good and excellent” health after adjusting for gender, BMI, mental health and sedentary behaviour in the logistic regression [ 4 ].…”

Section: Resultsmentioning

confidence: 99%

“…A few studies used other statistical methods, such as linear regression, t-test or ANOVA and were not included in the meta-analysis due to the heterogeneity in statistics and small number of studies. Regarding the effect of PA, several studies used lower SRH as a reference group (e.g., coded as “good/excellent” versus “poor/fair” health) with more than two levels of PA in the logistic regression and were not included in the meta-analysis due to the difference in the grouping of PA (e.g., PA as clusters or days/week) [ 4 , 27 , 42 , 45 , 60 ].…”

Section: Discussionmentioning

confidence: 99%

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Associations between physical activity, sedentary behaviour and self-rated health among the general population of children and adolescents: a systematic review and meta-analysis

Zhang

2020

BMC Public Health

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Background Self-rated health (SRH) is an indicator that captures a person’s perception of their overall health status. The relationship between physical activity (PA), sedentary behaviour (SB) and SRH has been investigated in systematic reviews among adult and elderly populations. No systematic review to date has synthesized the relationship between PA, SB and SRH among children and adolescents. The purpose of this systematic review and meta-analysis was to synthesize the associations between PA, SB and SRH in the general population of children and adolescents and to investigate the dose-response relationship between PA, SB and SRH. Methods We conducted a computer search for English language studies in the databases of MEDLINE, EMBASE and PSYCINFO that were published between 1946 and 2019. We searched PubMed, Google Scholar, and the references of the identified publications for additional studies. A meta-analysis was employed to synthesize the associations between PA, SB respectively and SRH. The dose-response association was tested using a random effects meta-regression model. The review was reported following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Results Sixty-eight published articles were included in the final review, including 59 cross-sectional and nine longitudinal studies. We found evidence that PA was associated with better SRH, and SB was associated with lower SRH among children and adolescents. A dose-response relationship between PA and SRH was observed, where a higher level of PA was associated with better SRH than a lower level of PA. The relationship between PA, SB and SRH was observed in both boys and girls, and did not show a significant gender difference. Conclusions The findings in the systematic review suggest that health intervention programmes targeting promoting PA and reducing SB among children and adolescents may enhance their overall health status. Future research is needed to expand prospective cohort and intervention studies to address directionality and causality in the relationships between PA, SB and SRH among children and youth. Trial registration PROSPERO - CRD42019142244 . Registered on October 18, 2019.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Associations between physical activity, sedentary behaviour and self-rated health among the general population of children and adolescents: a systematic review and meta-analysis

Zhang

2020

BMC Public Health

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“…The findings here have implications for policy and research, particularly regarding racial and ethnic disparities in SRH in youths [ 100 , 101 , 102 , 103 , 104 ]. Policies should target structural barriers that systematically hold Blacks back.…”

Section: Discussionmentioning

confidence: 97%

Maternal Educational Attainment at Birth Promotes Future Self-Rated Health of White but Not Black Youth: A 15-Year Cohort of a National Sample

Assari

Caldwell

Mincy

2018

JCM

109

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Background: Socioeconomic status (SES) is essential for maintaining health, and self-rated health (SRH) is not an exception to this rule. This study explored racial differences in the protective effects of maternal educational attainment at birth against poor SRH of the youth 15 years later. Methods: Using data from the Fragile Families and Child Wellbeing Study (FFCWS), this 15-year longitudinal study followed 1934 youths from birth to age 15. This sample was composed of White (n = 497, 25.7%), and Black (n = 1437, 74.3%) youths. The independent variable was maternal educational attainment at birth. SRH at age 15 was the dependent variable. Family structure was the covariate. Race was the focal moderator. We ran logistic regression models in the pooled sample, as well as stratified models based on race. Results: In the pooled sample, maternal educational attainment and family structure were not predictive of SRH for the youths at age 15. Race interacted with maternal educational attainment, indicating a stronger association between maternal educational attainment at birth on youth SRH for Whites compared to Blacks. In race stratified models, maternal educational attainment at birth was protective against poor SRH for White but not Black youths. Conclusion: White but not Black youths gain less SRH from their maternal educational attainment. Enhancing education attainment may not have identical effects across racial groups. The health status of Blacks may be less responsive to improvements in maternal educational attainment. Policies should go beyond investing in educational attainment by empowering Black families to better use the educational attainment that they gain. Policies and programs should reduce the costs of upward social mobility for minority families.

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“…The answers were binarized into “high” (strongly agree and agree) and “low” (neither agree nor disagree, disagree, and strongly disagree) social capital [49]. These items have been previously used in the studies examining relationships of social capital and physical activity among adolescents of Turkey [40] and Croatia [42], examining relationships of social capital and self-rated health among adolescents in Serbia [50] and Lithuania [51] and in combined sample of European adolescents [52].…”

Section: Methodsmentioning

confidence: 99%

The Relationship between Social Capital within Its Different Contexts and Adherence to a Mediterranean Diet Among Lithuanian Adolescents

et al. 2019

Self Cite

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The eating habits of adolescents are a serious current public health problem. Scientists call attention to the availability of social resources for enhancing healthy eating behavior. Social capital defines those resources as trust, reciprocity, social participation, integrity, and coherence, and they are supposed to help people achieve their life goals, in general, and health goals, in particular. Our aim is to investigate the relationship between social capital within its different contexts and adherence to a Mediterranean diet (MD) among Lithuanian adolescents. The nationally representative cross-sectional study included 1863 students (906 boys and 957 girls). The KIDMED index questionnaire (Mediterranean Diet Quality Index in children and adolescents) was used to evaluate the adherence to an MD. Family, neighborhood, and school contexts of social capital were assessed using six items indicating family support, neighborhood trust, social control, vertical trust, horizontal trust, and reciprocity at school. Covariates such as gender, physical activity, parental education, and body mass index were also included in the analysis. Descriptive results showed that only 14% of Lithuanian adolescents followed an MD. Linear regression analysis indicated that family support (β = 0.096) and trust in school teachers (β = 0.074) were related to better rates of adherence, especially regarding the consumption of fruits, vegetables, cereals, fish, and the use of olive oil as a main source of fat. More adolescents who perceived family support and trust in their teachers used these products regularly and were less likely to skip breakfast. These findings could be used as a base for further developing nutrition education programs aimed at enhancing support and trust among families and schoolteachers.

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Factors associated with good self-rated health in European adolescents: a population-based cross-sectional study

Abstract: Our findings suggest strong associations between social and lifestyle factors and self-rated health. Other explanatory variables will require future research.

Cited by 19 publications

References 40 publications

Associations between physical activity, sedentary behaviour and self-rated health among the general population of children and adolescents: a systematic review and meta-analysis

Associations between physical activity, sedentary behaviour and self-rated health among the general population of children and adolescents: a systematic review and meta-analysis

Maternal Educational Attainment at Birth Promotes Future Self-Rated Health of White but Not Black Youth: A 15-Year Cohort of a National Sample

The Relationship between Social Capital within Its Different Contexts and Adherence to a Mediterranean Diet Among Lithuanian Adolescents

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