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Health-risk behavior differences between boarding and non-resident students: Brazilian adolescent National School Health Survey.

ABSTRACT: Background:Studies that evaluated health-risk behaviors with boarding students are scarce. There are no studies with representative samples among adolescents residing in educational institutions in Latin America. To better assess the role of resident status on such behaviors, this study aimed to compare health-risk behaviors between boarding and non-resident students assessed by the Brazilian National Adolescent School Health Survey (PeNSE). Methods:A cross-sectional study was conducted using the 2015 PeNSE database. A sample of 101,788 students (aged 11-19?years) from both public and private schools throughout all the Brazilian states completed the survey. A self-administered questionnaire was used to evaluate multiple health-related behaviors (sociodemographic characteristics; sexual behavior; cigarette use; drug use; and alcohol use). Poisson regression model-based analyses were performed and the effects measured through the prevalence ratio (PR) and its 95% confidence interval (CI). Results:Boarding residents reported more health-risk behaviors than non-residents: previous sexual intercourse (PR 1.17, 1.10-1.25), smoking experience (PR 1.12, 1.03-1.21), monthly smoking frequency (PR 1.68, 1.42-1.99), monthly alcohol intake (PR 2.12, 1.79-2.50), inebriation (PR 1.51, 1.35-1.71), drug use experience (PR 1.23, 1.10-1.38), and monthly drug use frequency (PR 1.59, 1.31-1.94). Conclusions:Boarding residents reported more health-risk behaviors than did non-residents. The results provide insights into an under-researched subject, helping to highlight potential points of intervention for supporting public health programs within the boarding-school student population.

SUBMITTER: Noll M

PROVIDER: S-EPMC7055121 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Health-risk behavior differences between boarding and non-resident students: Brazilian adolescent National School Health Survey.

Noll Matias M Noll Priscilla Rayanne E Silva PRES Tiggemann Carlos Leandro CL Custodio Daniela Costa DC Silveira Erika Aparecida EA

Archives of public health = Archives belges de sante publique 20200304

<h4>Background</h4>Studies that evaluated health-risk behaviors with boarding students are scarce. There are no studies with representative samples among adolescents residing in educational institutions in Latin America. To better assess the role of resident status on such behaviors, this study aimed to compare health-risk behaviors between boarding and non-resident students assessed by the Brazilian National Adolescent School Health Survey (PeNSE).<h4>Methods</h4>A cross-sectional study was con ...[more]

PMID: 32158545

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Project description:BackgroundHealth risk behaviors often emerge or intensify during adolescence and tend to co-occur, exposing individuals to an even greater risk for the development of non-communicable diseases (NCDs). The likelihood of exhibiting multiple health risk factors also increases throughout life and is associated with sociodemographic characteristics contributing to their escalation and severity. In this context, the objective of this study was to analyze the association between sociodemographic characteristics and multiple behavioral risk factors for non-communicable diseases among the adolescent population in Brazil.MethodsThis cross-sectional study utilized data from the Brazilian National Survey of School Health 2019. The sample comprised 121,580 adolescents aged 13 to 17. The analyzed variables included irregular intake of fruits and vegetables, regular consumption of soft drinks and treats, insufficient physical activity, sedentary lifestyle, cigarette smoking, and alcohol consumption. To analyze MBRFs, a classification ranging from zero to five was created, and associations were estimated using Odds Ratio (OR) with the respective 95% confidence interval (CI). The Backward method was employed for the multivariate regression model, utilizing ordinal logistic regression.ResultsAdolescents without behavioral risk factors for NCDs constituted only 3.9% (95% CI 3.7-4.1). The most prevalent categories were two and three MBRFs, accounting for 28.3% (95% CI: 27.7-28.8) and 27.0% (95% CI: 26.5-27.5), respectively. Adolescents aged 16 and 17 (ORadj: 1.39; 95% CI: 1.32-1.48), residing in the Brazilian Southeast (ORadj: 1.66; 95% CI: 1.52-1.81), and those reporting poor or very poor self-rated health (ORadj: 2.05; 95% CI: 1.87-2.25) were more likely to exhibit multiple behavioral risk factors. Conversely, male adolescents (adjusted OR: 0.65; 95% CI: 0.62-0.69), those of mixed race (adjusted OR: 0.92; 95% CI: 0.87-0.97), and residents of rural areas (adjusted OR: 0.76; 95% CI: 0.70-0.84) were less likely to manifest MBRFs for NCDs.ConclusionThe majority of adolescents displayed MBRFs for NCDs, positively associated with age, region, and perceived health status. This underscores the necessity for healthcare promotional interventions throughout the life cycle, as these behaviors may persist into adulthood.

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Project description:BackgroundThe sequential waves of epidemic spread of COVID-19 in Thailand have caused periodic closures of schools, and exposed students to different learning methods that require multiple adjustment strategies. This study aimed to examine how different learning methods may correlate with anxiety and health behavior (e.g., physical activity, active play, screen time, sleep) of primary and secondary school students in Thailand.MethodsThailand Report Card (TRC) Data (2021) was employed. The sample of the TRC was drawn by multi-stages random sampling stratified by region, district, urban/rural, school size, sex, and age to ensure national representativeness. A total of 6,078 Thai primary (64%) and secondary (36%) school students were included in the analysis.ResultsAbout two-thirds (66.4%) of the sample experienced a shift from traditional classroom to fully online learning, 6.9% experienced partial online instruction, 23.6% received handouts or written assignments, and 3.1% resumed traditional classroom learning. Compared to fully online learning, students who experienced traditional classroom (onsite) teaching were 37.8% less likely to report moderate-to severe anxiety (OR 0.6; p-value 0.021). There was no significant correlation between school closure-induced anxiety with overall physical activity (PA) and active play, but anxiety was significantly associated with screen time and sleep duration. Receiving handouts/written assignments only as the learning method was significantly correlated with PA, but two methods (handouts and onsite/traditional classroom) was significantly correlated with active play. Students who experienced classroom learning were also more likely to comply with recommended durations of screen time and sleep.ConclusionAlthough online learning was probably the most convenient choice during COVID-19 containment measures in Thailand, this method did not provide sufficient opportunity for PA and play. Online learning also encouraged an excessive use of screen media, and disrupted sleeping patterns. Online learning also pressured Thai students to make various adjustments in their daily routines that may have further aggravated anxiety.

Dataset Information

Health-risk behavior differences between boarding and non-resident students: Brazilian adolescent National School Health Survey.

Publications

Health-risk behavior differences between boarding and non-resident students: Brazilian adolescent National School Health Survey.

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