关于孟加拉国青少年中体育活动的流行程度及其与自杀、心理社会和健康风险指标之间关系的全国性横断面调查。

IF 1.8 4区 医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-12-10 DOI:10.1111/cch.70021
Mohammad Jobair Khan, Mohammed Usman Ali,  Sayma, Balasankar Ganesan, Auwal Abdullahi, S. M. Mahmudul Hasan, Atiqur Rahman Khan, Mohammad Delwer Hossain Hawlader, Stanley John Winser
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引用次数: 0

摘要

目的:本研究探讨了身体活动(PA)与自杀行为、心理社会结局和健康风险指标之间的关系。方法:这是对全球校本学生健康调查(GSHS)数据库数据的二次分析。共有2058名7-10年级11-17岁的青少年完成了自填问卷。使用性别分层逻辑回归来评估PA与自杀行为、心理社会结局和健康风险指标之间的关系。我们使用最小绝对收缩和选择算子(LASSO)回归来检验pa相关因素是否预测自杀、心理和生活方式相关行为。一个广义线性混合模型(GLMM)检验了PA对这些因子的贡献。结果:一半的青少年(18.9%的男孩和30.3%的女孩)根据世界卫生组织的指导方针表示满意的PA。就运动频率和步行或骑自行车上学而言,最活跃的一组与自杀行为呈正相关。孤立的青少年报告焦虑,尽管经常PA。PA频率降低与性活动、吸烟、烟草产品使用(女孩)、酗酒(男孩)和其他药物使用(男孩和女孩)显著相关。LASSO显示,不同的pa相关因素预测了女孩和男孩的自杀、心理和生活方式相关行为。GLMM显示PA对所选预测因子有显著贡献。结论:PA升高可降低青少年自杀行为。最活跃的群体与不同性别的预测因子相关;男孩被欺负,而女孩遭受身体虐待。
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A Nationwide Cross-Sectional Survey of the Prevalence of and Association of Physical Activity With Suicidal, Psychosocial and Health-Risk Indicators Among Adolescents in Bangladesh

Purpose

This study investigated the associations between physical activity (PA) and suicidal behaviours, psychosocial outcomes and indicators of health risks.

Methods

This was a secondary analysis of data from the Global School-Based Student Health Survey (GSHS) database. A total of 2058 adolescents aged 11–17 years in Grades 7–10 completed a self-administered questionnaire. Sex-stratified logistic regression was used to evaluate the associations between PA and suicidal behaviours, psychosocial outcomes and indicators of health risks. We used the least absolute shrinkage and selection operator (LASSO) regression to test whether PA-related factors predicted suicidal, psychological and lifestyle-related behaviours. A generalized linear mixed model (GLMM) examined the contributions of PA to these factors.

Findings

Half of the adolescents (18.9% boys and 30.3% girls) indicated satisfactory PA per the World Health Organization guidelines. The most active group in terms of frequency of activity and walking or bicycling to school was positively associated with suicidal behaviour. Isolated adolescents reported anxiety despite frequent PA. Reduced frequency of PA was significantly associated with sexual activity, smoking, tobacco product use (girls), alcohol abuse (boys) and other drug use (boys and girls). The LASSO revealed that different PA-related factors predicted suicidal, psychological and lifestyle-related behaviour among girls and boys. The GLMM showed a significant contribution of PA to selected predictors.

Conclusion

Increased PA may lower suicidal behaviour among adolescents. The most physically active groups were associated with predictors that varied by sex; boys were bullied, whereas girls experienced physical abuse.

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来源期刊
CiteScore
3.40
自引率
5.30%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
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