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1.
Prax Kinderpsychol Kinderpsychiatr ; 69(2): 141-155, 2020 Mar.
Artículo en Alemán | MEDLINE | ID: mdl-32114946

RESUMEN

Development of an Online Intervention for Adolescents and Young Adults Engaging in Nonsuicidal Self-injury Nonsuicidal self-injury (NSSI) is a prevalent phenomenon in adolescence. Despite the existence of effective psychotherapeutic interventions, the majority of affected adolescents and young adults do not receive any treatment. Structural (e. g., no specific interventions, limited resources, limited accessibility) as well as individual factors (e. g., low help-seeking behavior) impede access to adequate clinical care for adolescent NSSI. Online interventions offer the possibility to provide specific interventions independent of one's location or local healthcare structures. Because of its high confidentiality and accessibility, the Internet also reaches adolescents with low help-seeking behavior. There is already evidence for online interventions concerning different mental health issues, like depression and anxiety. However, regarding NSSI, there are no effective, online interventions. Thus, we developed an online intervention based on an already evaluated short term program specific for adolescents and young adults with NSSI within the German STAR consortium (STAR: Self-Injury - Treatment, Assessment, Recovery). Within a randomised controlled trial, the intervention will be evaluated regarding its efficacy.


Asunto(s)
Conducta del Adolescente , Conducta Autodestructiva/prevención & control , Adolescente , Ansiedad , Depresión , Humanos , Ensayos Clínicos Controlados Aleatorios como Asunto , Adulto Joven
2.
Prax Kinderpsychol Kinderpsychiatr ; 69(2): 98-108, 2020 Mar.
Artículo en Alemán | MEDLINE | ID: mdl-32114948

RESUMEN

Risk-taking Behaviour and Aspects on Adolescents' Participation in High-risk Sports The age of adolescence represents an enhanced reward sensitivity which is often linked to increased risk-taking behaviour. Peers enhance risk-taking behaviour which is shown through delinquency and substance use. Whereas most research on adolescent risk-taking has been directed towards negative risk-taking, this narrative review tries to highlight adventure and high-risk sport participation as a prosocial form of risk-taking and its potential influence on adolescents' behaviour. Adventure/high-risk sports such as mountainbiking, freeride ski and snowboarding and climbing have grown exponentially in the last years with a high popularity among adolescents. Besides the inherent risk of severe injury in case of a mismanaged accident, which should be minimized by preventive steps such as educative risk-management and protective gear, those sports bear the potential for multiple psychological benefits such as enhanced mood, autonomy, resilience and self-efficacy. Adventure/high-risk sports seem to have the possibility to satisfy the need for rewards, prestige and risk-taking in a socially accepted way. Few research projects have already successfully integrated adventure sport interventions in clinical settings in mental health treatment. The idea of testing adventure/high-risk sport interventions as an addition to the treatment in child and adolescent psychiatry and psychotherapy could be promising and an impulse for future research projects.


Asunto(s)
Conducta del Adolescente , Asunción de Riesgos , Deportes/psicología , Adolescente , Niño , Humanos , Autoeficacia
3.
Prax Kinderpsychol Kinderpsychiatr ; 69(2): 109-125, 2020 Mar.
Artículo en Alemán | MEDLINE | ID: mdl-32114953

RESUMEN

Playing Violent Digital Games and Openly Aggressive Behavior by Children and Adolescents: A Literature Review on the Direction of Effects The majority of adolescents play digital games and many play violent ones. That youngsters with more intensive use of violent digital games would increase their physically aggressive behavior measured outside the laboratory over time, was supported in a meta-analysis from 2018. The overall socialization effect of beta = 0.11 was, however, modest. It was reduced to a unique effect of beta = 0.08 for playing violent digital games, when third variables which also explain the physically aggressive behavior were included. In addition, selection effects must be taken into account, which are based on aggressive individuals' preferences for violent digital games. Of the ten studies in this meta-analysis which analyzed the direction of effects in cross-lagged-panel or special regression designs, three established socialization effects only, two found bidirectional effects, three found selection effects only, and two found neither effect. Selection effects were more likely to be found in larger samples and in samples with young adolescents whose preference for violent games was less stable. This more complex result is discussed before the background of the biological, cognitive, and social transitions at the beginning of adolescence.


Asunto(s)
Conducta del Adolescente , Agresión , Conducta Infantil , Juegos de Video/psicología , Violencia , Adolescente , Niño , Humanos , Metaanálisis como Asunto
8.
J Sports Sci ; 38(2): 177-186, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31703541

RESUMEN

Background: The Canadian Assessment of Physical Literacy (CAPL) accurately and reliably assesses the physical literacy level of young children. However, in preliminary analyses ceiling effects were noted among 183 older children. The purposes of this study were to assess the validity of a modified CAPL designed for older children (CAPL 789) and to offer descriptive results.Methods: CAPL 789 assessed the physical literacy of Canadian children in grades 7-9. Data were collected from schools and recreation facilities in the provinces of Alberta and Ontario (Canada), yielding a new sample of 245 participants (129 girls, 13.7 ± 0.9 years). Descriptive statistics were calculated for all CAPL domains. Age and gender effects were examined to support the validity.Results: Physical competence score (/32) increased with age (F = 4.90, p < 0.05), the means in grades 7-9 being 18.9 ± 3.2, 20.9 ± 4.4 and 21.2 ± 3.4, respectively. Girls scored significantly higher (t = -2.29, p < 0.05) than boys (6.6 ± 1.2 vs 6.3 ± 1.3) in the knowledge assessment (/10).Conclusion: The CAPL 789 was feasible among children from grades 7-9. Additional research is required to establish the psychometric properties in children 12 to 16 years.


Asunto(s)
Conducta del Adolescente , Conducta Infantil , Ejercicio/psicología , Conductas Relacionadas con la Salud , Educación y Entrenamiento Físico/métodos , Encuestas y Cuestionarios , Adolescente , Factores de Edad , Composición Corporal , Niño , Femenino , Humanos , Masculino , Motivación , Actividad Motora , Educación y Entrenamiento Físico/estadística & datos numéricos , Psicometría , Reproducibilidad de los Resultados , Factores Sexuales
9.
J Psychol ; 154(2): 111-128, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31566509

RESUMEN

Relying on conceptualization of sexting as a deviant behavior, which appear to be related with mental health problems, we examined the relationship between sexting and psychological distress. A one-year longitudinal study was performed among 216 girls and 143 boys, aged from 15 to 17 years (M = 16.32, SD = .64). Participants completed the Sexting Behavior Questionnaire and the Depression Anxiety and Stress Scale at both time points of the study. The results showed that the prevalence for receiving sexts between the two time points was around 30%, and for sending sexts around 60%. The prevalence rates of receiving and sending sexually explicit context were quite stable over time, though they varied significantly across gender. Participants usually had sexted with a current or (ex)partner or friends. The number of person with whom participants exchange sexts did not exceed five. Anxiety and stress symptoms were more prevalent among sexters who receive sexts at the baseline than follow-up study (p < .05). Stress has been found to be significant predictors of sending sext at the baseline study (p < .05), while depression of receiving and sending at the follow-up study (p < .001). This study confirms that sexting is common among youth, and appears to be associated with negative consequences.


Asunto(s)
Conducta del Adolescente , Conducta Sexual/psicología , Conducta Sexual/estadística & datos numéricos , Mensaje de Texto/estadística & datos numéricos , Adolescente , Ansiedad/epidemiología , Depresión/epidemiología , Femenino , Estudios de Seguimiento , Humanos , Estudios Longitudinales , Masculino , Prevalencia , Estudios Prospectivos , Instituciones Académicas , Parejas Sexuales , Encuestas y Cuestionarios
10.
J Lesbian Stud ; 24(1): 41-55, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31218934

RESUMEN

Until 2004, Dutch women seeking donor insemination through medical facilities could opt for open-identity or anonymous donors. Since then, Dutch law only permits open-identity donation. The present study compared the well-being of adolescents conceived before 2004 through known, open-identity, and anonymous donors, and born into planned lesbian parent families (i.e., the mothers identified as lesbian before the children were conceived). The sixty-seven participating adolescents (Mage = 16.04 years) completed the Rosenberg Self-Esteem Scale and the Youth Self-Report, and answered questions about their donor. Thirty-three were conceived through known, twenty-two through open-identity, and twelve through anonymous donors. No significant associations were found between donor type and self-esteem or problem behavior. Likewise, no significant differences were found on these two variables for adolescents with known donors who did or did not play important roles in their lives. For adolescents conceived with sperm from as-yet unknown donors (open-identity or anonymous), feeling uncomfortable about not knowing the donor was associated with lower self-esteem and more externalizing problem behavior. That donor type was found to have no bearing on adolescent self-esteem or problem behavior may be useful to prospective lesbian parents.


Asunto(s)
Conducta del Adolescente/fisiología , Padres , Problema de Conducta/psicología , Psicología del Adolescente , Autoimagen , Minorías Sexuales y de Género , Donantes de Tejidos , Adolescente , Bienestar del Niño , Servicios de Planificación Familiar , Femenino , Homosexualidad Femenina , Humanos , Masculino , Madres , Países Bajos , Revelación de la Verdad
11.
Pneumologie ; 74(1): 39-45, 2020 Jan.
Artículo en Alemán | MEDLINE | ID: mdl-31756736

RESUMEN

AIM: The aim was to investigate whether e-cigarette use predicts later experimentation with conventional cigarettes. METHODS: During the 2016/2017 school year, 2,388 children and adolescents from Baden-Württemberg, Mecklenburg-Western Pomerania, North Rhine-Westphalia, Rhineland-Palatinate, Schleswig-Holstein and Saxony who had never smoked conventional cigarettes before took part in a survey over a 2-year period (mean age 11.8 years, SD = 1.21; 49.6 % female). RESULTS: At baseline, 85 pupils (3.6 %) reported that they had already tried e-cigarettes at least once. By the end of the observational period, 430 of the sample had tried conventional cigarettes (18.0 %). After statistical control for age, sex, migration background, type of school, socioeconomic status, sensation-seeking, alcohol use, and school performance, the adjusted relative risk of experimentation with conventional cigarettes was 85 % higher (adjusted relative risk = 1.85, 95 % CI [1.34 - 2.56]) for pupils who had used e-cigarettes at baseline. Further analyses revealed that the risk was higher among adolescents with low sensation-seeking scores. CONCLUSION: Among young never-smokers, experimentation with conventional cigarettes is more common in those who used e-cigarettes before than among those who have not tried e-cigarettes before. This effect seems to be stronger among adolescents who, in general, have a lower risk of starting to smoke.


Asunto(s)
Conducta del Adolescente , Sistemas Electrónicos de Liberación de Nicotina , Fumar/efectos adversos , Productos de Tabaco , Adolescente , Niño , Femenino , Humanos , Masculino , Estudios Prospectivos
12.
Z Kinder Jugendpsychiatr Psychother ; 48(1): 3-14, 2020 Jan.
Artículo en Alemán | MEDLINE | ID: mdl-31094644

RESUMEN

Effectiveness of an early intervention program for adolescents with Internet Gaming and Internet Use Disorder: Medium-term effects of the PROTECT+ Study Abstract. Objective: Internet Gaming and Internet Use Disorder (IGD and IUD) have gained increasing attention in the scientific community over the last few years. The inclusion of "Gaming Disorder" in the ICD-11 (International Statistical Classification of Diseases and Related Health Problems) promoted the need for evidence-based and effective treatments. PROTECT+ is such a cognitive-behavioral group therapy program for adolescents with IGD and IUD. The present study evaluates the medium-term effects after 4 months. Method: N = 54 patients, aged 9 to 19 years (M = 13.48, SD = 1.72), participated in the early intervention study between April 2016 and December 2017 in Heidelberg, Germany. Symptom severity was assessed at baseline, at the end of the treatment, and at 4-month follow-up using standardized diagnostic tools. Results: Multilevel analyses showed a significant reduction in symptom severity using the Video Game Dependency Scale (CSAS) at 4-month follow-up. We found a small effect size in self-reported reduction of symptom severity (d = 0.35) and a moderate effect size in parental ratings (d = 0.77). The Reliable Change Index measured by the Compulsive Internet Use Scale (CIUS) indicated a high heterogeneity in individual symptom changes over time. Patients showed high satisfaction regarding the treatment program at 1- und 4-month follow-up. Conclusions: This study is internationally one of the few to show a significant reduction of IGD and IUD symptoms after 4 months.


Asunto(s)
Conducta Adictiva , Intervención Médica Temprana , Internet , Juegos de Video/psicología , Adolescente , Conducta del Adolescente , Niño , Alemania , Humanos , Adulto Joven
13.
Gesundheitswesen ; 82(1): 90-99, 2020 Jan.
Artículo en Alemán | MEDLINE | ID: mdl-30321875

RESUMEN

BACKGROUND: Children and adolescents are seen as an important target group for reducing tobacco and alcohol consumption in the population. Data on substance use over a longer period of time for adolescents are a basis for addiction policy in the state of Brandenburg and show certain trends. METHODS: Adolescents of the 10th grade in the state of Brandenburg were asked in 2005, 2009, 2013 and 2017 about consumption of alcohol, tobacco and other psychoactive substances and about possibly helpful contact persons. A total of 42,221 adolescents with an average age of 15.7 years (standard deviation 0.7 years) were contacted. RESULTS: Regular (at least weekly) tobacco consumption decreased between 2005 and 2017 from 41 to 17% for girls and from 37 to 18% for boys. The regular consumption of alcohol decreased in girls from 18 to 9% and in boys from 34 to 15%. Boys drink more alcohol than girls. Tobacco use is lowest in high schools and there are differences between regions in the consumption of both substances. The adolescents see their peers as the main contact persons for problems with addictive substances. Professional help is accessed less often. CONCLUSION: The Brandenburg study describes a positive development. If the reduction is sustained or even continued, alcohol and tobacco consumption in the population will decrease. The results suggest strengthening the peer approach for addiction prevention.


Asunto(s)
Consumo de Bebidas Alcohólicas , Fumar , Trastornos Relacionados con Sustancias , Adolescente , Conducta del Adolescente , Femenino , Alemania , Humanos , Masculino , Tabaco
14.
Z Kinder Jugendpsychiatr Psychother ; 48(1): 47-56, 2020 Jan.
Artículo en Alemán | MEDLINE | ID: mdl-30375920

RESUMEN

Progress and challenges in the analysis of big data in social media of adolescents Abstract. Social media are ubiquitous today, and adolescents use them to express their thoughts, feelings, and behaviours. New interdisciplinary methods allow the automatic analysis of the massive amounts of data (big data) available on social networking websites using machine-learning tools to detect indicators of mental-health problems and disorders by identifying differences with common activity and communication patterns. This review first introduces the concept and potential fields of applications of big data in social media. It then discusses the first studies that used big data analyses and detected mental-health problems by identifying differences in the structure of social networks, in the use of certain words, and in the communication of opinions and sentiments. Future studies employing several assessment points could use longitudinal mediation analysis to model intraindividual changes in order to understand when and through which mechanisms social media use has an impact on mental health. Furthermore, future studies should include additional mental disorders, various sources of information, a broader age range, and additional social-networking websites to develop more precise models for the early detection of mental disorders. This would enable the development of personalised intervention programs to promote mental health and resilience in adolescents.


Asunto(s)
Macrodatos , Salud Mental/estadística & datos numéricos , Medios de Comunicación Sociales/estadística & datos numéricos , Adolescente , Conducta del Adolescente , Comunicación , Humanos , Trastornos Mentales/epidemiología
15.
Behav Sleep Med ; 18(1): 81-90, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-30472890

RESUMEN

Objective/Background: Poor sleep has been shown to have multiple negative outcomes during adolescence, in both academic and mental health domains. Several studies have identified the association between poor sleep and suicide risk in adolescents. However, onset of and engagement in nonsuicidal self-injury (NSSI) is also common in this age group, but this behavior has rarely been studied in association with sleep in adolescent samples. In the current study, it was expected that poorer sleep and more symptoms of insomnia would associate with a greater likelihood of recent NSSI engagement and greater NSSI severity. Participants: Data were collected from 387 community adolescents (mean age = 14.19, SD = 1.08), 9% of whom reported NSSI in the past 6 months. The gender breakdown was about even (52% female) and the majority of the sample was White (88.5%). Methods: Adolescent participants were recruited from middle and high schools for a study on mental health and risk behaviors. Researchers visited schools and administered self-report questionnaires to students in large groups. Measures assessed NSSI engagement and severity features, overall sleep quality, and insomnia symptoms. Results: Results indicated that greater insomnia symptoms, but not overall sleep quality, were significantly associated with greater likelihood of recent NSSI engagement. Sleep variables were not significantly associated with NSSI severity among adolescents with recent NSSI. Conclusions: Insomnia symptoms seem to be associated with recent engagement in NSSI. Adolescents who report symptoms of insomnia should also be assessed for self-harm behavior.


Asunto(s)
Conducta del Adolescente/psicología , Conducta Autodestructiva/etiología , Trastornos del Inicio y del Mantenimiento del Sueño/complicaciones , Adolescente , Femenino , Humanos , Masculino , Asunción de Riesgos , Trastornos del Inicio y del Mantenimiento del Sueño/terapia
16.
Int Braz J Urol ; 45(6): 1167-1179, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31808405

RESUMEN

INTRODUCTION: Lower urinary tract dysfunction (LUTD) is a common clinical condition. Emotional and behavioral issues are increasing among children and adolescents, with stress indicating difficulties in personal and social functioning. This study evaluated whether urinary tract symptoms (LUTS) is associated with stress. MATERIALS AND METHODS: A cross-sectional, analytical study with 6-14-year-old patients with LUTS and no anatomical/neurogenic urinary tract abnormalities was conducted using the Dysfunctional Voiding Scoring System, a psychological assessment and the Child Stress Scale. The overall stress score was analyzed in relation to the psychological assessment data. Answers to the seven specific DVSS urinary questions were compared with those for the four Child Stress Scale domains. Univariate and multivariate analyses were performed. The chi-square test and Pearson's correlation were used to determine associations. Significance was defined as p <0.05. RESULTS: Most children were male (56%). Mean age was 9.0±2.25 years. Stress was detected in 20 out of 98 patients (20.4%; 95% CI: 13-30%).Of these, 90% were born from unplanned pregnancies and 67% were upset about their disorder. All the Child Stress Scale domains were significantly associated with urinary dysfunction, with dysuria being significantly associated with all four domains. In the multivariate analysis, dysuria was the only symptom that remained associated with stress. Associations with stress strengthened as the frequency of dysuria increased: physical reactions (p <0.01), emotional reactions (p <0.05), psychological reactions with a depressive component (p<0.01) and psychophysiological reactions (p <0.05). CONCLUSION: Stress levels are higher in children and adolescents with LUTS who have more severe symptoms. Dysuria was the symptom most associated with stress, both in the physical reactions domain, in the psychological reactions domains with or without a depressive component and in the psychophysiological reactions domain.


Asunto(s)
Síntomas del Sistema Urinario Inferior/epidemiología , Síntomas del Sistema Urinario Inferior/psicología , Estrés Psicológico/epidemiología , Adolescente , Conducta del Adolescente/psicología , Distribución por Edad , Brasil/epidemiología , Niño , Conducta Infantil/psicología , Estudios Transversales , Femenino , Humanos , Modelos Lineales , Síntomas del Sistema Urinario Inferior/fisiopatología , Masculino , Prevalencia , Escalas de Valoración Psiquiátrica , Índice de Severidad de la Enfermedad , Distribución por Sexo , Estrés Psicológico/fisiopatología , Encuestas y Cuestionarios
17.
J Ment Health Policy Econ ; 22(3): 109-120, 2019 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-31811754

RESUMEN

BACKGROUND: Recovery high schools (RHS) provide a supportive educational and therapeutic environment for students subsequent to treatment for substance use disorders (SUDs). Most students served by RHSs have concurrent mental health disorders and are at risk for school failure or dropout and substance use relapse. AIMS OF THE STUDY: The central question addressed is whether RHSs are economically efficient alternatives to other high school settings for students in recovery. The aim is to estimate the incremental cost-benefit of RHSs. METHODS: A quasi-experimental non-equivalent pretest-posttest comparison group design was used. We compared substance use and educational outcomes for adolescents who had received specialty SUD treatment; 143 who enrolled in an RHS were compared to 117 who enrolled in a non-RHS school. Groups were balanced by use of a propensity score to drop students who were not similar to those in the other group. The propensity score was also used as a covariate in multiple regression to estimate cost and outcome parameters and standard errors. To take account of uncertainties in impacts and shadow prices, we used Monte Carlo simulations to estimate the distribution of incremental benefits of RHS relative to non-RHS schooling. RESULTS: Two beneficial impacts of statistical and substantive importance were identified: increased probability of high school graduation and increased sobriety. RHS students had significantly (p<.05) less substance use during the study period -- at 12-month follow-up, 55% of RHS and 26% of comparison students reported 3 month abstinence from alcohol and drugs. Urinalysis confirmed abstinence from THC (cannabis) for 68% of RHS versus 37% of comparison students. RHS students' high school graduation rates were 21 to 25 percentage points higher than comparison students. Adopting a societal perspective, incremental benefits of RHSs were estimated by monetizing the increased probability of high school graduation and comparing it to incremental costs. Mean net benefits ranged from USD16.1 thousand to USD51.9 thousand per participant; benefit-to-cost ratios ranged from 3.0 to 7.2. DISCUSSION: Monetizing the benefits and the incremental costs of RHS relative to conventional schooling show substantial positive net benefits from RHS participation. Two factors lend credibility to the results. First, the RHS improvement in substance use indicates a mechanism through which the increased probability of high school graduation can plausibly occur. Second, the estimated increases in the probability of high school graduation were large and statistically significant. As the productivity gains from high school graduation are also large, the dominant benefit category is very plausible. Limitations include the non-randomized design; selection bias into the study conditions not fully controlled by the propensity scores; generalizability only to young people with treated behavioral health disorders; lack of estimates for direct monetization of reduced substance use among adolescents; possible attenuation of the value of education among individuals with behavioral health issues; and uncertainty in calculation of school costs. IMPLICATIONS FOR BEHAVIORAL HEALTH POLICIES: This research provides evidence that the recovery high school model provides cost beneficial support for high school students after primary SUD treatment. The students who enroll in RHSs typically have co-occurring mental health and substance use disorders, adding complexity to their continuing care. Funding policies recognizing the multiple systems of care (behavioral health, education, child and family services, juvenile justice) responsible for these young people are called for.


Asunto(s)
Éxito Académico , Servicios de Salud Escolar/economía , Servicios de Salud Escolar/estadística & datos numéricos , Estudiantes/psicología , Trastornos Relacionados con Sustancias/terapia , Adolescente , Conducta del Adolescente/psicología , Niño , Enfermedad Crónica , Análisis Costo-Beneficio , Humanos , Estudios Longitudinales , Estudios Prospectivos , Instituciones Académicas , Estudiantes/estadística & datos numéricos , Trastornos Relacionados con Sustancias/rehabilitación
18.
Rev Chilena Infectol ; 36(3): 318-330, 2019 Jun.
Artículo en Español | MEDLINE | ID: mdl-31859751

RESUMEN

BACKGROUND: Since the incorporation of antiretroviral therapy (ART) HIV has become a chronic condition, improving survival and allowing children with the virus to come in better conditions to adolescence, where they are faced with a series of changes, among them, to sexual awakening. AIM: To explore the main beliefs, perceptions and experiences in sexuality of a group of adolescents with HIV infection acquired through vertical transmission. METHODS: A qualitative research was carried out with exploratory and descriptive scope. Semi-structured interviews were applied to 28 adolescents, under control in hospitals in Santiago and Valparaíso, with HIV infection. The analysis was carried out according to the Grounded Theory. RESULTS: There was a lack of sexual education and a vision that focuses on risks, such as sexually transmissible infections or teenage pregnancy. There are fears about the possibility of rejection by others and of transmitting the virus to the couple or the children and they are invaded by feelings of shame and anger. CONCLUSION: It is important to train health professionals who work with this group, because they are identified as a reliable source of information and education.


Asunto(s)
Conducta del Adolescente/psicología , Infecciones por VIH/transmisión , Conocimientos, Actitudes y Práctica en Salud , Transmisión Vertical de Enfermedad Infecciosa , Conducta Sexual/psicología , Adolescente , Adulto , Niño , Cultura , Femenino , Infecciones por VIH/psicología , Humanos , Acontecimientos que Cambian la Vida , Masculino , Percepción , Educación Sexual , Factores Socioeconómicos , Encuestas y Cuestionarios , Adulto Joven
19.
BMC Public Health ; 19(1): 1705, 2019 Dec 19.
Artículo en Inglés | MEDLINE | ID: mdl-31856777

RESUMEN

BACKGROUND: Identifying lifestyle-related health predictors affecting adolescent behaviors is a matter of interest and study for diverse audiences, including the religious sphere. The Adventist religion recommends their followers to adopt a healthy diet, adequate rest, physical activity, sufficient water intake, and non-use of addictive substances such as alcohol, tobacco, and drugs, as well as fostering faith and hope to give meaning to life. METHODS: A cross-sectional and observational study was conducted among adolescent students aged 13 to 19 years old in Montemorelos City, Nuevo León, Northern Mexico, between September 14, 2017 and February 13, 2018. This study included 363 Mexican adolescents, consisting of 202 Adventists and 161 non-Adventists. The binomial logistic regression analysis was performed to examine the relationships between religious affiliation and life-style behaviors and evaluate the effect of life-style behaviors on health outcomes by religious affiliation. Age, gender, type of residence, and place of birth were controlled. RESULTS: We found that Adventist adolescents were more likely to be watching TV for 2 h or less per day (p < 0.001), have enough sleeping time for 7 h or more (p < 0.001), go to bed early at 11 o'clock or before (p < 0.001), and have breakfast (p = 0.006) than non-Adventist adolescents significantly. It indicates that Adventist students are more likely to have healthier life-style behaviors than non-Adventist students. The multiple binomial regression models showed that in the group of Adventist adolescents sporting activity and hours watching TV were significantly associated with obesity risk (p = 0.001) and risky eating patterns (p = 0.044), respectively, controlling for age, gender, type of residence, and place of birth. No relationship was found between life-style behaviors and health outcomes in non-Adventist adolescents. CONCLUSIONS: Religious affiliation could serve as a predictor of healthy behaviors among adolescents. This study concluded that Adventist adolescents are more likely to have a healthier lifestyle behavior than non-Adventist adolescents and various health-related behaviors were specifically identified among Adventist participants.


Asunto(s)
Conducta del Adolescente , Conductas Relacionadas con la Salud , Estado de Salud , Estilo de Vida , Religión , Adolescente , Estudios Transversales , Femenino , Humanos , Masculino , México , Proyectos Piloto , Estudiantes/psicología , Estudiantes/estadística & datos numéricos
20.
Bratisl Lek Listy ; 120(12): 899-907, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31855048

RESUMEN

OBJECTIVE: The study was aimed to assess risky behavioral factors in the sample of Slovak adolescents. BACKGROUND: Health-risk behavior contributes to the leading causes of morbidity and mortality among youth and adults. MATERIALS AND METHODS: The Youth and Parents Risk Factor Behavior Survey (YABS), based on bilateral US-Slovak project, is an ongoing cross-sectional school-based survey initiated in Bratislava as a model region. There were 798 questionnaires for students distributed; the response rate was 64 %. The sample involved 525 adolescents aged 15‒19 years from eight selected secondary schools in Bratislava, 38 % boys and 62 % girls. More than 90 % of fathers and mothers were employed, but some families nevertheless experienced a lack of finances (48.1 %), almost 70 % of students were from complete families. RESULTS: The study revealed a very high prevalence of risky behavioral characteristics in this pilot sample of adolescents significantly related to age, gender, type of school, completeness of the family and lower parental education.  CONCLUSION: The most important health risk behaviors were identified (tobacco, alcohol, drug consumption, violence, risky sexual behavior, inadequate sleep, physical inactivity, and excessive IT devices use). Targeted intervention proposals will be suggested in future (Tab. 5, Ref. 42).


Asunto(s)
Conducta del Adolescente , Conductas Relacionadas con la Salud , Asunción de Riesgos , Adolescente , Estudios Transversales , Femenino , Humanos , Masculino , Vigilancia de la Población , Eslovaquia , Encuestas y Cuestionarios , Adulto Joven
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