Nutritional and lifestyle risk behaviors and their association with mental health and violence among Pakistani adolescents: results from the National Survey of 4583 individuals
Unhealthy behaviors are associated with mental health problems and violence in adolescents, yet their combined association has been understudied. Using the Global School Health Survey, this study examined the association between combined unhealthy behaviors (including fast food, soft drink, smoking,...
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| Veröffentlicht in: | BMC public health 2015-04, Vol.15 (1), p.431-431, Article 431 |
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| creator | Rao, Saadiyah Shah, Nadia Jawed, Nida Inam, Sumera Shafique, Kashif |
| description | Unhealthy behaviors are associated with mental health problems and violence in adolescents, yet their combined association has been understudied. Using the Global School Health Survey, this study examined the association between combined unhealthy behaviors (including fast food, soft drink, smoking, other tobacco products and physical inactivity) and anxiety, suicidal ideation and involvement in physical fight among Pakistani adolescents.
Data were obtained from the Global School Health Survey conducted in Pakistan (2009). The study population consisted of school going adolescents aged 13 to 15 years. Association of combined unhealthy behaviors with anxiety, suicidal ideation and involvement in physical fight were studied through secondary analysis. We used univariate and multivariate logistic regression analysis by complex sample method, accounting for cluster sampling technique used for data collection.
Of the total 4583 students, weighted percentage and unweighted count for one, two, three and four or more unhealthy behaviors was 39.4% (n = 1770), 22.1% (n = 963), 5.9% (n = 274) and 1.2% (n = 62) respectively. The weighted prevalence for anxiety, suicidal ideation and involvement in physical fight were 8.4%, 7.3% and 37.4% respectively. The results of multivariate logistic regression analysis after adjustment showed that students who had four or more unhealthy behaviors had higher odds of; being anxious (OR 2.45, 95%CI 1.31-4.59, p value 0.004), suicide ideation (OR 4.56, 95%CI 2.58-8.07, p value |
| doi_str_mv | 10.1186/s12889-015-1762-x |
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Data were obtained from the Global School Health Survey conducted in Pakistan (2009). The study population consisted of school going adolescents aged 13 to 15 years. Association of combined unhealthy behaviors with anxiety, suicidal ideation and involvement in physical fight were studied through secondary analysis. We used univariate and multivariate logistic regression analysis by complex sample method, accounting for cluster sampling technique used for data collection.
Of the total 4583 students, weighted percentage and unweighted count for one, two, three and four or more unhealthy behaviors was 39.4% (n = 1770), 22.1% (n = 963), 5.9% (n = 274) and 1.2% (n = 62) respectively. The weighted prevalence for anxiety, suicidal ideation and involvement in physical fight were 8.4%, 7.3% and 37.4% respectively. The results of multivariate logistic regression analysis after adjustment showed that students who had four or more unhealthy behaviors had higher odds of; being anxious (OR 2.45, 95%CI 1.31-4.59, p value 0.004), suicide ideation (OR 4.56, 95%CI 2.58-8.07, p value <0.001) and being involved in physical fight (OR 3.15, 95% CI 1.63-6.08, p value <0.001) as compared to those who had not adopted any unhealthy behaviors.
This study suggests that the co-occurrence of unhealthy behaviors is associated with anxiety, suicidal ideation and physical fight among adolescents. These findings should be considered when developing interventions to combat detrimental outcomes of unhealthy behaviors during adolescence.</description><identifier>ISSN: 1471-2458</identifier><identifier>EISSN: 1471-2458</identifier><identifier>DOI: 10.1186/s12889-015-1762-x</identifier><identifier>PMID: 25927931</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adolescent ; Adolescent Behavior - psychology ; Child psychopathology ; Female ; Health aspects ; Health Surveys - statistics & numerical data ; Humans ; Life Style ; Male ; Mental Disorders - psychology ; Mental Health ; Nutrition Surveys - statistics & numerical data ; Pakistan ; Prevalence ; Psychological aspects ; Public opinion ; Risk factors ; Risk-Taking ; Schools ; Smoking - epidemiology ; Social aspects ; Suicidal Ideation ; Surveys ; Violence - psychology ; Violence - statistics & numerical data</subject><ispartof>BMC public health, 2015-04, Vol.15 (1), p.431-431, Article 431</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>Rao et al.; licensee BioMed Central. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-15cb254870458515dd4fb0340bf7a764ee403b8970eea9a59aad6e3e47710a8b3</citedby><cites>FETCH-LOGICAL-c466t-15cb254870458515dd4fb0340bf7a764ee403b8970eea9a59aad6e3e47710a8b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4416240/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4416240/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,887,27931,27932,53798,53800</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25927931$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rao, Saadiyah</creatorcontrib><creatorcontrib>Shah, Nadia</creatorcontrib><creatorcontrib>Jawed, Nida</creatorcontrib><creatorcontrib>Inam, Sumera</creatorcontrib><creatorcontrib>Shafique, Kashif</creatorcontrib><title>Nutritional and lifestyle risk behaviors and their association with mental health and violence among Pakistani adolescents: results from the National Survey of 4583 individuals</title><title>BMC public health</title><addtitle>BMC Public Health</addtitle><description>Unhealthy behaviors are associated with mental health problems and violence in adolescents, yet their combined association has been understudied. Using the Global School Health Survey, this study examined the association between combined unhealthy behaviors (including fast food, soft drink, smoking, other tobacco products and physical inactivity) and anxiety, suicidal ideation and involvement in physical fight among Pakistani adolescents.
Data were obtained from the Global School Health Survey conducted in Pakistan (2009). The study population consisted of school going adolescents aged 13 to 15 years. Association of combined unhealthy behaviors with anxiety, suicidal ideation and involvement in physical fight were studied through secondary analysis. We used univariate and multivariate logistic regression analysis by complex sample method, accounting for cluster sampling technique used for data collection.
Of the total 4583 students, weighted percentage and unweighted count for one, two, three and four or more unhealthy behaviors was 39.4% (n = 1770), 22.1% (n = 963), 5.9% (n = 274) and 1.2% (n = 62) respectively. The weighted prevalence for anxiety, suicidal ideation and involvement in physical fight were 8.4%, 7.3% and 37.4% respectively. The results of multivariate logistic regression analysis after adjustment showed that students who had four or more unhealthy behaviors had higher odds of; being anxious (OR 2.45, 95%CI 1.31-4.59, p value 0.004), suicide ideation (OR 4.56, 95%CI 2.58-8.07, p value <0.001) and being involved in physical fight (OR 3.15, 95% CI 1.63-6.08, p value <0.001) as compared to those who had not adopted any unhealthy behaviors.
This study suggests that the co-occurrence of unhealthy behaviors is associated with anxiety, suicidal ideation and physical fight among adolescents. These findings should be considered when developing interventions to combat detrimental outcomes of unhealthy behaviors during adolescence.</description><subject>Adolescent</subject><subject>Adolescent Behavior - psychology</subject><subject>Child psychopathology</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health Surveys - statistics & numerical data</subject><subject>Humans</subject><subject>Life Style</subject><subject>Male</subject><subject>Mental Disorders - psychology</subject><subject>Mental Health</subject><subject>Nutrition Surveys - statistics & numerical data</subject><subject>Pakistan</subject><subject>Prevalence</subject><subject>Psychological aspects</subject><subject>Public opinion</subject><subject>Risk factors</subject><subject>Risk-Taking</subject><subject>Schools</subject><subject>Smoking - epidemiology</subject><subject>Social aspects</subject><subject>Suicidal Ideation</subject><subject>Surveys</subject><subject>Violence - psychology</subject><subject>Violence - statistics & numerical data</subject><issn>1471-2458</issn><issn>1471-2458</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptUk1v1DAQtRCIloUfwAVZ4tJLip04ccIBqar4kqqCBJytSTLZHerYxU6W7r_iJ-J0l6qV0BzG9rz39MZ6jL2U4lTKunoTZV7XTSZkmUld5dnNI3YslZZZrsr68b3zEXsW408hpK7L_Ck7yssm100hj9mfy3kKNJF3YDm4nlsaME47izxQvOItbmBLPsTb4bRBChxi9B3BQuK_adrwEd2U6BsEm24LMFEsug45jN6t-Ve4ojiBIw59GsQuEeJbHjDOdop8CH5ctPklHJx8m8MWd9wPPLkvOLmettTPYONz9mRIDV8c-or9-PD--_mn7OLLx8_nZxdZp6pqymTZtXmpai2SQCnLvldDKwol2kGDrhSiEkVbN1ogQgNlA9BXWKDSWgqo22LF3u11r-d2xH5xHMCa60AjhJ3xQObhxNHGrP3WKCWrPImv2MlBIPhfc_pTM1Ja3Fpw6OdoZKVrrRqRNwn6eg9dg0VDbvBJsVvg5qxUMpW4FTz9DypVjyN13uFA6f0BQe4JXfAxBhzu3EthlgCZfYBMCpBZAmRuEufV_bXvGP8SU_wF7mHFQg</recordid><startdate>20150428</startdate><enddate>20150428</enddate><creator>Rao, Saadiyah</creator><creator>Shah, Nadia</creator><creator>Jawed, Nida</creator><creator>Inam, Sumera</creator><creator>Shafique, Kashif</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150428</creationdate><title>Nutritional and lifestyle risk behaviors and their association with mental health and violence among Pakistani adolescents: results from the National Survey of 4583 individuals</title><author>Rao, Saadiyah ; Shah, Nadia ; Jawed, Nida ; Inam, Sumera ; Shafique, Kashif</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-15cb254870458515dd4fb0340bf7a764ee403b8970eea9a59aad6e3e47710a8b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adolescent Behavior - psychology</topic><topic>Child psychopathology</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health Surveys - statistics & numerical data</topic><topic>Humans</topic><topic>Life Style</topic><topic>Male</topic><topic>Mental Disorders - psychology</topic><topic>Mental Health</topic><topic>Nutrition Surveys - statistics & numerical data</topic><topic>Pakistan</topic><topic>Prevalence</topic><topic>Psychological aspects</topic><topic>Public opinion</topic><topic>Risk factors</topic><topic>Risk-Taking</topic><topic>Schools</topic><topic>Smoking - epidemiology</topic><topic>Social aspects</topic><topic>Suicidal Ideation</topic><topic>Surveys</topic><topic>Violence - psychology</topic><topic>Violence - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rao, Saadiyah</creatorcontrib><creatorcontrib>Shah, Nadia</creatorcontrib><creatorcontrib>Jawed, Nida</creatorcontrib><creatorcontrib>Inam, Sumera</creatorcontrib><creatorcontrib>Shafique, Kashif</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rao, Saadiyah</au><au>Shah, Nadia</au><au>Jawed, Nida</au><au>Inam, Sumera</au><au>Shafique, Kashif</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nutritional and lifestyle risk behaviors and their association with mental health and violence among Pakistani adolescents: results from the National Survey of 4583 individuals</atitle><jtitle>BMC public health</jtitle><addtitle>BMC Public Health</addtitle><date>2015-04-28</date><risdate>2015</risdate><volume>15</volume><issue>1</issue><spage>431</spage><epage>431</epage><pages>431-431</pages><artnum>431</artnum><issn>1471-2458</issn><eissn>1471-2458</eissn><abstract>Unhealthy behaviors are associated with mental health problems and violence in adolescents, yet their combined association has been understudied. Using the Global School Health Survey, this study examined the association between combined unhealthy behaviors (including fast food, soft drink, smoking, other tobacco products and physical inactivity) and anxiety, suicidal ideation and involvement in physical fight among Pakistani adolescents.
Data were obtained from the Global School Health Survey conducted in Pakistan (2009). The study population consisted of school going adolescents aged 13 to 15 years. Association of combined unhealthy behaviors with anxiety, suicidal ideation and involvement in physical fight were studied through secondary analysis. We used univariate and multivariate logistic regression analysis by complex sample method, accounting for cluster sampling technique used for data collection.
Of the total 4583 students, weighted percentage and unweighted count for one, two, three and four or more unhealthy behaviors was 39.4% (n = 1770), 22.1% (n = 963), 5.9% (n = 274) and 1.2% (n = 62) respectively. The weighted prevalence for anxiety, suicidal ideation and involvement in physical fight were 8.4%, 7.3% and 37.4% respectively. The results of multivariate logistic regression analysis after adjustment showed that students who had four or more unhealthy behaviors had higher odds of; being anxious (OR 2.45, 95%CI 1.31-4.59, p value 0.004), suicide ideation (OR 4.56, 95%CI 2.58-8.07, p value <0.001) and being involved in physical fight (OR 3.15, 95% CI 1.63-6.08, p value <0.001) as compared to those who had not adopted any unhealthy behaviors.
This study suggests that the co-occurrence of unhealthy behaviors is associated with anxiety, suicidal ideation and physical fight among adolescents. These findings should be considered when developing interventions to combat detrimental outcomes of unhealthy behaviors during adolescence.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>25927931</pmid><doi>10.1186/s12889-015-1762-x</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adolescent Behavior - psychology Child psychopathology Female Health aspects Health Surveys - statistics & numerical data Humans Life Style Male Mental Disorders - psychology Mental Health Nutrition Surveys - statistics & numerical data Pakistan Prevalence Psychological aspects Public opinion Risk factors Risk-Taking Schools Smoking - epidemiology Social aspects Suicidal Ideation Surveys Violence - psychology Violence - statistics & numerical data |
| title | Nutritional and lifestyle risk behaviors and their association with mental health and violence among Pakistani adolescents: results from the National Survey of 4583 individuals |
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