National Adolescent School-based Health Survey - PeNSE 2015: Sedentary behavior and its correlates

To investigate the association between sedentary behavior (SB) and sociodemographic, social support, behavioral, and health variables among Brazilian adolescents. The 2015 National Adolescent School-based Health Survey (PeNSE) was a cross-sectional study consisting of 102,072 Brazilian ninth-graders...

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Veröffentlicht in:PloS one 2020-01, Vol.15 (1), p.e0228373-e0228373
Hauptverfasser: Silva, Roberta Mendes Abreu, Andrade, Amanda Cristina de Souza, Caiaffa, Waleska Teixeira, Medeiros, Danielle Souto de, Bezerra, Vanessa Moraes
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Medeiros, Danielle Souto de
Bezerra, Vanessa Moraes
description To investigate the association between sedentary behavior (SB) and sociodemographic, social support, behavioral, and health variables among Brazilian adolescents. The 2015 National Adolescent School-based Health Survey (PeNSE) was a cross-sectional study consisting of 102,072 Brazilian ninth-graders (mainly aged 13-15 years). SB was defined as the time (in hours) watching television, using a computer, playing video games, talking to friends, or doing other activities in a sitting position. For analysis purposes, SB was categorized into different cut-offs as per the sample distribution quartiles: >2 versus 4 versus 6 versus 2, >4 and >6 hours, respectively. The following characteristics were positively and significantly associated with each SB cut-off point in the final models: females, current employment, higher household economic status and higher maternal schooling, lower levels of parents checking homework, tobacco and alcohol use, soft drink and fruit consumption, and regular, poor or very poor self-assessed health status. Conversely, students who self-declared brown were less likely to be classified as a SB cut-off point. Significant associations with age, report of close friends, and physical activity varied by different SB cut-off points. Understanding the SB correlates in their different dimensions contributes to the identification of subgroups of adolescents with higher SB prevalence, which is crucial in the development and improvement of public policies. The demographic and behavioral characterization of these groups can guide the development of future intervention strategies, considering the school and family contexts of these adolescents.
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The 2015 National Adolescent School-based Health Survey (PeNSE) was a cross-sectional study consisting of 102,072 Brazilian ninth-graders (mainly aged 13-15 years). SB was defined as the time (in hours) watching television, using a computer, playing video games, talking to friends, or doing other activities in a sitting position. For analysis purposes, SB was categorized into different cut-offs as per the sample distribution quartiles: &gt;2 versus &lt;2 (25th percentile); &gt;4 versus &lt;4 (50th 26 percentile) and &gt;6 versus &lt;6 (75th 27 percentile). We employed Poisson univariate and multivariate regression analyses with robust variance and hierarchical entry of variables for each cut-off point. The prevalence rates of each SB cut-off point were 68.15% (CI: 67.44-68.86), 44.15% (CI: 43.40-44.90) and 24.97% (CI:24.37-25.57) for &gt;2, &gt;4 and &gt;6 hours, respectively. The following characteristics were positively and significantly associated with each SB cut-off point in the final models: females, current employment, higher household economic status and higher maternal schooling, lower levels of parents checking homework, tobacco and alcohol use, soft drink and fruit consumption, and regular, poor or very poor self-assessed health status. Conversely, students who self-declared brown were less likely to be classified as a SB cut-off point. Significant associations with age, report of close friends, and physical activity varied by different SB cut-off points. Understanding the SB correlates in their different dimensions contributes to the identification of subgroups of adolescents with higher SB prevalence, which is crucial in the development and improvement of public policies. 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The 2015 National Adolescent School-based Health Survey (PeNSE) was a cross-sectional study consisting of 102,072 Brazilian ninth-graders (mainly aged 13-15 years). SB was defined as the time (in hours) watching television, using a computer, playing video games, talking to friends, or doing other activities in a sitting position. For analysis purposes, SB was categorized into different cut-offs as per the sample distribution quartiles: &gt;2 versus &lt;2 (25th percentile); &gt;4 versus &lt;4 (50th 26 percentile) and &gt;6 versus &lt;6 (75th 27 percentile). We employed Poisson univariate and multivariate regression analyses with robust variance and hierarchical entry of variables for each cut-off point. The prevalence rates of each SB cut-off point were 68.15% (CI: 67.44-68.86), 44.15% (CI: 43.40-44.90) and 24.97% (CI:24.37-25.57) for &gt;2, &gt;4 and &gt;6 hours, respectively. The following characteristics were positively and significantly associated with each SB cut-off point in the final models: females, current employment, higher household economic status and higher maternal schooling, lower levels of parents checking homework, tobacco and alcohol use, soft drink and fruit consumption, and regular, poor or very poor self-assessed health status. Conversely, students who self-declared brown were less likely to be classified as a SB cut-off point. Significant associations with age, report of close friends, and physical activity varied by different SB cut-off points. Understanding the SB correlates in their different dimensions contributes to the identification of subgroups of adolescents with higher SB prevalence, which is crucial in the development and improvement of public policies. The demographic and behavioral characterization of these groups can guide the development of future intervention strategies, considering the school and family contexts of these adolescents.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31999792</pmid><doi>10.1371/journal.pone.0228373</doi><tpages>e0228373</tpages><orcidid>https://orcid.org/0000-0001-5057-1643</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adolescent Behavior
Adolescent Health
Adolescents
Alcohol use
Behavior
Biology and Life Sciences
Brazil - epidemiology
Characterization
Computer & video games
Consumption
Cross-Sectional Studies
Demographics
Drinking (Alcoholic beverages)
Economic conditions
Economic models
Electronic & video games
Electronic games
Exercise
Female
Females
Health
Health Surveys
Homework
Households
Humans
Internet access
Investigations
Male
Medicine and Health Sciences
Metabolism
Observatories
People and Places
Physical activity
Physical fitness
Polls & surveys
Public policy
Quartiles
Questionnaires
Regression analysis
Robustness (mathematics)
Schools
Screen time
Sedentary Behavior
Sitting position
Smartphones
Social behavior
Social interactions
Social Sciences
Social Support
Sociodemographics
Socioeconomic Factors
Soft drinks
Students
Subgroups
Surveys
Teenagers
Television
Time
Tobacco
Variance analysis
Video games
Youth
title National Adolescent School-based Health Survey - PeNSE 2015: Sedentary behavior and its correlates
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