Múltiplos comportamentos de risco à saúde em adolescentes de um estado do Nordeste do Brasil

• Autor(a) principal: Santos, Lucas Souza
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFS
• Texto Completo: http://ri.ufs.br/jspui/handle/riufs/7848
• topic: Educação física; Estilo de vida sedentário; Fatores de risco; Adolescentes; Uso de drogas; Comportamentos; Riscos à saúde; Behavior; Health risks; Adolescents; Risk factors; CIENCIAS DA SAUDE::EDUCACAO FISICA

Introduction: It has been observed that the adoption of Health Risk Behaviors (HRB), such as alcohol consumption, tobacco use, low fruit consumption, exposure to sedentary behavior and insufficient level of physical activity, potentiate health threats when together, suggesting monitoring studies. Objective: To investigate the prevalence of multiple health risk behaviors and their association with insufficient physical activity and economic and demographic factors in adolescents in Sergipe. Methods: This study is an analysis of two cross-sectional epidemiological surveys conducted in 2011 and 2016, with a representative sample of students from the State Public Network of Sergipe, composed of 7145 schoolchildren (2011 = 3528, 2016 = 3617) , aged between 14 and 19 years. Data were collected through a self-administered questionnaire. Due to the number of variables and analyzes, we chose to present two studies. In the first, HBR multiple exposure was used as a dependent variable, which was obtained from the sum of the 4 HRB (alcohol consumption, tobacco consumption, low fruit consumption and insufficient levels of physical activity). It was used the analysis of observed and expected prevalences to identify the simultaneity of health risk behaviors, as well as Poisson regression for the association. In the second study, the outcome variable was the insufficient level of physical activity and its association with multiple CRS (alcohol consumption, tobacco consumption, low fruit consumption and exposure to sedentary behavior) was analyzed. For this study, the crude and adjusted binary logistic regression was used for the association between the outcome and other HRB, as well as the demographic and socioeconomic variables. Results: In the first study, the prevalence of multiple health risk behaviors increased in adolescence and were associated with night shift (PR = 1.04, 95% CI 1.02-1.06) and family income (PR = 1, 05, 95% CI 1.02-1.07). In the second study, the percentage of adolescents exposed to insufficient physical activity was 83% and were associated with female (OR = 1.90, 95% CI 1.56-2.32), night shift (OR = 1, 25, 95% CI 1.01-1.56), family income (OR = 1.57, 95% CI 1.28-1.86) and multiple CRS exposure (2 HRB OR = 1.76, 95% CI, 27-2,45). Conclusions: There was evidence of changes in multiple HRB exposure in adolescence from 2011 to 2016. It was also noticed that multiple health risk behaviors associated with insufficient levels of physical activity. More comprehensive actions are suggested with multidisciplinary strategies to reduce exposure to multiple health risk behaviors among young people, especially women.