Role of gender, family, lifestyle and psychological factors in self-rated health among urban adolescents in Peru: a school-based cross-sectional survey

摘要: Objective We examined the role of gender, family, lifestyle and psychological factors in self-rated health. Design Cross-sectional study. Setting A total 970 randomly selected students from 11 secondary schools Lima Callao, Peru, participated 2014. Main outcome measure Self-rated health was measured with a single item: ‘In general, how would you rate your health?’ Responses were arranged along five-point Likert-type scale: ‘excellent’, ‘very good’, ‘good’, ‘fair’ ‘poor’. The variable dichotomised as ‘good’ (excellent, very good or good) ‘poor/fair’ (poor fair). Methods calculated adjusted ORs (AORs) 95% CIs for poor/fair using multivariate logistic regression analyses at 3-graded levels. Results 32.5% respondents had fair/poor health, 23.7% males 40.0% female samples. Males less likely to have (AOR 0.61; CI 0.41 0.91). Poor family support strongly increased likelihood having (no support, 3.15; 1.63 6.09); low 2.50; 1.29 4.85)). other associated variables missed meals due shortage food 1.97; 1.15 3.36), television watching during leisure time 1.70; 1.09 2.67), physical activity 1.49; 1.03 2.15), school absenteeism 1.54; 2.31) perceived life satisfaction 0.28; 0.15 0.25). Conclusions Gender, missing food, influenced among adolescents Peru. Interventions that focus on promoting least 1 h each day 3 more days per week, security strengthening supportive roles may improve adolescence.