دورية أكاديمية
أعرض في EDS

Risk and protective factors associated with health risk behaviours among school learners in Western Cape, South Africa.

التفاصيل البيبلوغرافية
العنوان: Risk and protective factors associated with health risk behaviours among school learners in Western Cape, South Africa.
المؤلفون: Osuafor GN; Department of Population Studies and Demography, North West University, Mafikeng Campus, Mahikeng, South Africa. gosuafor@gmail.com., Okoli CE; Federal Medical Centre, Umuahia, Nigeria., Phateng R; Department of Population Studies and Demography, North West University, Mafikeng Campus, Mahikeng, South Africa.
المصدر: BMC public health [BMC Public Health] 2023 Jan 04; Vol. 23 (1), pp. 16. Date of Electronic Publication: 2023 Jan 04.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Sexual Behavior* , Cannabis*, Humans ; Female ; South Africa/epidemiology ; Health Risk Behaviors ; Protective Factors ; Risk-Taking ; Risk Factors
مستخلص: Background: Health risk behaviour is rife among school learners in the Western Cape province. This paper assesses risk and protective factors related to health risk behaviours among high school learners.
Method: Longitudinal data were sourced from 2950, 2675 and 2230 at Time 0, Time 1 and Time 2 among grade 8 learners aged 13-18 years between 2012 and 2013. Health risk behaviours were assessed on alcohol consumption, smoking cannabis in the past six months, and ever having sexual intercourse. The sociodemographic variables examined were age, sex, residence, socioeconomic status (SES), family structure and population group. Contextual variables studied were the feeling of learners about the intervention program, participation in religious activities, paid casual work and school sports. Descriptive statistics, bivariate associations and binary logistic analyses predicting health risk behaviours were carried out using generalized linear mixed models after restructuring the data collected at different time points.
Result: Health risk behaviours increased consistently for alcohol consumption (25.7-42.7%), smoking cannabis (10.4-22.1%) and (22.3-36.0%) engaging in sexual intercourse. Increasing age emerged as a risk factor for all the health risk behaviours: alcohol consumption [OR:1.3 (1.2-1.4), p < 0.001]; smoking cannabis [OR:1.3 (1.2-1.4), p < 0.001] and had sex [OR:1.5 (1.4-1.7), p < 0.001]. Participation in paid casual work also predicted health risk behaviour: alcohol use [OR:1.5 (1.2-1.8), p < 0.001]; smoking cannabis [OR:1.3 (1.0-1.7), p < 0.05] and sex [OR:1.4 (1.1-1.7), p < 0.01]. High SES and feelings about the EPEP programme enhanced alcohol consumption and smoking cannabis. Smoking cannabis was augmented by residing in an urban area. Participation in school sports was associated with increased alcohol consumption and engaging in sexual intercourse. Participation in religious activities was protected against alcohol consumption [OR:0.7 (0.53-0.83), p < 0.001]; and sex [OR: 0.5 (0.4-0.7), p < 0.001]. Being a female and belonging to a coloured population group diminished engaging in sexual intercourse, and the family structure of both parents attenuated involvement in smoking cannabis.
Conclusion: The findings of the study on risks and protective factors on health risk behaviours mirror those of school-based programmes in developing countries. Learners who participated in paid work and school sports are at risk of adverse health outcomes. Furthermore, participation in religious practices and family structure roles in attenuating health risk behaviours should be integrated and considered in the school-based intervention programme.
(© 2023. The Author(s).)
References: J Rural Health. 2011 Winter;27(4):409-15. (PMID: 21967385)
Drug Alcohol Depend. 2019 Aug 1;201:23-28. (PMID: 31174141)
Forensic Sci Int. 2019 May;298:298-306. (PMID: 30925348)
Drug Alcohol Depend. 2020 Jan 1;206:107457. (PMID: 31786400)
BMC Public Health. 2016 May 31;16:458. (PMID: 27246600)
J Health Soc Behav. 2005 Jun;46(2):187-204. (PMID: 16028457)
J Child Adolesc Subst Abuse. 2017;26(1):60-65. (PMID: 28890649)
Subst Use Misuse. 2016;51(4):533-9. (PMID: 26943007)
Iran J Public Health. 2012;41(5):46-57. (PMID: 23113177)
J Adolesc. 2018 Oct;68:66-69. (PMID: 30041055)
Addict Behav. 2016 Feb;53:58-66. (PMID: 26454551)
SAHARA J. 2016 Dec;13(1):197-207. (PMID: 27892820)
J Public Health (Oxf). 2019 Jun 1;41(2):346-353. (PMID: 29726950)
Addict Behav. 2011 Jul;36(7):729-36. (PMID: 21420241)
Afr J AIDS Res. 2004 May;3(1):57-67. (PMID: 25874984)
J Behav Med. 2007 Jun;30(3):263-85. (PMID: 17514418)
J Adolesc Health. 1999 Sep;25(3):207-16. (PMID: 10475497)
AIDS Care. 2019 Jan;31(1):77-84. (PMID: 30021470)
Glob Public Health. 2009;4(4):350-66. (PMID: 19462269)
J Adolesc Health. 2012 Apr;50(4):395-402. (PMID: 22443845)
J Youth Adolesc. 2018 Feb;47(2):369-382. (PMID: 28819911)
J Adolesc Health. 2007 Sep;41(3):294-301. (PMID: 17707300)
Prev Med. 2016 Jul;88:168-75. (PMID: 27103335)
Prev Sci. 2012 Feb;13(1):43-54. (PMID: 21870157)
J Adolesc Health. 2014 May;54(5):508-14. (PMID: 24012065)
Am J Public Health. 2003 Nov;93(11):1851-7. (PMID: 14600052)
Addiction. 2018 Oct;113(10):1905-1926. (PMID: 29749059)
Prev Sci. 2015 Apr;16(3):364-73. (PMID: 24838776)
J Health Soc Behav. 1998 Jun;39(2):108-23. (PMID: 9642902)
West Indian Med J. 2007 Oct;56(5):433-8. (PMID: 18303756)
Prev Sci. 2019 Oct;20(7):1054-1065. (PMID: 31041644)
PLoS One. 2019 Feb 13;14(2):e0211322. (PMID: 30759112)
Subst Use Misuse. 2010 Nov;45(13):2221-43. (PMID: 21039113)
Afr J Psychiatry (Johannesbg). 2012 Sep;15(5):352-7. (PMID: 23044890)
BMC Public Health. 2009 Oct 09;9:380. (PMID: 19818118)
J Adv Nurs. 2010 Feb;66(2):313-23. (PMID: 20423414)
AIDS Behav. 2014 Aug;18(8):1595-603. (PMID: 24402691)
JAMA. 1997 Sep 10;278(10):823-32. (PMID: 9293990)
BMC Public Health. 2018 Dec 20;18(1):1396. (PMID: 30572874)
Asia Pac J Public Health. 2016 Jul;28(5):404-15. (PMID: 27242369)
J Adolesc. 2017 Apr;56:166-178. (PMID: 28259098)
J Sch Health. 2009 Aug;79(8):369-79. (PMID: 19630871)
Drug Alcohol Rev. 2021 Jan;40(1):126-134. (PMID: 32776657)
Asia Pac J Public Health. 2014 Sep;26(5 Suppl):44S-52S. (PMID: 25070693)
Reprod Health. 2016 May 04;13(1):50. (PMID: 27142105)
Int J Adolesc Med Health. 2004 Apr-Jun;16(2):165-78. (PMID: 15266994)
Am J Public Health. 2003 Mar;93(3):456-60. (PMID: 12604495)
فهرسة مساهمة: Keywords: Alcohol use; Cannabis; Health-risk behaviour; High school; Longitudinal; Sexual intercourse
تواريخ الأحداث: Date Created: 20230103 Date Completed: 20230105 Latest Revision: 20230201
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9811777
DOI: 10.1186/s12889-022-14845-8
PMID: 36597075
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2458
DOI:10.1186/s12889-022-14845-8