Health and well-being of secondary school students in New Zealand: Trends between 2001, 2007 and 2012

被引：70

作者：

Clark, Terryann ^{[1
]}

Fleming, Theresa ^{[2
,3
]}

Bullen, Pat ^{[9
]}

Crengle, Sue ^{[4
]}

Denny, Simon ^{[2
]}

Dyson, Ben ^{[9
]}

Peiris-John, Roshini ^{[5
]}

Robinson, Elizabeth ^{[10
]}

Rossen, Fiona ^{[6
]}

Sheridan, Janie ^{[7
,8
]}

Teevale, Tasileta ^{[6
]}

Utter, Jennifer ^{[5
]}

Lewycka, Sonia ^{[1
]}

机构：

[1] Univ Auckland, Sch Nursing, Fac Med & Hlth Sci, Auckland 1, New Zealand

[2] Univ Auckland, Dept Paediat Child & Youth Hlth, Fac Med & Hlth Sci, Auckland 1, New Zealand

[3] Univ Auckland, Dept Psychol Med, Fac Med & Hlth Sci, Auckland 1, New Zealand

[4] Univ Auckland, Te Kupenga Hauora Maori, Fac Med & Hlth Sci, Auckland 1, New Zealand

[5] Univ Auckland, Sect Epidemiol & Biostat, Fac Med & Hlth Sci, Auckland 1, New Zealand

[6] Univ Auckland, Fac Med & Hlth Sci, Auckland 1, New Zealand

[7] Univ Auckland, Fac Med & Hlth Sci, Ctr Addict Res, Auckland 1, New Zealand

[8] Univ Auckland, Fac Med & Hlth Sci, Sch Pharm, Auckland 1, New Zealand

[9] Univ Auckland, Fac Educ, Auckland 1, New Zealand

[10] Auckland UniServices Ltd, Auckland, New Zealand

来源：

JOURNAL OF PAEDIATRICS AND CHILD HEALTH | 2013年 / 49卷 / 11期

关键词：

adolescent behaviour; binge drinking; mental health; reproductive health; risk taking; self-report; ADOLESCENT HEALTH; YOUNG-PEOPLE; TIMES;

D O I：

10.1111/jpc.12427

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Aim: To describe indicators of health and well-being for New Zealand secondary school students; explore changes between 2001, 2007 and 2012; and compare these findings to international estimates. Methods: Three national health and well-being surveys of randomly selected New Zealand secondary school students were conducted. Data are presented as prevalence and variation over time (adjusted odds ratio (aOR)). Comparisons with international estimates were made with subsets of the data. Results: Between 2001 and 2012, students reported reductions in cigarette use (aOR 0.27, 95% confidence interval (CI) 0.23-0.32), alcohol use (aOR 0.39, 95% CI 0.33-0.46), marijuana use (aOR 0.37, 95% CI 0.31-0.43), sexual abuse (aOR 0.52, 95% CI 0.46-0.58), fighting (aOR 0.63, 95% CI 0.55-0.73), seatbelt use (aOR 1.47, 95% CI 1.31-1.65) and risky driving behaviours (aOR 0.39, 95% CI 0.33-0.45). Positive connections to school (perception that the school cares, aOR 1.22, 95% CI 1.10-1.35; liking school, aOR 1.55, 95% CI 1.33-1.82) and family (good family relationship, aOR 1.83, 95% CI 1.70-1.97) also improved. Indicators that did not improve and compared poorly with international estimates were protected sex (condom use at last sexual intercourse, aOR 0.77, 95% CI 0.68-0.87) and healthy life-style (daily physical activity, aOR 0.88, 95% CI 0.78-0.99; overweight/obese, aOR 1.09, 95% CI 0.92-1.31). Exposure to family violence (aOR 1.37, 95% CI 1.11-1.68) and depressive symptoms (aOR 1.03, 95% CI 0.91-1.17) also did not improve. Conclusions: There have been important improvements in the health and well-being of New Zealand adolescents over a relatively short period. These findings demonstrate that population rates of adolescent risk behaviours are amenable to change. Current policy efforts should not lose momentum, while identified priority areas must be adequately resourced to ensure young people have opportunities to thrive now and in the future.

引用

页码：925 / 934

页数：10

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