Association between simultaneity of health-risk behaviours and self-rated health in Brazilian adolescents

Alexsandra da Silva Bandeira; Giovani Firpo Del Duca; Rodrigo Sudatti Delevatti; Sofia Wolker Manta; Pablo Magno Silveira; Larissa Dos Santos Leonel; Leandro F M Rezende; Kelly Samara Silva

doi:10.1371/journal.pone.0271503

Association between simultaneity of health-risk behaviours and self-rated health in Brazilian adolescents

PLoS One. 2022 Jul 14;17(7):e0271503. doi: 10.1371/journal.pone.0271503. eCollection 2022.

Authors

Alexsandra da Silva Bandeira¹, Giovani Firpo Del Duca¹, Rodrigo Sudatti Delevatti¹, Sofia Wolker Manta¹, Pablo Magno Silveira¹, Larissa Dos Santos Leonel¹, Leandro F M Rezende², Kelly Samara Silva¹

Affiliations

¹ Department of Physical Education, School of Sports, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil.
² Department of Preventive Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.

Abstract

Introduction: This study examined the association between simultaneity of four health-risk behaviours, namely, low levels of moderate-to-vigorous physical activity (insufficient MVPA: <420 min/week), tobacco use, alcohol consumption, and excessive television (TV)-(>2 h/d of TV viewing) and self-rated health (SRH) in Brazilian adolescents.

Methods: We used data of 100,551 adolescents from the National School Health Survey, a national cross-sectional study carried out in 2015. Association between simultaneity of health risk behaviours (i.e. the ratio between observed and expected prevalence rates) and SRH was examined using logistic regression models.

Results: The majority of the participants were female (51.9%) and 14 years of age (50.6%), and 26% of the participants' SRH ranged from 'average' to 'extremely poor'. Those who engaged in the following combinations of health-risk behaviours had higher odds of worse SRH than their healthier counterparts: insufficient MVPA and tobacco use (odds ratio-OR: 2.0, 95% confidence interval [CI]: 1.4 to 3.0); insufficient MVPA and alcohol consumption (OR: 1.6, 95%CI: 1.3 to 1.9); insufficient MVPA and >2 h/day of TV viewing (OR: 1.3, 95%CI: 1.1 to 1.6); insufficient MVPA, tobacco use and alcohol consumption (OR: 2.1, 95%CI: 1.7, to 2.7); and insufficient MVPA, alcohol consumption and >2 h/day of TV viewing (OR: 1.6, 95%CI: 1.4 to 2.0).

Conclusions: Insufficient MVPA, alcohol consumption, and other health-risk behaviours were associated with worse SRH in Brazilian adolescents.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Brazil / epidemiology
Cross-Sectional Studies
Female
Humans
Male
Risk-Taking
Sedentary Behavior*
Television*

Grants and funding

The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The present study was funded in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil (Finance Code: 001; ASB, N. 88882.181607/2018-01; PMS, N. 88882.181596/2018-01), the Fundação de Amparo à Pesquisa e Inovação do Estado de Santa Catarina (SWM), and Conselho Nacional de Desenvolvimento Científico e Tecnológico (KSS, N. 305803/2020-4). These funding agencies did not participate in the interpretation of results, analysis of data, or writing and approval of this manuscript.