Ten years' trend analysis for Taiwanese youth high school students' health behaviors

J Formos Med Assoc. 2023 Oct;122(10):1077-1086. doi: 10.1016/j.jfma.2023.04.010. Epub 2023 Apr 22.

Abstract

Purpose: To delineate the 10 years' trend regarding Taiwanese adolescents' health perspectives and compare the differences of six adolescent health aspects between Taiwan and the U.S.

Methods: The anonymous structured questionnaire was done every other year with representative sampling methods as Youth Risk Behavior Surveillance System in the United States. Twenty-one questions from six health aspects were extracted for further analysis. Multivariate regression analysis was performed to delineate the relationship among protective factors and risk-taking behaviors, respectively.

Results: Overall, 22,419 adolescents were recruited. There were decreasing trend in terms of risk-taking behaviors, such as early contact to pornography (< age 16) (70.6%-60.9%), early cigarette use (< age 13) (20.7%-14.0%), and seriously considering suicide (36.0%-17.8%). There was an increasing trend in behaviors harmful to health: current alcohol drinkers (18.9%-23.4%), and staying up late every day (15.2%-18.5%). Multivariate regression analysis after adjusting gender and grade; it disclosed an increasing trend in protective assets, such as having multiple intimate friends (75.8%-79.3%), satisfaction to body weight and body shape (31.5%-36.1% and 34.5%-40.7%), as well as always wearing a helmet while riding a bike (1.8%-3.0%).

Conclusion: We should continuously monitor the health status trend of the adolescents to provide them with a healthier environment and well-being.

Keywords: Adolescence; Adolescent health; Risk-taking behaviors; Taiwan; Youth.

MeSH terms

  • Adolescent
  • Adolescent Behavior*
  • Health Behavior
  • Humans
  • Risk-Taking
  • Sexual Behavior
  • Students
  • United States