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Understanding The Three Dimensional Perspective to Prevent Risky Health Behaviours of Adolescents: Family, School and Family Physician

Burcu Küçük Biçer, Hilal Özcebe.

Abstract
Background: Determination of the prevalence of risky health behaviors (RHB) of adolescents and evaluation of the role of family, school and health sector in formation of RHB.
Methods: The study was performed in high schools situated in a district in Ankara. Sample group of this research included 1467 adolescents. Data were collected by using a standardized questionnaire for adolescents. Face to face interviews were conducted with mothers, teachers and family health practitioners of some adolescents. Frequencies, ANOVA and independent t test; linear regression analysis were used when appropriate. Ethical consent was taken from Hacettepe University.
Results: Mean age of adolescents were 17,15±0,45. 567 and 567 of them had risky health behaviors. The mean score of RHB scale score(t: -0,992, p: 0.321) and the mean scores of subgroups of physical activity (t: 2.261, p: 0.024), nutrition (t:0.48, p: 0.962), hygiene (t: -0.418, p: 0.676), physchosocial t:-2.772, p:0,006) and substance abuse (t:-1,273, p:0,203) of governmental high school adolescents were statistically higher than anatolian high school adolescents (p<0.05). Families, teachers and family physicians were unaware of RHBs of adolescents (p<0.001; p=0.002; p=0.001).
Conclusions: Consequently, this study was important for health professionals worked in primary health services and school health services The study is an evidence that shows school type effects health behaviors of adolescent . On the other hand, it’s seen that family is the most important side of behavioural development. Moreover, adolescents were isolated from their social environments.

Key words: Adolescent, High school, Parenting attitudes, Risky health behaviors



Adolesanların Riskli Sağlık Davranışlarını Önlemek için Üç Yönlü Bakış Açısını Anlamak: Aile, Okul ve Aile Hekimi

Özet
Giriş: Adolesanların riskli sağlık davranışları sıklığını saptamak ve riskli sağlık davranışları oluşumunda aile, okul ve aile hekiminin rolü değerlendirmek istenmiştir..
Yöntem: Ankara ilinin bir ilçesinde yer alan lise ve dengi okullarda yapılan çalışmada 1467 öğrenciye ulaşılmıştır. Adolesanlar için hazırlanmış standart bir veri toplama formu gözlem altında uygulanmıştır. Bazı adolesanların anne, öğretmen ve aile hekimleri ile yüz yüze görüşmeler gerçekleştirilmiştir. Tanımlayıcı istatistikler, ANOVA, t-testi; lineer regresyon analizi araştırmanın amacına uygun olacak şekilde kullanılmıştır. Hacettepe Üniversitesi etik kurulundan izin alınmıştır.
Bulgular: Adolesanların ortalama yaşı 17,15±0,45’dir ve 567’sinde riskli sağlık davranışı olduğu saptanmıştır. RSD ölçeği ortalama değeri (t: -0,992, p: 0.321) ile fiziksel aktivite (t: 2.261, p: 0.024), nutrition (t:0.48, p: 0.962), hijyen (t: -0.418, p: 0.676), psikosoyal durum (t:-2.772, p:0,006) ve madde kullanımı (t:-1,273, p:0,203) alt boyutu ortalamalarında devlet okulların öğrencilerinin ortalamaları Anadolu lisesi öğrencileri ortalamalarından istatistiksel olarak anlamlı derecede yüksektir (p<0.05). Aileler, öğretmenler ve aile hekimleri adolesanların RSDlarını bilmemektedir (p<0.001; p=0.002; p=0.001).
Sonuç: Sonuç olarak, bu çalışma birinci basamak sağlık hizmetleri ve okul sağlığ hizmetleri çalışanları için önemlidir. Okul tipinin adolesanların sağlık davranışlarını etkilediğini gösteren bir kanıt özelliği taşımaktadır. Diğer taraftan ailenin davranış gelişiminde en önemli taraf olduğu görülmektedir. Buna ek olarak, adolesanlar sosyal çevrelerinden soyutlanmıştır.

Anahtar Kelimeler: Adolesan, Aile tutumu, Lise, Riskli sağlık davranışları


 
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How to Cite this Article
Pubmed Style

Bicer BK, Ozcebe H. Understanding The Three Dimensional Perspective to Prevent Risky Health Behaviours of Adolescents: Family, School and Family Physician. TAF Prev Med Bull. 2016; 15(6): 478-484. doi:10.5455/pmb.1-1456996682



Web Style

Bicer BK, Ozcebe H. Understanding The Three Dimensional Perspective to Prevent Risky Health Behaviours of Adolescents: Family, School and Family Physician. www.scopemed.org/?mno=220632 [Access: November 24, 2017]. doi:10.5455/pmb.1-1456996682



AMA (American Medical Association) Style

Bicer BK, Ozcebe H. Understanding The Three Dimensional Perspective to Prevent Risky Health Behaviours of Adolescents: Family, School and Family Physician. TAF Prev Med Bull. 2016; 15(6): 478-484. doi:10.5455/pmb.1-1456996682



Vancouver/ICMJE Style

Bicer BK, Ozcebe H. Understanding The Three Dimensional Perspective to Prevent Risky Health Behaviours of Adolescents: Family, School and Family Physician. TAF Prev Med Bull. (2016), [cited November 24, 2017]; 15(6): 478-484. doi:10.5455/pmb.1-1456996682



Harvard Style

Bicer, B. K. & Ozcebe, H. (2016) Understanding The Three Dimensional Perspective to Prevent Risky Health Behaviours of Adolescents: Family, School and Family Physician. TAF Prev Med Bull, 15 (6), 478-484. doi:10.5455/pmb.1-1456996682



Turabian Style

Bicer, Burcu Kucuk, and Hilal Ozcebe. 2016. Understanding The Three Dimensional Perspective to Prevent Risky Health Behaviours of Adolescents: Family, School and Family Physician. TAF Preventive Medicine Bulletin, 15 (6), 478-484. doi:10.5455/pmb.1-1456996682



Chicago Style

Bicer, Burcu Kucuk, and Hilal Ozcebe. "Understanding The Three Dimensional Perspective to Prevent Risky Health Behaviours of Adolescents: Family, School and Family Physician." TAF Preventive Medicine Bulletin 15 (2016), 478-484. doi:10.5455/pmb.1-1456996682



MLA (The Modern Language Association) Style

Bicer, Burcu Kucuk, and Hilal Ozcebe. "Understanding The Three Dimensional Perspective to Prevent Risky Health Behaviours of Adolescents: Family, School and Family Physician." TAF Preventive Medicine Bulletin 15.6 (2016), 478-484. Print. doi:10.5455/pmb.1-1456996682



APA (American Psychological Association) Style

Bicer, B. K. & Ozcebe, H. (2016) Understanding The Three Dimensional Perspective to Prevent Risky Health Behaviours of Adolescents: Family, School and Family Physician. TAF Preventive Medicine Bulletin, 15 (6), 478-484. doi:10.5455/pmb.1-1456996682



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