Distal and Proximal Factors of Health Behaviors and Their Associations with Health in Children and Adolescents
| Autor: | Klaus Bös, Lena Lämmle, Gert B. M. Mensink, Alexander Woll |
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| Rok vydání: | 2013 |
| Předmět: |
objective health
Male Rural Population Biopsychosocial model Gerontology Adolescent Urban Population psychosocial determinants Health Status Health Toxicology and Mutagenesis Health Behavior Physical fitness lcsh:Medicine Child Behavior Motor Activity Social class Article health complaints Germany subjective health Humans ddc:796 Child Path analysis (statistics) Socioeconomic status Sedentary lifestyle Motivation business.industry lcsh:R Public Health Environmental and Occupational Health Feeding Behavior Emigration and Immigration Models Theoretical Moderation Athletic & outdoor sports & games Social Class Adolescent Behavior Physical Fitness Quality of Life Female Sedentary Behavior business Psychology Psychosocial |
| Zdroj: | Scopus-Elsevier International journal of environmental research and public health, 10 (7), 2944-2978 International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 10, Iss 7, Pp 2944-2978 (2013) Volume 10 Issue 7 Pages 2944-2978 |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | Objective: The aim of the present paper was to analyze factors affecting distal and proximal health behavior within a biopsychosocial model for examining their interactions and associations with respect to health. Methods: Path analysis was based on the nationwide, cross-sectional German Health Interview and Examination Survey for Children and Adolescents (2003 to 2006). The data was collected from 4,529 participants with an average age of 9.45 years (SD = 4.01). Socio-demographic data, psychosocial factors and health behavior were assessed via questionnaire. Participants also underwent physical fitness tests and a medical examination. Results: Over the five levels of the model analyzed with socioeconomic status, immigration background, and rural-urban differences on the first level physical activity of relatives and peers, intrinsic motivation, and quality of life on the second level eating patterns, sedentary behavior, and physical activity on the third level physical fitness and objective health on the fourth level and health complaints and subjective health on the fifth level direct, moderation, and mediation effects could be shown. Conclusions: Several distal and proximal factors are needed to take account of the multivariate complexity of health: e.g., immigration background affected health behaviors only indirectly and the effect of physical activity on objective health was mediated by physical fitness. |
| Databáze: | OpenAIRE |
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