Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026
Prevalence and factors associated with poor self-assessed health in Brazilian adolescents: National School Health Survey 2019.
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Tonaco Luís Antônio Batista, Carrato Bárbara Aguiar, Pena Leonardo Lemos, Malta Deborah Carvalho
Аннотация
OBJECTIVE: To estimate the prevalence and factors associated with poor self-assessed health among Brazilian school-aged adolescents aged 13 to 17 years.
METHODS: Cross-sectional study using data from the 2019 National School Health Survey (PeNSE). Crude and adjusted prevalence ratios (APR) were estimated by logistic regression. Analyses were performed in Stata 16.
RESULTS: Factors associated with poor self-rated health were: being male (APR 0.75; 95%CI 0.72-0.79); aged 16-17 years (APR 1.13; 95%CI 1.08-1.18); Black (APR 1.08; 95%CI 1.01-1.14), Brown (APR 1.10; 95%CI 1.05-1.16), or other (APR 1.13; 95%CI 1.04-1.22); eating breakfast (APR 0.84; 95%CI 0.80-0.87); consumed alcoholic (APR 1.12; 95%CI 1.07-1.18); perceiving oneself as overweight (APR 1.34; 95%CI 1.27-1.42) or underweight (APR 1.12; 95%CI 1.06-1.18); engaging in >300 minutes of physical activity per week (APR 0.85; 95%CI 0.80-0.89); consuming fruits (APR 0.86; 95%CI 0.81-0.92); having one or more friends (APR 0.80; 95%CI 0.74-0.86); having ever sought health services (APR 0.92; 95%CI 0.88-0.96); missing school due to health problems for 1-3 days (APR 1.31; 95%CI 1.24-1.39) or ≥4 days (APR 1.64; 95%CI 1.54-1.74); feeling worried (APR 1.09; 95%CI 1.02-1.15), sad (APR 1.33; 95%CI 1.24-1.41), that no one cares about them (APR 1.22; 95%CI 1.16-1.29), irritated (APR 1.19; 95%CI 1.10-1.25), or that life is not worth living (APR 1.38; 95%CI 1.32-1.45).
CONCLUSION: Sociodemographic, behavioral, and mental health factors were associated with poor self-rated health among Brazilian adolescents.
METHODS: Cross-sectional study using data from the 2019 National School Health Survey (PeNSE). Crude and adjusted prevalence ratios (APR) were estimated by logistic regression. Analyses were performed in Stata 16.
RESULTS: Factors associated with poor self-rated health were: being male (APR 0.75; 95%CI 0.72-0.79); aged 16-17 years (APR 1.13; 95%CI 1.08-1.18); Black (APR 1.08; 95%CI 1.01-1.14), Brown (APR 1.10; 95%CI 1.05-1.16), or other (APR 1.13; 95%CI 1.04-1.22); eating breakfast (APR 0.84; 95%CI 0.80-0.87); consumed alcoholic (APR 1.12; 95%CI 1.07-1.18); perceiving oneself as overweight (APR 1.34; 95%CI 1.27-1.42) or underweight (APR 1.12; 95%CI 1.06-1.18); engaging in >300 minutes of physical activity per week (APR 0.85; 95%CI 0.80-0.89); consuming fruits (APR 0.86; 95%CI 0.81-0.92); having one or more friends (APR 0.80; 95%CI 0.74-0.86); having ever sought health services (APR 0.92; 95%CI 0.88-0.96); missing school due to health problems for 1-3 days (APR 1.31; 95%CI 1.24-1.39) or ≥4 days (APR 1.64; 95%CI 1.54-1.74); feeling worried (APR 1.09; 95%CI 1.02-1.15), sad (APR 1.33; 95%CI 1.24-1.41), that no one cares about them (APR 1.22; 95%CI 1.16-1.29), irritated (APR 1.19; 95%CI 1.10-1.25), or that life is not worth living (APR 1.38; 95%CI 1.32-1.45).
CONCLUSION: Sociodemographic, behavioral, and mental health factors were associated with poor self-rated health among Brazilian adolescents.