The role of mental health, academic stress, academic achievement, and physical activity on self-rated health among adolescents in Iran: A multilevel analysis
نویسندگان
1 Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences
2 Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences
3 Metabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin, University of Medical Sciences, Qazvin, Iran
4 Department of Educational Psychology, Kharazmi University
5 Department of Epidemiology and Biostatistics, Knowledge Utilization Research Center, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
doi
چکیده
BACKGROUND: Health promotion of adolescents requires appropriate evidences of its determinants.The aim of this study was to investigate predictors of self-rated health (SRH) among adolescentsin Qazvin, Iran.MATERIALS AND METHODS: In this descriptive cross-sectional study, with a multistage samplingmethod, we recruited 1740 adolescents aged 12–19 years from 53 schools in Qazvin, Iran (2018). Weused the Strengths and Difficulties Questionnaire and Adolescents’ Academic Stress Questionnairefor data collection. The analysis was conducted using a multilevel logistic regression model. Gender,educational period, and socioeconomic status were considered as confounders.RESULTS: Almost 21% of the adolescents reported their SRH suboptimal. Suboptimal SRH washigher in girls and older adolescents. Mental health disorders and academic stress had a positiveassociation with SRH. However, this association was negative for academic achievement andphysical activity. The interaction between mental health disorders and academic stress with SRHhad a significant association in a crud regression model.CONCLUSION: Mental health, academic stress, academic achievement, and physical activity wereimportant predictors for SRH. Interventions that focus on promoting mental health, academic stress,academic achievement, and physical activity such as physical activity for 1 h and each day for 3 daysper week can improve SRH in adolescents. Hence, policymakers should pay more attention to thisissue in health promotion programs of adolescents.
