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Self-perceived health among school going adolescents in Pakistan: influence of individual, parental and life style factors?
JPMA. The Journal of the Pakistan Medical Association
  • Asad Ali Khan Afridi, Aga Khan University
  • Komal Motwani, Dow University of Health Sciences
  • Saleem Khawaja, Dow University of Health Sciences
  • Adeel Khoja, Aga Khan University
  • Zafar Fatmi, Aga Khan University
  • Iqbal Azam Syed, Aga Khan University
  • Muhammad Masood Kadir, Aga Khan Unviversity
Publication Date
7-1-2013
Document Type
Article
Abstract

BACKGROUND: Adolescents are at substantial risk of acquiring behaviors which might influence their health status. This study was aimed to assess the proportion of school going adolescents (both males and females) with poor self-perceived health and its associated factors.

METHODOLOGY: A cross-sectional study was conducted in three major cities of Pakistan i.e. Karachi, Lahore and Quetta. From each city, six (6) secondary schools were randomly selected (3 public and 3 private). Pre-tested, self-administered questionnaire was distributed to students. Binary logistic regression analysis was conducted to determine independent factors associated with poor self-perceived health.

RESULTS: Approximately 29% adolescents (119/414) reported poor self-perceived health. Individual and parental factors significantly associated with poor self-perceived health were being male (AOR = 1.75, 95% CI: 1.09 - 2.79), living in extended family (AOR = 2.65, 95% CI: 1.66 - 4.22), unskilled employment of father (AOR = 2.17, 95% CI: 1.35 - 3.48), lack of parental-child communication (AOR = 1.74, 95% CI: 1.03 - 2.91) and unfair treatment by parents (AOR = 1.80, 95% CI: 1.09 - 2.96). Life style factors such as use of smokeless tobacco (AOR = 2.14, 95% CI: 1.26 - 3.96) and unhealthy diet (AOR = 3.60, 95% CI: 1.76 - 7.33) were associated with poor self-perceived health.

CONCLUSION: Better employment opportunities for father, parental counseling and increase awareness for adolescents about healthy diet are recommended to improve adolescent self-perceived health in Pakistan.

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Creative Commons Attribution 4.0
Citation Information
Asad Ali Khan Afridi, Komal Motwani, Saleem Khawaja, Adeel Khoja, et al.. "Self-perceived health among school going adolescents in Pakistan: influence of individual, parental and life style factors?" JPMA. The Journal of the Pakistan Medical Association Vol. 5 Iss. 4 (2013) p. 71 - 78
Available at: http://works.bepress.com/zafar_fatmi/68/