Correlates of Multiple Chronic Disease Behavioral Risk Factors in Canadian Children and Adolescents

摘要

The authors assessed individual, social, and school correlates of multiple chronic disease behavioral risk factorsn(physical inactivity, sedentary behavior, tobacco smoking, alcohol drinking, and high body mass index) in a repre-nsentative sample of Canadian youth aged 10–15 years (mean ¼ 12.5 years) attending public schools. Cross-nsectional data (n ¼ 1,747) from cycle 4 (2000–2001) of the National Longitudinal Survey of Children and Youthnwere used. Ordinal regression models were constructed to investigate associations between selected covariatesnand multiple behavioral risk-factor levels (0/1, 2, 3, or 4/5 risk factors). Older age (odds ratio (OR) ¼ 1.95, 95%nconfidence interval (CI): 1.21, 3.13), caregiver smoking (OR ¼ 1.49, 95% CI: 1.09, 2.03), reporting that most/all ofnone’s peers smoked (OR ¼ 7.31, 95%CI: 4.00, 13.35) or drank alcohol (OR ¼ 3.77, 95%CI: 2.18, 6.53), and livingnin a lone-parent family (OR ¼ 1.94, 95% CI: 1.31, 2.88) increased the likelihood of having multiple behavioral risknfactors. Youth with high self-esteem (OR ¼ 0.92, 95% CI: 0.85, 0.99) and youth from families with postsecondaryneducation (OR ¼ 0.58, 95% CI: 0.41, 0.82) were less likely to have a higher number of risk factors. Althoughnseveral individual and social characteristics were associated with multiple behavioral risk factors, no school-relatedncorrelates emerged. These variables should be considered when planning prevention programs.