Race/Ethnicity Inequities in the Association Between Movement Behaviors and Suicidal Thoughts/Ideation Among Adolescents.

IF 2.7 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Journal of Pediatric Psychology Pub Date : 2024-03-20 DOI:10.1093/jpepsy/jsad085

Diego Augusto Santos Silva, Markus Joseph Duncan, Nicholas Kuzik, Mark S Tremblay

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引用次数: 0

Abstract

Objective: We aimed to analyze the associations between movement behaviors (physical activity, screen time, and sleep), independently and jointly, and suicidal thoughts/ideation among Brazilian adolescents according to race/ethnicity.

Methods: This cross-sectional study surveyed 4,081 adolescents aged 15-19 years (49.9% females) across all Brazilian geographic regions. Data were collected using a self-administered questionnaire. Within the sample, 31.0% (n = 1,264) self-reported as White and 69.0% (n = 2,817) as Black. Adolescents who declared one or more times/week suicidal thoughts/ideation were considered as a risk group. Accruing moderate-to-vigorous physical activity during leisure time, reduced recreational screen time, and good sleep quality were the exposures investigated. We evaluated both additive and multiplicative interactions between race/ethnicity and movement behaviors. Binary logistic regression was used to estimate the odds ratio (OR), marginal means effects, and 95% confidence intervals (95% CIs).

Results: Black adolescents who met 1 (OR: 0.34; [95% CI: 0.22-0.52]), 2 (OR: 0.17 [0.11-0.27]), or 3 (OR: 0.13 [0.07-0.26]), and White adolescents who met 1 (OR: 0.35 [0.21-0.57]), 2 (OR: 0.14 [0.08-0.26]), or 3 (OR: 0.11 [0.04-0.31]) of the movement behavior targets had lower odds of suicidal thoughts/ideation than Black adolescents who did not meet any of the movement behavior targets. Black adolescents who did not meet any of the movement behavior targets had higher suicidal thoughts/ideation odds than the other adolescent's groups.

Conclusions: We identified an inverse association between meeting individuals and combinations of movement behavior targets with suicidal thoughts/ideation. Among Black adolescents who did not meet any targets, these associations were more evident.

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青少年运动行为与自杀念头/意念之间的种族/民族不平等。

目的:我们的目的是分析运动行为(身体活动、屏幕时间和睡眠)独立和共同与巴西青少年自杀念头/意念之间的关系。方法:这项横断面研究调查了巴西所有地理区域的4,081名15-19岁的青少年(49.9%为女性)。数据是通过自我管理的问卷收集的。在样本中，31.0% (n = 1,264)自认为是白人，69.0% (n = 2,817)自认为是黑人。每周有一次或多次自杀念头的青少年被认为是一个危险群体。在闲暇时间积累中等到剧烈的体育活动，减少娱乐屏幕时间，以及良好的睡眠质量是所调查的暴露因素。我们评估了种族/民族和运动行为之间的加法和乘法相互作用。使用二元逻辑回归来估计比值比(OR)、边际均值效应和95%置信区间(95% ci)。结果:黑人青少年符合1 (OR: 0.34;[95% CI: 0.22-0.52])， 2 (OR: 0.17[0.11-0.27])，或3 (OR: 0.13[0.07-0.26])，达到1 (OR: 0.35 [0.21-0.57])， 2 (OR: 0.14[0.08-0.26])，或3 (OR: 0.11[0.04-0.31])的白人青少年的自杀念头/意念的几率低于未达到任何运动行为目标的黑人青少年。没有达到任何运动行为目标的黑人青少年比其他青少年群体有更高的自杀念头/意念的几率。结论:我们确定了与个体会面与自杀念头/意念的运动行为目标组合之间的负相关。在没有达到任何目标的黑人青少年中，这些关联更为明显。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.00

自引率

11.10%

发文量

期刊介绍： The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.