Relationships between social determinants of health and healthy body composition among Aboriginal and Torres Strait Islander youth in the Next Generation: Youth Well-being study.

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Christopher D McKay, Lina Gubhaju, Alison J Gibberd, Bridgette J McNamara, Rona Macniven, Grace Joshy, Aryati Yashadhana, Ted Fields, Robyn Williams, Robert Roseby, Peter Azzopardi, Emily Banks, Sandra J Eades
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Abstract

Issue addressed: Little is currently known about the relationships between body composition and the social determinants of health among Aboriginal and Torres Strait Islander youth in Australia, which could help inform policy responses to address health inequities.

Methods: This study aimed to explore the relationship between various social factors and healthy body mass index (BMI) and waist/height ratio (WHtR) among Aboriginal and Torres Strait Islander youth aged 16-24 years. Baseline survey data from 531 participants of the 'Next Generation: Youth Well-being study' were used. Robust Poisson regression quantified associations between healthy body composition and self-reported individual social factors (education, employment and income, government income support, food insecurity, home environment, relationship status, racism), family factors (caregiver education and employment) and area-level factors (remoteness, socioeconomic status).

Results: Healthy body composition was less common among those living in a crowded home (healthy WHtR aPR 0.67 [0.47-0.96]) and those receiving government income support (healthy BMI aPR 0.74 [0.57-0.95]). It was more common among those with tertiary educated caregivers (healthy BMI aPR 1.84 [1.30-2.61]; healthy WHtR aPR 1.41 [1.05-1.91]) and those in a serious relationship (healthy BMI aPR 1.33 [1.02-1.75]).

Conclusions: Social factors at the individual and family level are associated with healthy body composition among Aboriginal and Torres Strait Islander youth. SO WHAT?: The findings of this study highlight the potential for health benefits for youth from policies and programs that address social inequities experienced by Aboriginal and Torres Strait Islander people in Australia.

下一代 "中土著居民和托雷斯海峡岛民青少年的健康社会决定因素与健康身体组成之间的关系:青年福祉研究。
解决的问题:目前,人们对澳大利亚土著居民和托雷斯海峡岛民青年的身体组成与健康的社会决定因素之间的关系知之甚少,而这有助于为解决健康不平等问题的政策应对措施提供信息:本研究旨在探讨 16-24 岁原住民和托雷斯海峡岛民青少年中各种社会因素与健康体重指数(BMI)和腰围/身高比(WHtR)之间的关系。基线调查数据来自 "下一代:使用的是 "下一代:青年福祉研究 "531 名参与者的基线调查数据。稳健的泊松回归量化了健康身体成分与自我报告的个人社会因素(教育、就业和收入、政府收入支持、食品不安全、家庭环境、关系状况、种族主义)、家庭因素(照顾者的教育和就业)和地区因素(偏远地区、社会经济状况)之间的关联:在居住拥挤的家庭(健康 WHtR aPR 0.67 [0.47-0.96])和接受政府收入补助的家庭(健康 BMI aPR 0.74 [0.57-0.95])中,健康身体组成的比例较低。在有受过高等教育的照顾者(健康 BMI aPR 1.84 [1.30-2.61];健康 WHtR aPR 1.41 [1.05-1.91])和有严肃关系的人群(健康 BMI aPR 1.33 [1.02-1.75])中,这种情况更为常见:结论:个人和家庭层面的社会因素与原住民和托雷斯海峡岛民青少年健康的身体组成有关。结论:个人和家庭层面的社会因素与土著居民和托雷斯海峡岛民青少年的健康身体组成有关。
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来源期刊
Health Promotion Journal of Australia
Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.10
自引率
10.50%
发文量
115
期刊介绍: The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.
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