Health Promotion and Risk Behaviors Among Adolescents in Turkey

Department of Public Health Nursing, Gulhane Military Medical Academy, School of Nursing, Ankara, Turkey.
The Journal of School Nursing (Impact Factor: 1.11). 05/2011; 27(4):304-15. DOI: 10.1177/1059840511408322
Source: PubMed


Adolescents experience the onset and development of several health-related behaviors. The purpose of this study is to determine health risk and promotion behaviors of adolescents between the ages of 11 and 19 who were attending and to test the reliability and validity analysis of the Turkish version of Adolescent Health Promotion Scale (AHPS). The study was a cross-sectional survey and the sample consisted of 1,351 participants. A questionnaire that included demographic information, health risk behaviors, and AHPS was used to collect data. In the current study, the Cronbach's α coefficient for the AHPS was calculated as .92. Female students had significantly higher mean total scale scores than males (p < .05). The 11-14 age group had a statistically significant higher scale total mean score than the 15-19 age group (p = .001). International directives highlight the important function nurses fulfill in health promotion. Nurses may play a key role in school health services.

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Available from: Serpil Ozdemir
    • "In this respect, school-based health promotion programs that involve the promotion of adolescent healthy lifestyle behaviors are highly important in terms of preventing these problems (Ortabag, Ozdemir, Bakir, & Tosun, 2011; Stanhope & Lancaster, 2012). Several studies have emphasized that adolescent health can be promoted and improved if healthy lifestyle behaviors can be developed (Can et al., 2008; M. Y. Chen, James, & Wang, 2007; Mohamadian, Ghannaee, Kordzanganeh, & Meihan, 2013; Ortabag et al., 2011; Temel, İz, Yildiz, & Yetim, 2011; Wei et al., 2012). "
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    ABSTRACT: The Adolescent Lifestyle Profile (ALP) scale, based on the Health Promotion Model, is designed to asses the health promotion lifestyle profile of adolescents. This study is the first psychometric research of the ALP scale. The aims of this study were to translate the ALP scale into Turkish and to assess its psychometric properties with 890 adolescents between the ages of 14 and 18 years. Data on reliability and validity were assessed using the item-total correlations, Cronbach's α coefficient, content validity index, exploratory factor analysis, and confirmatory factor analysis (CFA). Participants were divided randomly into two groups, with the data from one group subjected to exploratory factor analysis and the data from the other group subjected to confirmatory factor analysis. Content validity was confirmed by a satisfactory level of agreement with a content validity index of .91. Varimax rotation yielded seven factors with eigenvalues greater than 1, which explained 46.87% of the total variance. Four items were removed because of factor loadings of less than .30. The revised 40-item ALP was tested, and the values of the goodness fit index were χ = 176.05, df = 91, p < .001, χ/df = 1.93, goodness-of-fit index = .93, comparative fit index = .94, adjusted goodness-of-fit index = .90, root mean square error of approximation residual = .060, and standardized root mean square residual = .060. The total Cronbach's α coefficient was .87, and subscales ranged from .61 to .81. The item-total corelations ranged between .22 and .64. The results confirm that the Turkish ALP scale has acceptable psychometric properties and that the scale may be used with Turkish adolescents as an effective measure of their health-promoting lifestyle behaviors.
    No preview · Article · Mar 2015 · The journal of nursing research: JNR
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    • "The study was done among adolescents in turkey and suggested that school environment provides important opportunities for health promotion and supporting the avoidance of risk behaviors. Ortabag 2011 et al., concluded, although high school age adolescents need more education and opportunities to focus on nutrition and exercise, health responsibility, stress management behaviors, all schools should consider it important, but they need to give higher priority to teaching and implementing specific programs that foster healthy lifestyles for adolescents. Risky behaviors in adolescents must be identified and be given more education and opportunities to develop more healthy lifestyles. "
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    ABSTRACT: Introduction: Adolescent health is often overseen in developing countries. Many needs of adolescents are left unmet. Adolescent Friendly Health Services (AFHS) which provide a broad range of preventive, promotive and curative services under one roof can help to ensure changes in health promoting behavior of adolescents. School is the ideal place to educate adolescents on health promotion. Objectives of the study:1.)To identify the health and development problems prevailing among the young adolescents. 2.) To determine the health promoting behaviours of adolescents who attended adolescent friendly services at school.3.)To provide guidance and counselling to adolescents on Physical health, psychosocial health, life style Modification and school performance through adolescent friendly centre. Research method: One group pretest –posttest design. Sample and setting: Total of 259 adolescents (158 girls and 101 boys) studying in the 9 th and 11 th standard of a private higher secondary school in Coimbatore district. Data analysis and interpretation: The data was analysed using SPSS 16 version. The main results of the study showed the "self "and "school" domains of the MSLSS scale had significant difference at 0.01 level before and after attending adolescent friendly services. Conclusion: Attending adolescent friendly services at school campus can bring about changes in health promoting behavior of adolescents.
    Full-text · Article · Jan 2014
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    ABSTRACT: Background Health promotion for adolescents has become a research priority worldwide and life at school offers a good opportunity to establish health promoting behavior among this age group. Objectives This study aimed to investigate health behaviors of a sample of adolescents in Bandar Abbas, Iran. Materials and Methods Totally, 410 students including 204 males and 206 females studying in grades 9 to 12 and aged between 15–18 years old were studied. The instruments used to collect data were a self administered demographic questionnaire and the scale of Adolescent Health Promotion (AHP). Results The mean age of participants was 16.5 (SD = 1.34) years. The mean score of Adolescent Health Promotion (AHP) scale was 64.8 (SD = 8.9) ranging from 34.3 to 89.9. Female students scored significantly higher for health-responsibility, life-appreciation, and stress-management than male students (P < 0.05). In contrast, male students scored higher scores on exercise behavior than female (P < 0.05). All dimensions of AHP scale except for nutrition behavior and social support was associated with gender and nutrition behavior was associated with age (P < 0.05). Conclusions This study indicated that sedentary life style and physical inactivity is a common and serious problem among high school students of Bandar Abbas.
    Full-text · Article · Jun 2013
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