THE EXAMINATION OF HEALTHY LIFESTYLE BEHAVIORS IN ADOLESCENTS: A SCHOOL-BASED STUDY

Öz

Aim: This study aims to examine the healthy lifestyle behaviors of adolescents studying in high school. Method: The cross-sectional study was conducted with 267 adolescents studying in a science high school in the Central Anatolia region of Turkey between January and April 2022. Data were collected through the Socio-demographic Characteristics Information Form and the Adolescent Lifestyle Profile Scale. Descriptive statistical methods independent sample t test, One-Way Analysis of Variance, and Tukey HSD Post-Hoc tests were used to evaluate the data. The statistical significance level was accepted as p<0.05. Results: The Adolescent Lifestyle Scale item score average was 2.64±0.38. Among the sub-dimensions of the Adolescent Lifestyle Scale, Interpersonal Relationships has the highest item mean score with 3.04±0.51, while the Health Responsibility sub-dimension has the lowest item mean score with 2.07±0.58. Significant determinants of healthy lifestyle behaviors of adolescents are gender, age, school success, family type, perception of economic status, presence of chronic disease, and current health perception. Conclusion and Recommendations: The study shows that health-promoting behaviors in adolescents from different cultures are above the moderate level. These findings can guide school health nurses when designing adolescent health promotion programs

Anahtar Kelimeler

• Adolescent
• Healthy lifestyle
• Health behavior
• Nursing
• Public health
• School

Adölesanlarda Sağlıklı Yaşam Biçimi Davranışlarının İncelenmesi: Okul Temelli Bir Araştırma

Öz

Amaç: Bu çalışmanın amacı, lisede öğrenim gören adölesanların sağlıklı yaşam biçimi davranışlarını incelemektir. Yöntem: Kesitsel tipteki çalışma Ocak-Nisan 2022 tarihleri arasında Türkiye’nin İç Anadolu bölgesinde yer alan bir fen lisesinde öğrenim gören 267 adölesanla yürütülmüştür. Veri, Sosyo-demografik Özellikler Bilgi Formu ve Adölesan Yaşam Biçimi Ölçeği aracılığıyla toplanmıştır. Tanımlayıcı istatistiksel metotları (sayı, yüzde, min-maks değerleri, ortalama ve standart sapma), bağımsız örneklem t testi, tek yönlü varyans analizi, Post-Hoc testlerinden Tukey HSD aracılığıyla veri değerlendirilmiştir. İstatistiksel anlamlılık düzeyi p<0.05 olarak kabul edilmiştir. Bulgular: Adölesan Yaşam Biçimi Ölçeği madde puan ortalaması 2.64±0.38’dir. Ölçek alt boyutlarından Kişilerarası İlişkiler 3.04±0.51 ile en yüksek madde puan ortalamasına sahip iken, Sağlık Sorumluluğu alt boyutu 2.07±0.58 ile en düşük madde puan ortalamasına sahiptir. Adölesanların sağlıklı yaşam biçimi davranışlarının anlamlı belirleyicileri; cinsiyet, yaş, okul başarısı, aile tipi, ekonomik durum algısı, kronik hastalık varlığı ve mevcut sağlık algısıdır. Sonuç ve Öneriler: Çalışma, farklı kültürlerden gelen adölesanlarda sağlığı geliştirici davranışların orta düzeyde olduğunu göstermektedir. Çalışmanın bulguları, okul sağlığı hemşireleri için adölesan sağlığını geliştirme programlarını tasarlarken rehberlik sağlayabilir.

Anahtar Kelimeler

• Adölesan
• Halk sağlığı
• Hemşirelik
• Okul
• Sağlık Davranışı
• Sağlıklı Yaşam Biçimi.

Kaynakça

1. American National School Nurses Association. (2010). Delegation—Position statement. ERIC. Access Link: https://files.eric.ed.gov/fulltext/ED540406.pdf Access Date: 06.02.2025.
2. Aras S., Günay T., Özan S., and Orçın E. (2007). Risky behaviors among high school students in Izmir. Anatolian Journal of Psychiatry, 8, 186-196.
3. Ardıç, A. (2008). Healthy lifestyle behaviors of adolescents (Unpublished Master's Thesis). Istanbul University Institute of Health Sciences, Istanbul.
4. Ardic, A., & Esin, M. N. (2015). The Adolescent Lifestyle Profile scale: Reliability and validity of the Turkish version of the instrument. Journal of Nursing Research, 23(1), 33-40. https://doi.org/10.1097/jnr.0000000000000053
5. Avci, G., Avci Aydın, İ., Soyanit, S., & Çabar, H. D. (2023). Healthy lifestyle behavior of adolescents during home stay due to the COVID-19 pandemic. TJFMPC, 17(1), 132-138.
6. Bahar, Z. (2010). School health nursing. Dokuz Eylül University Nursing School Electronic Journal, 3(4), 195-200.
7. Beaglehole, R., Bonita, R., Horton, R., Adams, C., Alleyne, G., Asaria, P., ... Watt, J. (2011). Priority actions for the non-communicable disease crisis. Lancet, 377, 1438-1447. https://doi.org/10.1016/S0140-6736(11)60393-0
8. Çiçek, E., & Çetinkaya, F. (2017). Healthy lifestyle behaviors of high school students in a selected district center. Health Sciences Journal, 26(1), 29-38.

9. Ercan, O. (2005). Psychosocial development of adolescents. Adolescent Health, Istanbul University Cerrahpaşa Medical Faculty Continuing Medical Education Activities Adolescent Health II Symposium Series, 43, 17-21.
10. Ercan, O., Alikaşifoğlu, M., Erginöz, E., Uysal, Ö., & Kaymak, D. A. (2011). Health behaviors of school-age children survey. Turkish Pediatric Archive, 46(11), 15-18.
11. Gaete, J., Olivares, E., Godoy, M. I., Cárcamo, M., Montero-Marín, J., Hendricks, C., & Araya, R. (2021). Adolescent Lifestyle Profile-Revised 2: Validity and reliability among adolescents in Chile. Jornal de Pediatria, 97, 52-60. https://doi.org/10.1016/j.jped.2020.07.015
12. Gore, F. M., Bloem, P. J., Patton, G. C., Ferguson, J., Joseph, V., Coffey, C., ... & Mathers, C. D. (2011). Global burden of disease in young people aged 10–24 years: A systematic analysis. Lancet, 377(9783), 2093-2102. https://doi.org/10.1016/S0140-6736(11)60512-6
13. Hacıalioğlu, N. (2018). Risky behaviors of nursing students. STED/Continuous Medical Education Journal, 27(2), 73-79.
14. Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2013). Multivariate data analysis (7th ed.). Pearson Education Limited.
15. Hendricks, C. S., Murdaugh, C., & Pender, N. J. (2006). The adolescent lifestyle profile: Development and psychometric characteristics. Journal of National Black Nurses Association, 17(2), 1-5.
16. İlhan, N. (2012). The effect of brief interviews based on the behavior image model on health behaviors of adolescents (Doctoral Thesis). Marmara University Institute of Health Sciences, Istanbul.
17. Karagözoğlu, M. (2021). Determining the relationship between health literacy and healthy lifestyle behaviors in adolescents. Bezmialem Vakıf University Institute of Health Sciences, Istanbul.
18. Koç, M. (2004). Adolescence period and its general characteristics from a developmental psychology perspective. Journal of Social Sciences Institute, 17(2), 231-256.
19. Koçoğlu, D., & Akın, B. (2009). The relationship of socio-economic inequalities with healthy lifestyle behaviors and quality of life. Dokuz Eylül Nursing School Electronic Journal, 2(4), 145-154.
20. Leventhal, H., Leventhal, E. A., & Cameron, L. (2001). Representations, procedures, and affect in illness self-regulation: A perceptual-cognitive model. In A. Baum, T. A. Revenson, & J. E. Singer (Eds.), Handbook of health psychology (pp. 19-48). Lawrence Erlbaum.
21. Öztürk, Ö. (2013). Determining health behaviors in adolescents living in a prison and the effect of health promotion model-based education on behavior change (Master's Thesis). Marmara University Institute of Health Sciences, Istanbul.
22. Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2015). Health promotion in nursing practice (7th ed.). Pearson Education.
23. Sousa, P., Gaspar, P., Fonseca, H., Hendricks, C., & Murdaugh, C. (2015). Health promoting behaviors in adolescence: Validation of the Portuguese version of the Adolescent Lifestyle Profile. Journal de Pediatria, 91(4), 358-365. https://doi.org/10.1016/j.jped.2014.06.005
24. Story, M., & Stang, J. (2005). Nutrition needs of adolescents. In J. Stang & M. Story (Eds.), Guidelines for adolescent nutrition services (pp. 21-34). University of Minnesota.
25. Sümbüloğlu, K., & Sümbüloğlu, V. (2017). Biostatistics (18th ed.). Hatipoğlu Publications.
26. Sümen, A., & Öncel, A. (2017). Factors affecting healthy lifestyle behaviors of high school students in Turkey: A systematic review. Eur J Ther, 23, 74-82. https://doi.org/10.5152/EurJTher.2017.04044
27. Turkish Statistical Institute. (2024). Youth statistics, 2023. Access Link: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Genclik-2023-53677 Access Date: 06.02.2025.
28. United Nations Population Fund. (2020). World population dashboard. Access Link: https://www.unfpa.org/data/world-population-dashboard Access Date: 06.02.2025.
29. Vançelik, S., Gürsel Önal, S., Güraksın, A., & Beyhun, E. (2007). Factors associated with university students' nutrition knowledge and habits. TAF Preventive Medicine Bulletin, 6(4), 242-248.
30. Wardle, J., & Steptoe, A. (2003). Socioeconomic differences in attitudes and beliefs about healthy lifestyles. J Epidemiol Community Health, 57, 440-443. https://doi.org/10.1136/jech.57.6.440
31. World Health Organization. (2025). Adolescent health. Access Link: https://www.who.int/health-topics/adolescent-health#tab=tab_1 Access Date: 06.02.2025.