Differences in health and health behaviors between urban and rural school children aged 11 13 years in Turkey: findings from the health behavior in school aged children study 2006 Original Article

Yıl 2010, Cilt: 45 Sayı: 2, - 4, 01.06.2010

Müjgan Alikaş Ethem Erginöz Oya Ercan Ömer Uysal Barış Ekici Süheyla Ocak Gülşah Oktay İlker Yücel Deniz Kaymak Albayrak

https://doi.org/10.4274/tpa.45.96

Öz

Summary Aim: The aim of the study was to determine the differences between rural and urban adolescents rsquo; health and health behaviors Material and Method: The data presented in this study were a part of the Turkish data nbsp; collected for the cross sectional and international nbsp; ldquo;Health Behavior in School aged Children 2005 2006 study rdquo; which aimed to evaluate adolescents rsquo; health and health behavior around Europe and North nbsp; America Data were collected from 3884 11 to 13 years of age nbsp; 1946 males 1938 females students who attended nbsp; 180 classes of 82 primary schools in nbsp; 23 cities Statistical analyses were made by using chi square nbsp; test Results: Both female and male students who lived in rural areas were more likely to go to bed hungry more often to feel dizzy more often to eat nbsp; fruits less often to brush teeth less often to exercise less often and to use computers less often than their peers living in urban areas Besides in rural areas nbsp; male students were more likely to be violent and female students were more likely to feel unhealthy to be unsatisfied with their lives and to be injured more often than their urban peers Both female and male students who lived in urban areas were more likely to eat or drink more energy dense and low nutritional value foods and drinks than their peers living in rural areas Males who lived in urban areas were more likely to be on a diet not to be satisfied with their body and to be obese than their peers living in rural areas nbsp; Conclusions: The results of this study showed that there are several health inequities between rural and urban female and male adolescents These differences should be taken into account when prepering adolescent health promotion programs Turk Arch Ped 2010; 45: 96 104 Key words: Adolescent health health behavior rural urban differencest

Anahtar Kelimeler

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Kırsal ve kentsel alanlarda yaşayan 11 ve 13 yaşlarındaki öğrencilerin sağlık durumları ve sağlık davranışları arasındaki farklılıklar: Türkiye sağlık davranışları araştırması 2006 sonuçları Özgün Araştırma

Öz

Özet Amaç: Bu araştırmanın amacı Türkiye rsquo;de kentsel ve kırsal alanlarda yaşayan 11 ve 13 yaşındaki öğrencilerin sağlık durumları ve sağlıkla ilgili davranışları arasındaki farklılıkları saptamaktı Gereç ve Yöntem: Bu çalışmada gençlerin sağlık durumları ve sağlık davranışlarını saptamayı hedefleyen kesitsel tanımlayıcı ve çok uluslu ldquo;Health Behavior in School Aged Children 2006 HBSC rdquo; araştırmasının Türkiye ayağına katılan 11ve 13 yaşındaki nbsp; çocukların verilerinden yararlanıldı Bu çalışma için veri çözümlemeleri 23 ildeki 82 ilkokulun 180 dersliğinde 11 ve 13 yaşlarındaki 3884 1946 erkek 1938 kız öğrenci üzerinden yapıldı Gruplar arasındaki oran farklılıkları ki kare testi ile değerlendirildi Bulgular: Kırsal alanda yaşayan hem kızların hem de erkeklerin kentlerde yaşayan akranlarından daha sık yatağa aç girdikleri daha sık baş dönmesinden yakındıkları daha az meyve yedikleri daha nadir diş fırçaladıkları daha az egzersiz yaptıkları saptandı Kırsal alanda yaşayan öğrenciler kentlerde yaşayanlara göre daha az bilgisayar kullanıyorlardı Ayrıca kırsal alanda yaşayan erkeklerin daha sık şiddet davranışları gösterdikleri ve kızların ise kendilerini daha sağlıksız hissettikleri yaşamlarından daha az memnun oldukları ve daha sık yaralandıkları saptandı Kentlerde yaşayan nbsp; kız ve erkek öğrenciler kırsal alanda yaşayan akranlarından daha sık olarak besin değeri düşük ve enerji içeriği yüksek yiyecek ve içecekleri tükettiklerini bildirdiler Kentsel alanda yaşayan erkekler arasında diyette olma bedeninden hoşnut olmama ve şişmanlık kırsal alanda yaşayanlara göre daha sıktı Çıkarımlar: Araştırmamız ülkemizde kentsel ve kırsal alanda yaşayan 11 ve 13 yaşındaki kızlar ve erkekler arasında sağlık açısından eşitsizlikler olduğunu ve kırsal alanda yaşayan hem kızların hem de erkeklerin daha fazla risk altında olduğunu göstermektedir Ergenler için sağlığı geliştirme programları hazırlanırken yerleşim yeri nedeni ile ortaya çıkan bu farklılıkların göz önüne alınması gerektiğini düşünmekteyiz nbsp; Türk Ped Arş 2010; 45: 96 104 Anahtar sözcükler: Ergen kırsal kentsel farklılıklar sağlık sağlık davranışları

Anahtar Kelimeler

Ergen, kırsal kentsel farklılıklar, sağlık, sağlık davranışları

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