Asuman OKUR, Leyla KARAOĞLU, Büşra SUALP

Health-Promoting Behaviors of High School Students in Northern East Turkey-A Cross-Sectional Study

Considering the fact that current health-promoting behaviors of adolescents will shape the health of the next generation, most countries collect data on the subject in order to plan necessary health programs timely. This study aimed to determine the level of health-promoting behaviors of the ninth and eleventh-grade high school students in the city of Rize and the associated factors. Using a cluster sampling method, a cross-sectional study was conducted in 2015, involving 641 students. Data were collected in the classrooms by administring a self-responded questionnaire. The questionnaire included the Turkish version of Adolescent Health Promotion Scale (AHPS). AHPS has six domains and forty items. Scores were calculated on a 0-100 scale. Getting a score over 60 was defined as good health- promoting behavior. Mann Whitney U, and Backward Logistic Regression tests were used for data analysis. Of the students, 56.0% were girls, and 59.6 % were in the ninth grade. The total AHPS mean score was 60.8± 0.6. Of the participants, 54.9% scored over 60. The mean scores of domains, life appreciation, social support, stress management, health responsibility, nutrition and exercise were 69.2±0.8, 64.7±0.8, 59.7±0.7, 59.2±0.7, 56.6± 0.7, and 48.3±1.0, respectively. Parental education, and employment, perceived family income, current health

Keywords:

Adolescent behavior, health promotion, students,

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1. Michaud PA, Ambresin AE, Catalano RF, Diers J, Patton GC. Adolescent health. In: Detels R, Gulliford M, Karim QA, Tan CC, editors. Oxford Textbook of Global Public Health. New York: Oxford University Press; 2015. p. 1359-1370.
2. World Health Organization. Health for the world's adolescents. A second chance in the second decade. Adolescents’ health-related behaviours. http://apps.who.int/adolescent/second-decade/section4, date accessed 12 November 2019.
3. Aqtam I, Darawwad M. Health Promotion Model: An Integrative Literature Review. Open Journal of Nursing, Vol.8 No.7, 2018: 485-503.
4. Chawłowska E, Staszewski R, Jóźwiak P, Lipiak A, & Zawiejska A. (2022). Development and Validation of a Health Behavior Scale: Exploratory Factor Analysis on Data from a Multicentre Study in Female Primary Care Patients. Behavioral Sciences, 12(10), 378.
5. World Health Organization and The United Nations. Making every school a health-promoting school: implementation guidance. Geneva: Educational, Scientific and Cultural Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO.
6. Bahar Z, Açıl D. Health Promotion Model: Conceptual Structure. E-Journal of Dokuz Eylul University Nursing Faculty 2014;7(2):59-67.
7. Özvarış ŞB. Sağlığın geliştirilmesi ve sağlık eğitimi. Ankara: Hacettepe Üniversitesi Yayınları; 2011.
8. 2018 Turkey Demographic and Health Survey. Ankara: Hacettepe University Institute of Population Studies, T.R. Presidency of Turkey Directorate of Strategy and Budget and TÜBİTAK, 2019. pp.49,59.http://www.hips.hacettepe.edu.tr/tnsa2018/analiz.shtml, date accessed 14 February 2020.
9. Turkish Statistical Institute (2018). Population by age group and sex. http://www.turkstat.gov.tr/UstMenu.do?metod=temelist, date accessed 14 February 2020.
10. Chen MY, Wang EK, Yang RJ, et al. Adolescent health promotion scale: development and psychometric testing. Public Health Nursing 2003; 20: 104-110.
11. Ortabağ T, Özdemir S, Bakır B, et al. Health promotion and risk behaviors among adolescents in Turkey. The Journal of School Nursing 2011; 27: 304-315.
12. Aksoydan E, Çakır N. Evaluation of nutritional behavior, physical activity level and body mass index of adolescents. Gulhane Medical Journal 2011; 53(4): 264-270.
13. Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı Sağlık Bakanlığı. Ankara: Türkiye Halk Sağlığı Kurumu; 2013.
14. Temel AB, İz FB, Yıldız S, Yetim D. The reliability and validity of adolescent health-promotion scale in Turkish community. The Journal of Current Pediatrics. 2011;9, 1:14-22.
15. Wang D, Ou CQ, Chen MY, Duan N. Health-promoting lifestyles of university students in Mainland China. BMC Public Health. 2009; Oct 9;9:379.
16. Aghamolaei T, Tavafian SS. Health Behaviors of a Sample of Adolescents in Bandar Abbas, Iran. Int J High Risk Behav Addict. 2013;2(1):34–8.
17. Chen MY, Lai LJ, Chen HC, Gaete j. Development and validation of the short-form adolescent health promotion scale. BMC Public Health. 2014; 14:1106.
18. Murphey D, Barry M, Vaughn B. Positive Mental Health: Resilience. Child Trends. 2013;3.
19. Montgomery C, Trumpower D, McMurtry A, Ghani S, Daubney A, Guerin E. Adolescent Stress and Coping: A Metaanalysis. Ontario Health Promotion EBulletin. 2014; 849.
20. Dawson KA, Schneider AA, Fletcher PC, Bryden PJ. Examining gender differences in the health behaviors of Canadian university students. Journal of The Royal Society for the Promotion of Health. 2007; 127(1): 38-44.
21. Hosseini Z, Aghamolaei T, Ghanbarnejad A. Prediction of health promoting behaviors through the health locus of controlina sample of adolescents in Iran. HealthScope. 2017;6(2):e39432.
22. Tomás CC, Queirós PJP, Ferreira TJR. Health-promoting behaviors: psychometric properties of an assessment tool. Text Context Nursing, Florianópolis. 2015; 24(1): 22-9.
23. Chandak AO, Yeravdekar RC, Tilak VW. Knowledge & impact about health insurance among students at Symbiosis International University-A pilot study. International Journal of Scientific & Engineering Research. 2012; 3:8.
24. Musavian AS, Pasha A, Rahebi SY, Roushan ZA, Ghanbari A. Health promoting Behaviors Among Adolescents: A Cross-sectional Study. Nurs Midwifery Stud. 2014;l; 3(1): e14560.
25. Allensworth DD. Strategies to Improve Adolescent Health: Lessons Learned. Child, Adolescent, and School Health Focus Issue. Health Promotion Practice. 2014; 15 (1): 72-78.