International Journal of General Medicine (Oct 2019)
Behavioral Risk Factors Of Non-Communicable Diseases Among A Nationally Representative Sample Of School-Going Adolescents In Indonesia
Abstract
Supa Pengpid,1,2 Karl Peltzer2 1ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom, Thailand; 2Research and Innovation Office, North West University, Potchefstroom, South AfricaCorrespondence: Karl PeltzerResearch and Innovation Office, North-West University, Potchefstroom Campus, 11 Hoffman Street, Potchefstroom 2531, South AfricaEmail [email protected]: The aim of this study was to investigate the prevalence and correlates of behavioral non-communicable diseases (NCD) risk factors among adolescents in Indonesia.Methods: Cross-sectional national data were analyzed from 11,124 in-school adolescents (mean age 14.0 years) of the Indonesia Global School-Based Student Health Survey (GSHS) in 2015. Seven behavioral NCD risk factors (substance use, dietary behavior, overweight or obesity, low physical activity, and sedentary behavior) were assessed by questionnaire in a classroom setting.Results: The prevalence of low physical activity was 87.8%, insufficient fruit and vegetable intake 76.8%, having soft drinks daily 27.9%, leisure-time sedentary behavior 27.3%, overweight or obesity 15.8%, current tobacco use 12.8%, and alcohol use 4.4%. From the seven behavioral NCD risk factors, the mean was 2.5 (SD=1.0), and almost half (46.5%) had at least three risk factors. In adjusted linear regression analysis, being a boy, increasing age and psychological distress increased the odds and hunger or food insecurity and parental support decreased the odds for having behavioral risk factors.Conclusion: A high co-occurrence of behavioral risk factors was identified. Several risk factors (older age, boys, distress, and poor parental support) were identified that can be targeted in intervention programs.Keywords: dietary behavior, substance use, physical activity, adolescents, Indonesia