Background:Based on a large national survey on the health of adolescents,this paper focuses on the socio-demographic and lifestyle correlates of sport practice among Swiss adolescents.The SMASH 2002 database includes ...Background:Based on a large national survey on the health of adolescents,this paper focuses on the socio-demographic and lifestyle correlates of sport practice among Swiss adolescents.The SMASH 2002 database includes 7428 vocational apprentices and high school students between the ages of 16 and 20 who answered a self-administered anonymous questionnaire containing 565 items targeting perceived health,health attitudes and behaviour. Weekly episodes of extracurricular sport activity were measured by a four-category scale,and the sample was dichotomised between active (≥two episodes of sport/week) and inactive (<two episodes of sport/week) respondents. Thirty percent of female respondents and 40.2%of male respondents reported engaging in sport activity at least two to three times a week; another 9.7%of the female and 19.4%of the male respondents reported participating in least one sport activity each day(p< 0.01). The percentage of active respondents was higher among students than among vocational apprentices (p< 0.01),and the rates of sport activity decreased more sharply over time among the apprentices than among the students (p < 0.01). Most active adolescents reported having a better feeling of well-being than their inactive peers among male students:odds ratio(OR):3.13; 95%confidence interval (95%CI):1.28-7.70 . The percentage of active females who reported being on a diet was high,and female apprentices exhibited higher involvement in dieting than their inactive peers (OR 1.68; 95%CI 1.32-2.14).Relative to the inactive male respondents,the proportion of active male respondents smoking was lower; however,a lower proportion of the latter group did not report drunkenness,and the percentage of those who reported lifetime cannabis consumption was higher among active than inactive students (females,OR:1.57; 95%CI:1.09-2.25; males,OR:1.80; 95%CI:20-2.69).Conclusion:Organised sport activities should be better tailored to the work schedules of apprentices. Practitioners should be aware of the potential for problematic behaviour in the area of dieting and substance use among a subset of sport-oriented adolescents.展开更多
Aim: To study the prevalence of psychoactive substance use disorder (PSUD) among suicidal adolescents, psychoactive substance intoxication at the moment of the attempt, and the association between PSUD at baseline and...Aim: To study the prevalence of psychoactive substance use disorder (PSUD) among suicidal adolescents, psychoactive substance intoxication at the moment of the attempt, and the association between PSUD at baseline and either occurrence of suicide or repetition of suicide attempt(s). Methods: 186 adolescents aged 16 to 21 y hospitalized for suicide attempt or overwhelming suicidal ideation were included (TO); 148 of them were traced again for evaluations after 6 mo (T1) and/or 18 mo (T2). DSM-IV diagnoses were assessed each time using the Mini International Neuropsychiatric Interview. Results: At TO, 39.2%of the subjects were found to have a PSUD. Among them, a significantly higher proportion was intoxicated at the time of the attempt than those without PSUD(44.3%vs 25.4%). Among the 148 adolescents who could be traced at either T1 or T2, two died from suicide and 30 repeated suicide attempts once or more times. A marginally significant association was found between death by suicide/repetition of suicide attempt and alcohol abuse/dependence at baseline (OR 3.3, 95%CI 0.7～15.0; OR 2.6, 95%CI 0.7～9.3). More than one suicide attempt before admission to hospital at T0 (OR 3.2, 95%CI 1.1～10.0) and age over 19 y at T0 (OR 3.2, 95%CI 1.1～9.2) were independently associated with the likelihood of death by suicide or repetition of suicide attempt. Conclusion: Among adolescents hospitalized for suicide attempt or overwhelming suicidal ideation, the risk of death or repetition of attempt is high and is associated with previous suicide attempts-especially among older adolescent sand also marginally associated with PSUD; these adolescents should be carefully evaluated for such risks and followed up once discharged from the hospital.展开更多
文摘Background:Based on a large national survey on the health of adolescents,this paper focuses on the socio-demographic and lifestyle correlates of sport practice among Swiss adolescents.The SMASH 2002 database includes 7428 vocational apprentices and high school students between the ages of 16 and 20 who answered a self-administered anonymous questionnaire containing 565 items targeting perceived health,health attitudes and behaviour. Weekly episodes of extracurricular sport activity were measured by a four-category scale,and the sample was dichotomised between active (≥two episodes of sport/week) and inactive (<two episodes of sport/week) respondents. Thirty percent of female respondents and 40.2%of male respondents reported engaging in sport activity at least two to three times a week; another 9.7%of the female and 19.4%of the male respondents reported participating in least one sport activity each day(p< 0.01). The percentage of active respondents was higher among students than among vocational apprentices (p< 0.01),and the rates of sport activity decreased more sharply over time among the apprentices than among the students (p < 0.01). Most active adolescents reported having a better feeling of well-being than their inactive peers among male students:odds ratio(OR):3.13; 95%confidence interval (95%CI):1.28-7.70 . The percentage of active females who reported being on a diet was high,and female apprentices exhibited higher involvement in dieting than their inactive peers (OR 1.68; 95%CI 1.32-2.14).Relative to the inactive male respondents,the proportion of active male respondents smoking was lower; however,a lower proportion of the latter group did not report drunkenness,and the percentage of those who reported lifetime cannabis consumption was higher among active than inactive students (females,OR:1.57; 95%CI:1.09-2.25; males,OR:1.80; 95%CI:20-2.69).Conclusion:Organised sport activities should be better tailored to the work schedules of apprentices. Practitioners should be aware of the potential for problematic behaviour in the area of dieting and substance use among a subset of sport-oriented adolescents.
文摘Aim: To study the prevalence of psychoactive substance use disorder (PSUD) among suicidal adolescents, psychoactive substance intoxication at the moment of the attempt, and the association between PSUD at baseline and either occurrence of suicide or repetition of suicide attempt(s). Methods: 186 adolescents aged 16 to 21 y hospitalized for suicide attempt or overwhelming suicidal ideation were included (TO); 148 of them were traced again for evaluations after 6 mo (T1) and/or 18 mo (T2). DSM-IV diagnoses were assessed each time using the Mini International Neuropsychiatric Interview. Results: At TO, 39.2%of the subjects were found to have a PSUD. Among them, a significantly higher proportion was intoxicated at the time of the attempt than those without PSUD(44.3%vs 25.4%). Among the 148 adolescents who could be traced at either T1 or T2, two died from suicide and 30 repeated suicide attempts once or more times. A marginally significant association was found between death by suicide/repetition of suicide attempt and alcohol abuse/dependence at baseline (OR 3.3, 95%CI 0.7～15.0; OR 2.6, 95%CI 0.7～9.3). More than one suicide attempt before admission to hospital at T0 (OR 3.2, 95%CI 1.1～10.0) and age over 19 y at T0 (OR 3.2, 95%CI 1.1～9.2) were independently associated with the likelihood of death by suicide or repetition of suicide attempt. Conclusion: Among adolescents hospitalized for suicide attempt or overwhelming suicidal ideation, the risk of death or repetition of attempt is high and is associated with previous suicide attempts-especially among older adolescent sand also marginally associated with PSUD; these adolescents should be carefully evaluated for such risks and followed up once discharged from the hospital.
