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Behavior and lifestyle factors related to quality of life in junior high school students

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Environmental Health and Preventive Medicine Aims and scope

Abstract

Objectives

To analyze actual conditions of the quality of life (QOL) in junior high school students, we developed a questionnaire based on the PRECEDE-PROCEED model, and we conducted a survey by using this questionnaire.

Methods

We conducted a workshop organized with 29 specialists on school health and community health to develop the questionnaire. The QOL outcome was assessed by the QOL Profile-Adolescent Version (QOLPAV). The subjects of the questionnaire surveys were 1600 general students in four junior high schools. To investigate a correlation between QOLPAV, behaviors and three enhancing factors, two different multiple regression models were constructed.

Results

The question battery for QOLPAV was found to be a high value of Chronbach’s α. Among present subjects, 16.5% were categorized as “problematic” or “very problematic” classified by QOLPAV scores. In the first multiple regression model, significantly high odds ratios were obtained between the QOLPAV and 4 questions for behaviors, such as “studying with high motivation” (OR 1.64), “getting along well with my friends” (2.72), “having things I am interested in” (1.70), and “making my own decisions” (1.80). In the second model, significantly high odds ratios were obtained commonly between the above 4 questions about behaviors and 2 questions on enabling factors, such as “easy to understand lessons” (1.32–1.71) and “speaking to friends easily” (1.30–3.22).

Conclusions

1) We developed a questionnaire to analyze the actual condition of QOL in junior high school students with sufficient validity and availability. 2) Among the present subjects, 16.5% were found to be problematic QOLPAV, 3) Among the factors of behaviors, those representing positive willing and high coping ability with the elements of each school life contributed significantly to the QOLPAV. And among enhancing factors, “enabling factors” and “reinforcing factors” were stronger contributors to the behaviors strongly related to the QOLPAV than that of “predisposing factors”.

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References

  1. Nihon Gakko Hokenkai. Reports on Practical Use of School Nurse Rooms. Tokyo: Nihon Gakko Hokenkai; 2002. (Article in Japanese)

    Google Scholar 

  2. Miike T. Kodomo no hirou. In: Inoue M, Kuratsune H, Watanabe Y, editors. Hirou no kagaku. Japan: Koudansha Co. Ltd., 1996. p. 67–72. (Article in Japanese)

    Google Scholar 

  3. Urakami T. Children’s lifestyles today. Shouni Naika. 2002; 34: 1232–1235. (Article in Japanese)

    Google Scholar 

  4. Usui M. Why did the Boy Commit a Crime? Japan: KK bestsellers Co., Ltd; 2000. (Article in Japanese)

    Google Scholar 

  5. Kitamura A. Supporting mental health of students. Edu Med. 2002; 50: 599–608. (Article in Japanese)

    Google Scholar 

  6. Maeda K. The subjective symptoms and life habits of junior high school students. Child Health Res. 2002; 61: 715–722. (Article in Japanese)

    Google Scholar 

  7. Matsumoto K, ed. How to Create Classes for the School Nurse. Kyoto: Higashiyama Shobo Co. Ltd.; 2001. (Article in Japanese)

    Google Scholar 

  8. Committee for “Sukoyaka Family 21” of the Ministry of Health, Labour and Welfare of Japan. A report from the “Sukoyaka Family 21” Planning Committee. Japan: the Ministry of Health, Labour and Welfare of Japan; 2000. (Article in Japanese)

    Google Scholar 

  9. Raphael D. Quality of life and adolescent health. In: Renwick R, Brown I, Nagler M, editors. Quality of Life in Health Promotion and Rehabilitation. Thousand Oaks CA: SAGE Publications Inc.; 1996. p. 307–324.

    Google Scholar 

  10. Matsuda N. The study on development child QOL assessment—Using child version based on the WHO QOL 100 adults version—. J. Child Health. 2000; 59: 350–356. (Article in Japanese)

    Google Scholar 

  11. Nakamura N. Development of a questionnaire to assess QOL for primary school children at third grade and upper and junior high school. J Child Health. 2002; 61: 806–813. (Article in Japanese)

    Google Scholar 

  12. Shibata R, Nemoto Y, Matuzaki K, Tanaka D, Kawaguchi T, Kanda A, Furusho J, Okuyama M, Iikura Y. A study of the kid-KINDL questionnaire for measuring quality of life in elementary school children in Japan. Jpn J Pediatrics. 2003; 107: 1521–1526. (Article in Japanese)

    Google Scholar 

  13. Ueda A. The understanding and development of Health Promotion in Japan. Shouni Naika. 2002; 34: 1213–1218. (Article in Japanese)

    Google Scholar 

  14. Kishi R, Kono S, Omae K, Koizumi A, ed. New Preventive Medicine and Public Health. Japan: Nankodo Co. Ltd.; 2003; (Article in Japanese)

    Google Scholar 

  15. Green LW, Kreuter MW. Health Promotion Planning—An Educational and Environmental Approach. 3rd edition. CA: Mayfield Publishing Co. Ltd.; 1999.

    Google Scholar 

  16. Simons-Morton BG, Brink SG, Parcel GS. Preventing alcohol misuse among adolescents and young adults. A CDC Community Intervention Handbook. Atlanta: Centers for Disease Control; 1989.

    Google Scholar 

  17. Best JA, Thomson SJ, Santi SM, Smith EA, Brown KS. Preventing cigarette smoking among school children. Annu Rev Public Health. 1988; 9: 161–201.

    PubMed  CAS  Google Scholar 

  18. Chaffee TA, Bridge M, Boyer CB. Adolescent violence prevention practices among California pediatricians. Arch Pediatric Adolescent Med. 2000; 154: 1034–1041.

    CAS  Google Scholar 

  19. Fujii C, Furuta S, Sakakibara H. The construction of community collaborative system on health-related illness prevention for elementary school students and junior high school students. Jpn J Public Health. 2003; 50: 622. (Article in Japanese)

    Google Scholar 

  20. Takano M. On the behavior and lifestyle, QOL of junior high schools in Kumamoto Prefecture—construction of a support system according to a PRECEDE-PROCEED model—. Kumamoto Shouni-Hoken. 2003; 21: 6–13. (Article in Japanese)

    Google Scholar 

  21. Ishii T. Manual for health administration in local decentralization. In: Ishii T editor. Chihou Bunken Jidai no Kenko Seisaku Jikken Sho. Japan: Life science center Co. Ltd.; 2001. p. 146–149 (Article in Japanese)

    Google Scholar 

  22. Raphael D, Rukholm E, Brown I, Hill-Bailey P, Donato E. Quality of Life Resources Adolescent Series, Item #6-1. Toronto: Center for Health Promotion of Univ. Toronto; 1996.

    Google Scholar 

  23. Pope C, Mays N. Qualitative Research in Health Care, 2nd edition. London: BMJ Books; 2000.

    Google Scholar 

  24. Fukuda K, Kobayashi S. The Japanese version of the self-rating depression scale. Kyoto: Sankyobo; 1983. (Article in Japanese)

    Google Scholar 

  25. Raphael D, Rukholm E, Brown I, Hill-Bailey P, Donato E. The Quality of Life Profile-Adolescent Version: Background, Description, and Initial Validation. Toronto: Center for Health Promotion of Univ. Toronto; 1996.

    Google Scholar 

  26. Excel 01 User’s Guide, Copyright 2001 Microsoft Corporation.

  27. SPSS Version 11.0 User’s Guide. Copyright 2001 by SPSS Inc.

  28. WHO. Otawa Charter for Health Promotion. WHO; 1986.

  29. Suzuki T, Ohshima T, Watanabe T. Study on association between QOL and health condition of junior high school and elementary school students, from the standpoint of sex, grade, and local conditions. Nihon Kango Gakkai Ronbunshuu Dai 33-kai Shouni Kango. 2003: 21–23. (Article in Japanese)

  30. Wang T, Morioka I, Gowa Y, Miyai N, Yamamoto H, Miyashita K, Takeda S. Relationship between behavioral patterns and subjective symptoms of school children. J Wakayama Med Soc. 2002; 53: 160–167. (Article in Japanese)

    Google Scholar 

  31. Sakai H. Kodomo no “shoku” wo hagukumu kankyo dukuri. J Child Health. 2004; 63: 185–189. (Article in Japanese)

    Google Scholar 

  32. Green LW. What can we generalize from research on patient education and clinical health promotion to physician counseling of diet? Eur J Clinical Nutrition. 1999; 53: 9–18.

    Article  Google Scholar 

  33. Chassin L, Presson CC, Sherman SJ. Cognitive and social influence factors in adolescent smoking cessation. Addictive Behaviors. 1984; 9: 383–390.

    Article  PubMed  CAS  Google Scholar 

  34. Tominaga Y, Yamanaka H, ed. Stress Management Education: Basic version. Japan: Kitaouji Shobo. Co. Ltd.; 2001. (Article in Japanese)

    Google Scholar 

  35. Asakura T. The effect of health on behavior, lifestyle and relationship. In: Yamazaki Y editor. The Sociology of Health and Medicine. Tokyo: Tokyo Univ. Press Foundation; 2001. p. 75–95. (Article in Japanese)

    Google Scholar 

  36. Kotler P, Roberto N, Lee N. Social Marketing, Improving the Quality of life. Thousand Oaks CA: SAGE Publications Inc.; 2002.

    Google Scholar 

Download references

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Correspondence to Miyuki Takano.

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Takano, M., Matsukura, M., Harada, K. et al. Behavior and lifestyle factors related to quality of life in junior high school students. Environ Health Prev Med 10, 94–102 (2005). https://doi.org/10.1007/BF02897999

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