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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

The association between self-rated health and social environments, health behaviors and health outcomes: a structural equation analysis

Authors: Bevan Adrian Craig, Darren Peter Morton, Peter John Morey, Lillian Marton Kent, Alva Barry Gane, Terry Leslie Butler, Paul Meredith Rankin, Kevin Ross Price

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

The factors shaping the health of the current generation of adolescents are multi-dimensional and complex. The purpose of this study was to explore the determinants of self-rated health (SRH) of adolescents attending a faith-based school system in Australia.

Methods

A total of 788 students attending 21 Seventh-day Adventist schools in Australia responded to a health and lifestyle survey that assessed SRH as well as potential determinants of SRH including the health outcomes mental health, vitality, body mass index (BMI), select health behaviors, social factors and personal demographics. Structural equation modeling was used to analyze the data and examine the direct and indirect effects of these factors on SRH.

Results

The structural model developed was a good fit with the data. The health outcome mental health had the strongest association with SRH (β = 0.17). Several upstream variables were also associated with higher SRH ratings. The health behavior sleep hours had the strongest association with SRH (βtotal = 0.178) followed by fruit/vegetable consumption (βtotal = 0.144), physical activity (βtotal = 0.135) and a vegetarian diet (βtotal = 0.103). Of the demographic and social variables measured, adverse childhood experiences (ACEs) had the strongest association with SRH (βtotal = − 0.125), negatively influencing SRH, and gender also associated with an increase in SRH (βtotal = 0.092), with the influence of these factors being mediated through other variables in the model.

Conclusions

This study presents a conceptual model that illustrates the complex network of factors concomitantly associated with SRH in adolescents. The outcomes of the study provide insights into the determinants of adolescent SRH which may inform priority areas for improving this construct.
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Metadata
Title
The association between self-rated health and social environments, health behaviors and health outcomes: a structural equation analysis
Authors
Bevan Adrian Craig
Darren Peter Morton
Peter John Morey
Lillian Marton Kent
Alva Barry Gane
Terry Leslie Butler
Paul Meredith Rankin
Kevin Ross Price
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5323-y

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