title: Influence of individual and socio-environmental factors on self-rated health in adolescents.
abstract: OBJECTIVE
  This study aimed to determine if individual and socio-environmental characteristics can influence the self-rated health among Brazilian adolescents.
  
  
  METHODS
  It included 1,042 adolescents from 11 to 17 years old who participated in the Beagá Health Study (Estudo Saúde em Beagá), a multistage household survey in an urban setting. Logistic regression analyses were performed to determine the association between the self-rated health and the following explanatory variables: sociodemographic factors, social support, lifestyle, physical and psychological health.
  
  
  RESULTS
  Good/very good and reasonable/poor/very poor self-rated health were reported by 88.5 and 11.5% of adolescents, respectively. The data on sociodemographic factors (SES), social support, lifestyle, psychological and physical health were associated with poor self-rated health (p ≤ 0.05). The associated variables were: age 14 - 17 years (OR =1.71; 95%CI 1.06 - 2.74), low SES (OR =1.68; 95%CI 1.05 - 2.69), few (OR = 2.53; 95%CI 1.44 - 4.46) and many quarrels in family (OR = 9.13; 95%CI 4.53 - 18.39), report of unkind and unhelpful peers (OR = 2.21; 95%CI 1.11 - 4.43), consumption of fruits < 5 times a week (OR = 1.78; 95CI% 1.07 - 2.95), physical inactivity (OR = 2.31; 95%CI 1.15 - 4.69), overweight (OR = 2.42; 95%CI 1.54 - 3.79) and low level of life satisfaction (OR = 2.31; 95%CI 1.34 - 3.98).
  
  
  CONCLUSIONS
  Poor self-rated health among adolescents was associated with individual and socio-environmental characteristics related to family, school and neighborhood issues. Quantifying the self-rated health according to the theoretical framework of the child's well-being should help in arguing that self-rated health might be a strong indicator of social inequities for the studied population.
authors.affiliation: School of Health Sciences of Trairi, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, Brazil.
authors.forename: Adriana Lúcia
authors.initials: AL
authors.lastname: Meireles
authors.affiliation: Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: César Coelho
authors.initials: CC
authors.lastname: Xavier
authors.affiliation: Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Fernando Augusto
authors.initials: FA
authors.lastname: Proietti
authors.affiliation: Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Waleska Teixeira
authors.initials: WT
authors.lastname: Caiaffa
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006304:Health Status; D006801:Humans; D008019:Life Style; D008297:Male; D008603:Mental Health; D012307:Risk Factors; D057566:Self Report; D012944:Social Support; D012959:Socioeconomic Factors