title: Role of gender, family, lifestyle and psychological factors in self-rated health among urban adolescents in Peru: a school-based cross-sectional survey.
abstract: OBJECTIVE
  We examined the role of gender, family, lifestyle and psychological factors in self-rated health.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  A total of 970 randomly selected students from 11 secondary schools in Lima and Callao, Peru, participated in 2014.
  
  
  METHODS
  Self-rated health was measured with a single item: 'In general, how would you rate your health?' Responses were arranged along a five-point Likert-type scale: 'excellent', 'very good', 'good', 'fair' and 'poor'. The outcome variable was dichotomised as 'good' (excellent, very good or good) or 'poor/fair' (poor or fair).
  
  
  METHODS
  We calculated adjusted ORs (AORs) and 95% CIs for poor/fair self-rated health using multivariate logistic regression analyses at 3-graded levels.
  
  
  RESULTS
  32.5% of the respondents had fair/poor self-rated health, 23.7% of the total males and 40.0% of the total female samples. Males were less likely to have poor/fair self-rated health (AOR 0.61; CI 0.41 to 0.91). Poor family support strongly increased the likelihood of having poor/fair self-rated health (no support, (AOR 3.15; CI 1.63 to 6.09); low support, (AOR 2.50; CI 1.29 to 4.85)). The other associated variables were missed meals due to a shortage of food (AOR 1.97; CI 1.15 to 3.36), television watching during leisure time (AOR 1.70; CI 1.09 to 2.67), low physical activity (AOR 1.49; CI 1.03 to 2.15), school absenteeism (AOR 1.54; CI 1.03 to 2.31) and perceived life satisfaction (AOR 0.28; CI 0.15 to 0.25).
  
  
  CONCLUSIONS
  Gender, missing meals due to a shortage of food, family support, physical activity and life satisfaction influenced self-rated health among adolescents in Peru. Interventions that focus on promoting physical activity for at least 1 h each day for 3 or more days per week, food security and strengthening supportive family roles may improve self-rated health during adolescence.
authors: Yonsei Global Health Center, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea Institute for Poverty Alleviation and International Development, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea Department of Health Administration, Graduate School, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea.
authors: Bimala
authors: B
authors: Sharma
authors: Yonsei Global Health Center, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea Institute for Poverty Alleviation and International Development, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea Department of Health Administration, Graduate School, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea.
authors: Eun Woo
authors: EW
authors: Nam
authors: Yonsei Global Health Center, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea Institute for Poverty Alleviation and International Development, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea Department of Health Administration, Graduate School, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea.
authors: Dohyeong
authors: D
authors: Kim
authors: Yonsei Global Health Center, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea Department of Health Administration, Graduate School, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea.
authors: Young Min
authors: YM
authors: Yoon
authors: Department of Health Administration, Graduate School, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea.
authors: Yeunju
authors: Y
authors: Kim
authors: Yonsei Global Health Center, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea Department of Health Administration, Graduate School, Yonsei University, Wonju City, Gangwon-do, the Republic of Korea.
authors: Ha Yun
authors: HY
authors: Kim
mesh_terms: D000041:Absenteeism; D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D005195:Family Relations; D005260:Female; D006304:Health Status; D006801:Humans; D007899:Leisure Activities; D008019:Life Style; D008297:Male; D009043:Motor Activity; D010549:Personal Satisfaction; D010568:Peru; D012574:Schools; D057566:Self Report; D012737:Sex Factors; D011795:Surveys and Questionnaires; D014505:Urban Population; D055815:Young Adult
keywords: Peru; adolescent; family support; lifestyle; self-rated health