Comportamentos de risco à saúde e atitudes em relação à atividade física em estudantes universitários
DOI:
https://doi.org/10.47197/retos.v67.114840Palavras-chave:
Health risk behavior, physical activity, alcohol, illicit drug, risky sexual behavior.Resumo
Contexto: A adolescência e o início da idade adulta representam um período crítico que molda os resultados de saúde a longo prazo e estabelece as bases para uma vida saudável e produtiva. Entender a influência dos comportamentos de risco à saúde na atividade física e nos hábitos alimentares é essencial para intervenções direcionadas à saúde pública.
Objetivo: O objetivo principal deste estudo foi avaliar o impacto de diversas dimensões de comportamentos de risco à saúde na atividade física entre estudantes universitários e examinar as diferenças na atividade física e nos padrões alimentares por gênero.
Metodologia: Trata-se de um estudo transversal que investigou atitudes e comportamentos de estudantes em relação aos riscos à saúde e à atividade física. A análise abrangeu seis dimensões de comportamentos de risco à saúde: tabagismo, consumo de álcool, uso de drogas ilícitas, dieta e comportamentos sexuais de risco. Um total de 95 estudantes (30 mulheres e 65 homens), com idades entre 20 e 30 anos, foram selecionados por amostragem aleatória. Os dados foram coletados usando o Leah Health Risk Behavior Inventory.
Resultados: Estatísticas descritivas revelaram diferenças de gênero nos níveis de atividade física, com os homens apresentando maior participação em comparação às mulheres. A análise de correlação indicou que a dieta e os hábitos de fumar estavam significativamente correlacionados com a atividade física. Além disso, tabagismo, consumo de álcool, uso de drogas e comportamento sexual de risco apresentaram correlações significativas com padrões alimentares. O consumo de álcool também foi significativamente associado ao uso de drogas e comportamentos sexuais de risco, enquanto os comportamentos sexuais de risco estavam fortemente relacionados ao uso de drogas ilícitas.
Conclusão: O estudo destaca as inter-relações entre vários comportamentos de risco à saúde. Essas descobertas ressaltam a importância de programas inclusivos de educação em saúde que abordem múltiplas dimensões de risco para promover estilos de vida mais saudáveis entre jovens adultos.
Referências
Anischenko, A., Gurevich, K., Arhangelskaya, A., Klenov, M., Burdukova, E., Ogarev, V., ... & Osadchenko, I. (2016). Behaviour risk factors among Russian university students majoring in medicine, edu-cation, and exercise science. International Quarterly of Community Health Education, 36(4), 219–225. https://doi.org/10.1177/0272684X16667138
Arnett, J. J. (2000). Emerging adulthood: A theory of development from the late teens through the twen-ties. American Psychologist, 55(5), 469–480. https://doi.org/10.1037/0003-066X.55.5.469
Biglan, A., Brennan, P. A., Foster, S. L., & Holder, H. D. (2004). Helping adolescents at risk: Prevention of multiple problem behaviors. Guilford Press.
Blum, R. W., & Nelson-Mmari, K. (2004). The health of young people in a global context. Journal of Ado-lescent Health, 35(5), 402–418. https://doi.org/10.1016/j.jadohealth.2003.10.007
Bryan, A., Schmiege, S. J., & Magnan, R. E. (2007). Marijuana use and risky sexual behavior among high-risk adolescents: A test of the cognitive escape theory. Psychology of Addictive Behaviors, 21(1), 84–90. https://doi.org/10.1037/0893-164X.21.1.84
Cargiulo, T. (2007). Understanding the health impact of alcohol dependence. American Journal of Health-System Pharmacy, 64(5_Supplement_3), S5–S11. https://doi.org/10.2146/ajhp060465
Cooper, M. L. (2006). Does drinking promote risky sexual behavior? A complex answer to a simple ques-tion. Current Directions in Psychological Science, 15(1), 19–23. https://doi.org/10.1111/j.0963-7214.2006.00385.x
Donati, M. A., Chiesi, F., & Primi, C. (2019). Gambling and substance use among Italian adolescents: The role of social and cognitive factors. BMJ Open, 9(11), e031737. https://doi.org/10.1136/bmjopen-2019-031737
Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Ross, J., Hawkins, J., ... & Wechsler, H. (2006). Youth risk behavior surveillance—United States, 2005. Morbidity and Mortality Weekly Report, 55(SS-5), 1–108.
Fromme, K., Corbin, W. R., & Kruse, M. I. (1999). Behavioral risks during the transition from high school to college. Developmental Psychology, 35(1), 247–257. https://doi.org/10.1037/0012-1649.35.1.247.
Fung, T. T., Willett, W. C., Stampfer, M. J., Manson, J. E., & Hu, F. B. (2001). Dietary patterns and the risk of coronary heart disease in women. Archives of Internal Medicine, 161(15), 1857–1862. https://doi.org/10.1001/archinte.161.15.1857
GBD 2019 Risk Factors Collaborators. (2020). Global burden of 87 risk factors in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1223–1249. https://doi.org/10.1016/S0140-6736(20)30752-2
Gerrard, M., Gibbons, F. X., Houlihan, A. E., Stock, M. L., & Pomery, E. A. (2008). A dual-process approach to health risk decision making: The prototype willingness model. Developmental Review, 28(1), 29–61. https://doi.org/10.1016/j.dr.2007.10.001
González, K., Fuentes, J., & Márquez, J. L. (2017). Physical inactivity, sedentary behavior and chronic diseases. Korean Journal of Family Medicine, 38(3), 111–115. https://doi.org/10.4082/kjfm.2017.38.3.111
Hallal, P. C., Andersen, L. B., Bull, F. C., Guthold, R., Haskell, W., & Ekelund, U. (2012). Global physical activity levels: Surveillance progress, pitfalls, and prospects. The Lancet, 380(9838), 247–257. https://doi.org/10.1016/S0140-6736(12)60646-1
Hendershot, C. S., Stoner, S. A., George, W. H., & Norris, J. (2007). Alcohol use, expectancies, and sexual sensation seeking as correlates of HIV risk behavior in heterosexual young adults. Psychology of Addictive Behaviors, 21(3), 365–372. https://doi.org/10.1037/0893-164X.21.3.365
Jamal, A., King, B. A., Neff, L. J., Whitmill, J., Babb, S. D., & Graffunder, C. M. (2016). Current cigarette smoking among adults—United States, 2005–2015. Morbidity and Mortality Weekly Report, 65(44), 1205–1211. https://doi.org/10.15585/mmwr.mm6544a2
Jane‐Llopis, E., & Matytsina, I. (2006). Mental health and alcohol, drugs and tobacco: A review of the comorbidity between mental disorders and the use of alcohol, tobacco and illicit drugs. Drug and Alcohol Review, 25(6), 515–536. https://doi.org/10.1080/09595230600944461
Janssen, I., & LeBlanc, A. G. (2010). Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity, 7, Article 40. https://doi.org/10.1186/1479-5868-7-40
Jessor, R. (1991). Risk behavior in adolescence: A psychosocial framework for understanding and ac-tion. Journal of Adolescent Health, 12(8), 597–605. https://doi.org/10.1016/1054-139X(91)90007-K
Jessor, R. (2014). Problem behaviour theory: A half-century of research on adolescent behaviour and development. The Developmental Science of Adolescence: History Through Autobiography, 239–256.
Kaewthummanukul, T., & Brown, K. C. (2006). Determinants of exercise participation among college students. Journal of Advanced Nursing, 54(6), 664–672. https://doi.org/10.1111/j.1365-2648.2006.03859.x
Kolek, E. A. (2006). Understanding the alcohol use of college students: A study in moral development. NASPA Journal, 43(3), 448–465.
Kumar, S., Singh, R., & Yadav, R. (2023). Risky sexual behaviors among unmarried youth in India: Evi-dence from NFHS-5. https://www.researchgate.net/publication/384117539
Kuntsche, E., Knibbe, R., Gmel, G., & Engels, R. (2005). Why do young people drink? A review of drinking motives. Clinical Psychology Review, 25(7), 841–861. https://doi.org/10.1016/j.cpr.2005.06.002
Larson, N. I., Neumark-Sztainer, D., Hannan, P. J., & Story, M. (2008). Trends in adolescent fruit and vege-table consumption, 1999–2004: Project EAT. American Journal of Preventive Medicine, 35(5), 426–431. https://doi.org/10.1016/j.amepre.2008.07.014
Laska, M. N., Pasch, K. E., Lust, K., Story, M., & Ehlinger, E. (2010). The differential prevalence of obesity and related health behaviors in two- vs. four-year colleges. Obesity, 19(2), 453–456. https://doi.org/10.1038/oby.2010.262
Leah, M. S., Fernandes, A., & Thompson, G. (2019). Health risk behavior inventory for university stu-dents: Development and psychometric validation. Journal of Adolescent Health Research, 12(2), 87–95.
Lisha, N. E., & Sussman, S. (2010). Relationship of high school and college sports participation with al-cohol, tobacco, and illicit drug use: A review. Addictive Behaviors, 35(5), 399–407. https://doi.org/10.1016/j.addbeh.2009.12.032
Mohan, R., Patel, N., & Das, A. (2024). HIV awareness and testing behavior among young Indian men: A cross-sectional analysis. Sexual & Reproductive HealthCare, 40, 100885. https://doi.org/10.1016/j.srhc.2024.100885
Murray, C. J., & Lopez, A. D. (1997). Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. The Lancet, 349(9064), 1498–1504. https://doi.org/10.1016/S0140-6736(96)07492-2
Must, A., Spadano, J., Coakley, E. H., Field, A. E., Colditz, G., & Dietz, W. H. (1999). The disease burden associated with overweight and obesity. JAMA, 282(16), 1523–1529. https://doi.org/10.1001/jama.282.16.1523
Nanda, S. (Ed.). (2018). Psycho-Socio-Physical Dimensions of Adolescent Health Management: Emerg-ing Research and Opportunities. IGI Global. https://doi.org/10.4018/978-1-5225-5079-8
Nelson, M. C., Lust, K., Story, M., & Ehlinger, E. (2009). Credit card debt, stress and key health risk behav-iors among college students. American Journal of Health Promotion, 23(6), 400–406.
Nelson, M. C., Story, M., Larson, N. I., Neumark-Sztainer, D., & Lytle, L. A. (2008). Emerging adulthood and college-aged youth: An overlooked age for weight-related behavior change. Obesity, 16(10), 2205–2211.
Park, C. L. (2004). Positive and negative consequences of alcohol consumption in college students. Ad-dictive Behaviors, 29(2), 311–321. https://doi.org/10.1016/j.addbeh.2003.08.006
Parasuraman, A., Zeithaml, V. A., & Malhotra, A. (2005). E-S-QUAL: A Multiple-Item Scale for Assessing Electronic Service Quality. Journal of Service Research, 7(3), 213-233. https://doi.org/10.1177/1094670504271156
Patrick, M. E., Wray-Lake, L., Finlay, A. K., & Maggs, J. L. (2011). The long arm of expectancies: Adoles-cent alcohol expectancies predict adult alcohol use. Alcohol and Alcoholism, 47(6), 625–631. https://doi.org/10.1093/alcalc/ags058
Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., ... & Viner, R. M. (2016). Our fu-ture: A Lancet commission on adolescent health and wellbeing. The Lancet, 387(10036), 2423–2478. https://doi.org/10.1016/S0140-6736(16)00579-1
Pengpid, S., Peltzer, K., & Mirrakhimov, E. M. (2014). Prevalence of health risk behaviours and their associated factors among university students in Kyrgyzstan. International Journal of Adoles-cent Medicine and Health, 26(2), 175–185. https://doi.org/10.1515/ijamh-2013-0301
Peretti-Watel, P., Guagliardo, V., Verger, P., Pruvost, J., Mignon, P., & Obadia, Y. (2003). Sporting activity and drug use: Alcohol, cigarette and cannabis use among elite student athletes. Addiction, 98(9), 1249–1256. https://doi.org/10.1046/j.1360-0443.2003.00401.x
Perry, C. L., Stigler, M. H., Arora, M., & Reddy, K. S. (2002). Preventing tobacco use among young people in India: Project MYTRI. American Journal of Public Health, 92(12), 1996–2002.
Plotnikoff, R. C., Mayhew, A., Birkett, N., Loucaides, C. A., & Fodor, G. (2004). Age, gender, and urban–rural differences in the correlates of physical activity. Preventive Medicine, 39(6), 1115–1125. https://doi.org/10.1016/j.ypmed.2004.04.024
Prochaska, J. J., Spring, B., & Nigg, C. R. (2008). Multiple health behavior change research: An introduc-tion and overview. Preventive Medicine, 46(3), 181–188. https://doi.org/10.1016/j.ypmed.2008.02.001
Rai, P., Sharma, V., & Thomas, M. (2023). Influence of digital media on premarital sexual behavior and contraceptive use among Indian youth. PLOS ONE, 18(5), e0285047. https://doi.org/10.1371/journal.pone.0285047
Sawyer, S. M., Afifi, R. A., Bearinger, L. H., Blakemore, S. J., Dick, B., Ezeh, A. C., & Patton, G. C. (2012). Adolescence: A foundation for future health. The Lancet, 379(9826), 1630–1640. https://doi.org/10.1016/S0140-6736(12)60072-5
Schuit, A. J., van Loon, A. J., Tijhuis, M., & Ocké, M. C. (2002). Clustering of lifestyle risk factors in a gen-eral adult population. Preventive Medicine, 35(3), 219–224. https://doi.org/10.1006/pmed.2002.1042
Shields, M. (2006). Overweight and obesity among children and youth. Health Reports, 17(3), 27–42.
Shiu, L. K. C., Loke, W. M., Vijaya, K., & Sandhu, N. K. (2012). Nurturing healthy dietary habits among children and youth in Singapore. Asia Pacific Journal of Clinical Nutrition, 21(1), 144–150.
Singer, M., Bulled, N., Ostrach, B., & Mendenhall, E. (2017). Syndemics and the biosocial conception of health. The Lancet, 389(10072), 941–950. https://doi.org/10.1016/S0140-6736(17)30003-X
Soldera, M., Dalgalarrondo, P., Corrêa Filho, H. R., & Silva, C. A. (2004). Uso pesado de álcool por estudantes dos ensinos fundamental e médio de escolas centrais e periféricas de Campinas (SP): prevalência e fatores associados [Heavy alcohol use among elementary and high-school students in downtown and outskirts of Campinas City-São Paulo: prevalence and related factors]. Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 26(3), 174–179. https://doi.org/10.1590/s1516-44462004000300007
Spring, B., Moller, A. C., & Coons, M. J. (2012). Multiple health behaviours: Overview and implications. Journal of Public Health, 34(suppl_1), i3–i10. https://doi.org/10.1093/pubmed/fds004
Stampfer, M. J., & Willett, W. C. (2000). Nutrition and heart disease: A personal perspective. Journal of the American Medical Association, 284(24), 3168–3170.
Sunitha, S., & Gururaj, G. (2014). Health behaviours and problems among young people in India: Cause for concern and call for action. Indian Journal of Medical Research, 140(2), 185–208.
Twenge, J. M., Cooper, A. B., Joiner, T. E., Duffy, M. E., & Binau, S. G. (2021). Age, period, and cohort trends in mood disorder indicators and suicide-related outcomes in a nationally representative dataset, 2005–2017. Journal of Abnormal Psychology, 130(3), 308–322. https://doi.org/10.1037/abn0000652
Gururaj, G., Murthy, P., Girish, N., & Benegal, V. (2011). Alcohol related harm: Implications for public health and policy in India. Bangalore: NIMHANS. https://www.nimhans.ac.in/wp-
Liz Bryan, C. (2006). Global youth tobacco survey (India 2006). World Health Organization & CDC.
Kumar, S., Singh, R., & Yadav, R. (2023). Risky sexual behaviors among unmarried youth in India: Evi-dence from NFHS-5. https://www.researchgate.net/publication/384117539
UNAIDS. (2023). India – HIV and AIDS estimates. https://www.unaids.org/en/regionscountries/countries/india
van Nieuwenhuijzen, M., Junger, M., Velderman, M. K., Wiefferink, C. H., Paulussen, T. W., Hooijsma, A., & Reijneveld, S. A. (2009). Clustering of health-compromising behavior and delinquency in adoles-cents and adults in the Dutch population. Preventive Medicine, 48(6), 572–578. https://doi.org/10.1016/j.ypmed.2009.04.008
Warburton, D. E. R., Nicol, C. W., & Bredin, S. S. D. (2006). Health benefits of physical activity: The evi-dence. CMAJ, 174(6), 801–809. https://doi.org/10.1503/cmaj.051351sk
Whitman, C. V. (2001). Student health: Overcoming barriers to learning. Education Development Cen-ter, Inc.
World Health Organization. (2003). Adolescent friendly health services: An agenda for change. WHO.
World Health Organization. (2009). Global health risks: Mortality and burden of disease attributable to selected major risks. WHO.
World Health Organization. (2011). Global status report on non-communicable diseases. WHO.
World Health Organization. (2021). Adolescent health. https://www.who.int/health-topics/adolescent-health
World Health Organization. (2021). Global status report on physical activity 2021. https://www.who.int/publications/i/item/9789240038148
World Health Organization. (2023). Tobacco. https://www.who.int/news-room/fact-sheets/detail/tobaccoL
World Health Survey – India. (2003). WHO Country Report.
Zuckerman, M. (2007). Sensation seeking and risky behavior. American Psychological Association. https://doi.org/10.1037/11555-000
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