In Discussing with the Relationship between Knowledge, Attitude, and Practice of Obesity and Their Family Diet Leader for Junior High School Adolescents in Yilan

• Main Authors: Sung-Ching Wu, 吳嵩慶
• Other Authors: Shu-Hui Chang
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/88132599329305346464

碩士 === 臺灣大學 === 流行病學研究所 === 98 === Objective： Despite a number of studies addressing obesity of adolescents, very few studies have been conducted to address factors associated the adolescents’ family diet leader. The aim of this research is to investigate the prevalence of overweight（including obesity）for adolescents in Yilan and the association between variables with obesity at family diet leader and adolescents by using logistic modeling approach with particular focus on the family contextual determinants including family diet leader’s knowledge,attitude and practice. Method： The prevalence of overweight（including obesity）in adolescent in Yilan by using Department Of Health criteria.BMI (Kg/M2) was caculated from weight and height measured in physical measurement.The study subjects（n=300）were enrolled by random sampling from a junior high school in Yilan.Adolescent’s characteristis（such as demography, physical activity,self bodyimage, family’s diet leader’s bodyimage,knowledge、attitude and practices of obesity in dietary and physical activity in adolescent…） and family’s diet leader’s characteristis（adolescent’s bodyimage,knowledge、attitude and practices of obesity in dietary and physical activity in family’s diet leader…）were collected via questionnaires. Result： The prevalence of overweight（including obesity）in adolescent in Yilan was 21.85% in female and 32.11% in male respectively.knowledge、attitude and practices of obesity in dietary and physical activity in adolescent. The odds ratio of having correct knowledge with obesity in dietary and physical activity in adolescent for family’s diet leader’s with correct knowledge versus without correct knowledge after adjusted is 2.24.（95%CI=1.29-3.88，P=0.0040). The odds ratio of having identity attitude with obesity in dietary and physical activity in adolescent for having more than 90 mins physical activity in a week in adolescent versus less than 90 mins after adjusted is 2.09（95%CI=1.14-3.82，P=0.0173).The odds ratio of having identity attitude with obesity in dietary and physical activity in adolescent for adolescent’s with correct knowledge versus without correct knowledge after adjusted is 3.88.（95%CI=2.15-7.02，P<0.0001). The odds ratio of having positive behavior with obesity in dietary and physical activity in adolescent for Grade 7 in adolescent versus Grade 8 and 9 after adjusted is 2.11（95%CI=1.01-4.43，P=0.0482).The odds ratio of having positive behavior with obesity in dietary and physical activity in adolescent for adolescent’s with correct knowledge versus without correct knowledge after adjusted is 2.71（95%CI=1.35-5.46，P=0.0052) . The odds ratio of having positive behavior with obesity in dietary and physical activity in adolescent for adolescent’s with identity attitude versus without identity attitude after adjusted is 4.10（95%CI=2.05-8.20，P<0.0001) . The odds ratio of having positive behavior with obesity in dietary and physical activity in adolescent for family’s diet leader’s with positive behavior versus without positive behavior after adjusted is 5.02（95%CI=2.51-10.07，P<0.0001). Conclusion： By using multiple logistic regression adjusting adolescents demography,family diet leader’s demography, physical activity,self bodyimage and so on, we found knowledge and behavior of family diet leader is relative to knowledge and behavior with obesity in dietary and physical activity in adolescents. These results implied that preventive programs beyond individual approaches should be implemented to weight control. And the family diet leader could be appropriate educational targets for health promotion.