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2013-07-16Zeitschriftenartikel DOI: 10.3390/ijerph10072944
Distal and Proximal Factors of Health Behaviors and Their Associations with Health in Children and Adolescents
dc.contributor.authorLämmle, Lena
dc.contributor.authorWoll, Alexander
dc.contributor.authorMensink, Gert
dc.contributor.authorBös, Klaus
dc.date.accessioned2018-05-07T16:49:15Z
dc.date.available2018-05-07T16:49:15Z
dc.date.created2013-07-17
dc.date.issued2013-07-16none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/re1URYZtJ3Wa/PDF/28ChKyNRXAyo.pdf
dc.identifier.urihttp://edoc.rki.de/176904/1599
dc.description.abstractObjective: The aim of the present paper was to analyze factors affecting distal and proximal health behavior within a biopsychosocial model for examining their interactions and associations with respect to health. Methods: Path analysis was based on the nationwide, cross-sectional German Health Interview and Examination Survey for Children and Adolescents (2003 to 2006). The data was collected from 4,529 participants with an average age of 9.45 years (SD = 4.01). Socio-demographic data, psychosocial factors and health behavior were assessed via questionnaire. Participants also underwent physical fitness tests and a medical examination. Results: Over the five levels of the model analyzed with socioeconomic status, immigration background, and rural-urban differences on the first level; physical activity of relatives and peers, intrinsic motivation, and quality of life on the second level; eating patterns, sedentary behavior, and physical activity on the third level; physical fitness and objective health on the fourth level; and health complaints and subjective health on the fifth level; direct, moderation, and mediation effects could be shown. Conclusions: Several distal and proximal factors are needed to take account of the multivariate complexity of health: e.g., immigration background affected health behaviors only indirectly and the effect of physical activity on objective health was mediated by physical fitness.eng
dc.language.isoeng
dc.publisherRobert Koch-Institut, Epidemiologie und Gesundheitsberichterstattung
dc.subjecthealth behavioreng
dc.subjectpsychosocial determinantseng
dc.subjectobjective healtheng
dc.subjecthealth complaintseng
dc.subjectsubjective healtheng
dc.subject.ddc610 Medizin
dc.titleDistal and Proximal Factors of Health Behaviors and Their Associations with Health in Children and Adolescents
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-10031880
dc.identifier.doi10.3390/ijerph10072944
dc.identifier.doihttp://dx.doi.org/10.25646/1524
local.edoc.container-titleInternational Journal of Environmental Research and Public Health
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttp://www.mdpi.com/1660-4601/10/7/2944
local.edoc.container-publisher-nameMDPI
local.edoc.container-volume10
local.edoc.container-issue7
local.edoc.container-year2013

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