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Family characteristics and health behaviour as antecedents of school nurses' concerns about adolescents' health and development: a path model approach.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Poutiainen, Hannele Levälahti, Esko Hakulinen-Viitanen, Tuovi Laatikainen, Tiina
Description	Author Affiliation: Poutiainen H ( Social and Health Affairs, City of Lahti, P.O. Box 116, 15101 Lahti, Finland. Electronic address: hannele.poutiainen@lahti.fi.); Levälahti E ( National Institute for Health and Welfare, Department of Chronic Disease Prevention, P.O. Box 30, 00271 Helsinki, Finland. Electronic address: esko.levalahti@thl.fi.); Hakulinen-Viitanen T ( National Institute for Health and Welfare, Department of Children, Young People and Families, P.O. Box 30, 00271 Helsinki, Finland. Electronic address: tuovi.hakulinen-viitanen@thl.fi.); Laatikainen T ( University of Eastern Finland, Institute of Public Health and Clinical Nutrition, P.O. Box 1627, 70211 Kuopio, Finland)
Abstract	BACKGROUND: Family socio-economic factors and parents' health behaviours have been shown to have an impact on the health and well-being of children and adolescents. Family characteristics have also been associated with school nurses' concerns, which arose during health examinations, about children's and adolescents' physical health and psychosocial development. Parental smoking has also been associated with smoking in adolescents. OBJECTIVES: The aim of this study was to determine to what extent school nurses' concerns about adolescents' physical health and psychosocial development related to family characteristics are mediated through parents' and adolescents' own health behaviours (smoking). DESIGN: A path model approach using cross-sectional data was used. SETTINGS: In 2008-2009, information about health and well-being of adolescents was gathered at health examinations of the Children's Health Monitoring Study. PARTICIPANTS: Altogether 1006 eighth and ninth grade pupils in Finland participated in the study. METHODS: The associations between family characteristics, smoking among parents and adolescents and school nurses' concerns about adolescents' physical health and psychosocial development were examined using a structural equation model. RESULTS: Paternal education had a direct, and, through fathers' and boys' smoking, an indirect association with school nurses' concerns about the physical health of boys. Paternal labour market status and family income were only indirectly associated with concerns about the physical health of boys by having an effect on boys' smoking through paternal smoking, and a further indirect effect on concerns about boys' health. In girls, only having a single mother was strongly associated with school nurses' concerns about psychosocial development through maternal and adolescent girl smoking. CONCLUSIONS: Socio-economic family characteristics and parental smoking influence adolescent smoking and are associated with school nurses' concerns about adolescents' physical health and psychosocial development. The findings underline the importance of comprehensively taking into account adolescents' and parents' health behaviours and the family situation in health-care contacts when providing health counselling.
File Format	HTM / HTML
ISSN	00207489
Issue Number	5
Volume Number	52
e-ISSN	1873491X
Journal	International Journal of Nursing Studies
Language	English
Publisher	Elsevier
Publisher Date	2015-05-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Nursing Adolescent Health Family Health Behavior Models, Theoretical School Nursing Adolescent Cross-sectional Studies Female Humans Male Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Nursing

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