School-attendance problems, subjective symptoms and lifestyle factors: The Shizuoka health and lifestyle survey of students

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  • NAKAMURA Mieko
    Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine
  • KONDO Imako
    Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine Faculty of Health Promotional Sciences, Hamamatsu University
  • KUBOTA Akio
    School of Physical Education, Tokai University
  • FURUKAWA Ihoko
    Shizuoka Child and Family Support Center
  • SUZUKI Teruyasu
    Shizuoka Fuji Health Center
  • NAKAMURA Harunobu
    Graduate School of Human Development and Environment, Kobe University
  • HAYAKAWA Norika
    Faculty of Policy Studies, Nanzan University
  • OJIMA Toshiyuki
    Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine
  • AOKI Nobuo
    Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine Faculty of Human Sciences, Tokiwa University

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Other Title
  • 不登校傾向と自覚症状，生活習慣関連要因との関連　静岡県子どもの生活実態調査データを用いた検討
  • フトウコウ ケイコウ ト ジカク ショウジョウ セイカツ シュウカン カンレン ヨウイン ト ノ カンレン シズオカケン コドモ ノ セイカツ ジッタイ チョウサ データ オ モチイタ ケントウ

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Abstract

Purpose This cross-sectional study was conducted to examine the prevalence of students with a sense of not wishing to-attend school, and associations with subjective symptoms and lifestyle factors.<br/>Methods The database of the Shizuoka health and lifestyle survey of students conducted in November 2003 was used. The subjects were 5,448 elementary, junior high and high school students and 1,051 caregivers of elementary school students. A self-administered questionnaire was administered to obtain inflromation on non-willingness to-attend school, subjective symptoms and lifestyle factors for students and lifestyle factors for caregivers.<br/>Results Valid responses were obtained from 2,675 elementary school students, 940 junior high school students, 1,377 high school students and 659 caregivers. The prevalence of students who experienced unwillingness to attend school in males was 11.4% in elementary schools, 12.1% in junior high schools and 25.3% in high schools. The prevalences in females were 9.8%, 19.6% and 35.9%, respectively. Multiple logistic regression analysis with such unwillingness as the objective variable and subjective symptoms and lifestyle factors as the explanatory variables, stratified by school and sex, adjusted for school grade in elementary schools, showed significantly high odds ratios (ORs) for reduction of vitality (OR: 3.68–8.22), irritable moods (OR: 3.00–6.30), feelings of fatigue and weariness (OR: 3.63–5.10) and difficulty waking up in the morning (OR: 1.98–2.69) in each school and sex, with an additional strong tendency for weight loss (OR: 1.83–2.97), with insignificantly high OR of boys in junior high schools (OR: 2.09, 95% Confidence interval: 0.95–4.60). No significant association was found between unwillingness to attend school in elementary school students with the lifestyle factors of their caregivers.<br/>Conclusions There was no gender difference in the prevalence of students with feeleings of unwillingness to attend school in elementary school students, but figures were higher in females than in males for junior high and high school students. This was associated with the same subjective symptoms as those observed for students actually not attending school.

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