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The clustering of multiple health and lifestyle behaviors among Swedish adolescents: a person-oriented analysis

BACKGROUND: Knowledge of the distribution, prevalence, and clustering of multiple health and lifestyle related behaviors (HLBs) among adolescents can inform the development of effective health-promoting policies and interventions. We assessed the clustering of multiple HLBs among 11, 13 and 15-year-...

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Autores principales: Jonsson, Kenisha Russell, Corell, Maria, Löfstedt, Petra, Adjei, Nicholas Kofi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10394625/
https://www.ncbi.nlm.nih.gov/pubmed/37538263
http://dx.doi.org/10.3389/fpubh.2023.1178353
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author Jonsson, Kenisha Russell
Corell, Maria
Löfstedt, Petra
Adjei, Nicholas Kofi
author_facet Jonsson, Kenisha Russell
Corell, Maria
Löfstedt, Petra
Adjei, Nicholas Kofi
author_sort Jonsson, Kenisha Russell
collection PubMed
description BACKGROUND: Knowledge of the distribution, prevalence, and clustering of multiple health and lifestyle related behaviors (HLBs) among adolescents can inform the development of effective health-promoting policies and interventions. We assessed the clustering of multiple HLBs among 11, 13 and 15-year-old Swedish adolescents and examined the socioeconomic and demographic correlates for the identified clusters. METHODS: We used data from the 2017/2018 Swedish Health Behaviour in School-aged children (HBSC) study to conduct sex and age-stratified latent class analysis (LCA). The LCA was based on five HLBs: eating behavior and habits (EBH), physical activity (PA), tobacco usage (TU), alcohol consumption (AC) and sleeping habits and patterns (SHPs). Multinomial logistic regression models were used to assess the associations between the identified clusters and the socioeconomic and demographic characteristics of adolescents and their parents. RESULTS: Health behaviors varied by sex and age. Four distinct clusters were identified based on sex: cluster 1 (Mixed eating behaviors and habits, physical activity and low alcohol consumption), cluster 2 (Healthy lifestyle behaviors), cluster 3 (Unhealthy lifestyle behaviors), and cluster 4 (Breakfast, low alcohol consumption and tobacco usage). In the age-stratified analyzes, three clusters were identified: cluster 1 (Unhealthy lifestyle behaviors), cluster 2 (Moderately healthy lifestyle behaviors) and cluster 3 (Healthy lifestyle behaviors). The multinomial analysis showed that sex, age, family situation and perceived family wealth were strong predictors of health behaviors. Unhealthy behaviors were most commonly associated with socioeconomic disadvantage, having a migrant background, and living in reconstructed families or single-parent households. CONCLUSION: Health behaviors vary significantly based on socioeconomic and demographic circumstances. Targeted policies and intervention programs are necessary to improve HLBs among vulnerable and at-risk adolescents.
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spelling pubmed-103946252023-08-03 The clustering of multiple health and lifestyle behaviors among Swedish adolescents: a person-oriented analysis Jonsson, Kenisha Russell Corell, Maria Löfstedt, Petra Adjei, Nicholas Kofi Front Public Health Public Health BACKGROUND: Knowledge of the distribution, prevalence, and clustering of multiple health and lifestyle related behaviors (HLBs) among adolescents can inform the development of effective health-promoting policies and interventions. We assessed the clustering of multiple HLBs among 11, 13 and 15-year-old Swedish adolescents and examined the socioeconomic and demographic correlates for the identified clusters. METHODS: We used data from the 2017/2018 Swedish Health Behaviour in School-aged children (HBSC) study to conduct sex and age-stratified latent class analysis (LCA). The LCA was based on five HLBs: eating behavior and habits (EBH), physical activity (PA), tobacco usage (TU), alcohol consumption (AC) and sleeping habits and patterns (SHPs). Multinomial logistic regression models were used to assess the associations between the identified clusters and the socioeconomic and demographic characteristics of adolescents and their parents. RESULTS: Health behaviors varied by sex and age. Four distinct clusters were identified based on sex: cluster 1 (Mixed eating behaviors and habits, physical activity and low alcohol consumption), cluster 2 (Healthy lifestyle behaviors), cluster 3 (Unhealthy lifestyle behaviors), and cluster 4 (Breakfast, low alcohol consumption and tobacco usage). In the age-stratified analyzes, three clusters were identified: cluster 1 (Unhealthy lifestyle behaviors), cluster 2 (Moderately healthy lifestyle behaviors) and cluster 3 (Healthy lifestyle behaviors). The multinomial analysis showed that sex, age, family situation and perceived family wealth were strong predictors of health behaviors. Unhealthy behaviors were most commonly associated with socioeconomic disadvantage, having a migrant background, and living in reconstructed families or single-parent households. CONCLUSION: Health behaviors vary significantly based on socioeconomic and demographic circumstances. Targeted policies and intervention programs are necessary to improve HLBs among vulnerable and at-risk adolescents. Frontiers Media S.A. 2023-07-19 /pmc/articles/PMC10394625/ /pubmed/37538263 http://dx.doi.org/10.3389/fpubh.2023.1178353 Text en Copyright © 2023 Jonsson, Corell, Löfstedt and Adjei. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Jonsson, Kenisha Russell
Corell, Maria
Löfstedt, Petra
Adjei, Nicholas Kofi
The clustering of multiple health and lifestyle behaviors among Swedish adolescents: a person-oriented analysis
title The clustering of multiple health and lifestyle behaviors among Swedish adolescents: a person-oriented analysis
title_full The clustering of multiple health and lifestyle behaviors among Swedish adolescents: a person-oriented analysis
title_fullStr The clustering of multiple health and lifestyle behaviors among Swedish adolescents: a person-oriented analysis
title_full_unstemmed The clustering of multiple health and lifestyle behaviors among Swedish adolescents: a person-oriented analysis
title_short The clustering of multiple health and lifestyle behaviors among Swedish adolescents: a person-oriented analysis
title_sort clustering of multiple health and lifestyle behaviors among swedish adolescents: a person-oriented analysis
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10394625/
https://www.ncbi.nlm.nih.gov/pubmed/37538263
http://dx.doi.org/10.3389/fpubh.2023.1178353
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