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Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis
BACKGROUND: Adolescent health risk behaviors are a public health priority given their prevalence and their associations with chronic diseases and life quality in adulthood. This study examined the heterogeneity of adolescent health risk behaviors and the associations between demographic characterist...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019255/ https://www.ncbi.nlm.nih.gov/pubmed/29944679 http://dx.doi.org/10.1371/journal.pone.0199286 |
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author | Ji, Yuanyi Xu, Huanyu Zhang, Yu Liu, Qiaolan |
author_facet | Ji, Yuanyi Xu, Huanyu Zhang, Yu Liu, Qiaolan |
author_sort | Ji, Yuanyi |
collection | PubMed |
description | BACKGROUND: Adolescent health risk behaviors are a public health priority given their prevalence and their associations with chronic diseases and life quality in adulthood. This study examined the heterogeneity of adolescent health risk behaviors and the associations between demographic characteristics and subgroup membership in rural western China. METHODS: In fall 2015, 2805 students from rural middle schools in Sichuan Province were surveyed using the Health-Related Behavior Questionnaire for Adolescents. Latent class analysis (LCA) was used to identify subgroups of adolescents with distinct patterns of health risk behaviors. Differences in class membership related to selected demographic characteristics were examined using multinomial logistic regression analysis. RESULTS: A four-class model emerged: (1) high-risk group (n = 108, 4.0%), (2) high-physical-inactivity and suicide-risk group (n = 340, 12.1%), (3) moderate-risk group (n = 897, 32.0%), and (4) low-risk group (n = 1460, 52.1%). The multinomial logistic regression analysis revealed that boys and adolescents with poor parental relationships and high allowances (spending money) were significantly more likely to be in the high-risk group than the low-risk group. CONCLUSIONS: Adolescents in rural western China are a heterogeneous population requiring different tailored and effective interventions. |
format | Online Article Text |
id | pubmed-6019255 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-60192552018-07-07 Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis Ji, Yuanyi Xu, Huanyu Zhang, Yu Liu, Qiaolan PLoS One Research Article BACKGROUND: Adolescent health risk behaviors are a public health priority given their prevalence and their associations with chronic diseases and life quality in adulthood. This study examined the heterogeneity of adolescent health risk behaviors and the associations between demographic characteristics and subgroup membership in rural western China. METHODS: In fall 2015, 2805 students from rural middle schools in Sichuan Province were surveyed using the Health-Related Behavior Questionnaire for Adolescents. Latent class analysis (LCA) was used to identify subgroups of adolescents with distinct patterns of health risk behaviors. Differences in class membership related to selected demographic characteristics were examined using multinomial logistic regression analysis. RESULTS: A four-class model emerged: (1) high-risk group (n = 108, 4.0%), (2) high-physical-inactivity and suicide-risk group (n = 340, 12.1%), (3) moderate-risk group (n = 897, 32.0%), and (4) low-risk group (n = 1460, 52.1%). The multinomial logistic regression analysis revealed that boys and adolescents with poor parental relationships and high allowances (spending money) were significantly more likely to be in the high-risk group than the low-risk group. CONCLUSIONS: Adolescents in rural western China are a heterogeneous population requiring different tailored and effective interventions. Public Library of Science 2018-06-26 /pmc/articles/PMC6019255/ /pubmed/29944679 http://dx.doi.org/10.1371/journal.pone.0199286 Text en © 2018 Ji et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Ji, Yuanyi Xu, Huanyu Zhang, Yu Liu, Qiaolan Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis |
title | Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis |
title_full | Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis |
title_fullStr | Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis |
title_full_unstemmed | Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis |
title_short | Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis |
title_sort | heterogeneity of adolescent health risk behaviors in rural western china: a latent class analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019255/ https://www.ncbi.nlm.nih.gov/pubmed/29944679 http://dx.doi.org/10.1371/journal.pone.0199286 |
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