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Clustering of Six Key Risk Behaviors for Chronic Disease among Adolescent Females

Chronic diseases are the leading cause of disability and mortality globally. In Australia, females are at heightened risk. This research explored the prevalence, patterns, and correlates of six key risk behaviors (physical inactivity, poor diet, recreational screen time, inadequate sleep, alcohol us...

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Autores principales: Gardner, Lauren A., Champion, Katrina E., Parmenter, Belinda, Grummitt, Lucinda, Chapman, Cath, Sunderland, Matthew, Thornton, Louise, McBride, Nyanda, Newton, Nicola C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579129/
https://www.ncbi.nlm.nih.gov/pubmed/33023089
http://dx.doi.org/10.3390/ijerph17197211
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author Gardner, Lauren A.
Champion, Katrina E.
Parmenter, Belinda
Grummitt, Lucinda
Chapman, Cath
Sunderland, Matthew
Thornton, Louise
McBride, Nyanda
Newton, Nicola C.
author_facet Gardner, Lauren A.
Champion, Katrina E.
Parmenter, Belinda
Grummitt, Lucinda
Chapman, Cath
Sunderland, Matthew
Thornton, Louise
McBride, Nyanda
Newton, Nicola C.
author_sort Gardner, Lauren A.
collection PubMed
description Chronic diseases are the leading cause of disability and mortality globally. In Australia, females are at heightened risk. This research explored the prevalence, patterns, and correlates of six key risk behaviors (physical inactivity, poor diet, recreational screen time, inadequate sleep, alcohol use, and smoking) among adolescent females and whether knowledge of health guidelines was associated with adherence. Adolescent females completed an anonymous online questionnaire (N = 687; M(age) = 13.82). Logistic regression assessed the association between knowledge and adherence. A Latent Class Analysis (LCA) and three-step procedure identified risk behavior clusters and their correlates. Despite positive health self-ratings (77% good/very good), most participants reported insufficient moderate-to-vigorous physical activity (MVPA; 89%), vegetable intake (89%), and excessive screen time (63%). Knowledge of guidelines was associated with adherence for MVPA, vegetable intake, sleep, and alcohol abstinence. Three classes emerged: “moderate risk” (76%), “relatively active, healthy eaters” (19%), and “excessive screen users” (5%). These risk-behavior clusters were associated with perceived value of academic achievement and physical wellbeing. Adolescent females commonly perceive they are in good health, despite engaging in unhealthy behaviors. Public health interventions should utilize effective behavior change strategies, adopt a multiple health behavior change approach (MHBC), and be tailored to specific risk profiles and values among females.
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spelling pubmed-75791292020-10-29 Clustering of Six Key Risk Behaviors for Chronic Disease among Adolescent Females Gardner, Lauren A. Champion, Katrina E. Parmenter, Belinda Grummitt, Lucinda Chapman, Cath Sunderland, Matthew Thornton, Louise McBride, Nyanda Newton, Nicola C. Int J Environ Res Public Health Article Chronic diseases are the leading cause of disability and mortality globally. In Australia, females are at heightened risk. This research explored the prevalence, patterns, and correlates of six key risk behaviors (physical inactivity, poor diet, recreational screen time, inadequate sleep, alcohol use, and smoking) among adolescent females and whether knowledge of health guidelines was associated with adherence. Adolescent females completed an anonymous online questionnaire (N = 687; M(age) = 13.82). Logistic regression assessed the association between knowledge and adherence. A Latent Class Analysis (LCA) and three-step procedure identified risk behavior clusters and their correlates. Despite positive health self-ratings (77% good/very good), most participants reported insufficient moderate-to-vigorous physical activity (MVPA; 89%), vegetable intake (89%), and excessive screen time (63%). Knowledge of guidelines was associated with adherence for MVPA, vegetable intake, sleep, and alcohol abstinence. Three classes emerged: “moderate risk” (76%), “relatively active, healthy eaters” (19%), and “excessive screen users” (5%). These risk-behavior clusters were associated with perceived value of academic achievement and physical wellbeing. Adolescent females commonly perceive they are in good health, despite engaging in unhealthy behaviors. Public health interventions should utilize effective behavior change strategies, adopt a multiple health behavior change approach (MHBC), and be tailored to specific risk profiles and values among females. MDPI 2020-10-02 2020-10 /pmc/articles/PMC7579129/ /pubmed/33023089 http://dx.doi.org/10.3390/ijerph17197211 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gardner, Lauren A.
Champion, Katrina E.
Parmenter, Belinda
Grummitt, Lucinda
Chapman, Cath
Sunderland, Matthew
Thornton, Louise
McBride, Nyanda
Newton, Nicola C.
Clustering of Six Key Risk Behaviors for Chronic Disease among Adolescent Females
title Clustering of Six Key Risk Behaviors for Chronic Disease among Adolescent Females
title_full Clustering of Six Key Risk Behaviors for Chronic Disease among Adolescent Females
title_fullStr Clustering of Six Key Risk Behaviors for Chronic Disease among Adolescent Females
title_full_unstemmed Clustering of Six Key Risk Behaviors for Chronic Disease among Adolescent Females
title_short Clustering of Six Key Risk Behaviors for Chronic Disease among Adolescent Females
title_sort clustering of six key risk behaviors for chronic disease among adolescent females
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579129/
https://www.ncbi.nlm.nih.gov/pubmed/33023089
http://dx.doi.org/10.3390/ijerph17197211
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