Journal
BMC PEDIATRICS
Volume 20, Issue 1, Pages -Publisher
BMC
DOI: 10.1186/s12887-020-02057-1
Keywords
Health-related behaviours; Adolescents; Cluster patterns; Social determinants; Public health; HBSC
Categories
Funding
- HBSC Study Network
- WHO Regional Office for Europe
- HBSC
Ask authors/readers for more resources
Background Health behaviours are shaped early in life and tend to occur in complex specific patterns. We aimed to characterise these patterns among Portuguese adolescents and their association with individual and contextual factors. Methods This study was based in the Portuguese 2009/10 survey of Health Behaviour in School-Aged Children Study, comprising 4036 adolescents. Individuals were grouped using two-step cluster analysis based on 12 behaviours regarding diet, physical activity, screen use and substance use. The association between clusters and individual and contextual factors was analysed using multinomial regression. Results The median age was 13,6, and 54% were female. Overweight and obesity were highly prevalent (25%). We identified four behavioural clusters: Active screen users, Substance users, Healthy and Inactive low fruit and vegetable eaters. Sociodemographics varied across clusters. The Substance users and Active screen users clusters were associated with poor family communication, academic performance and school attachment and violent behaviours, and the Inactive low fruit and vegetable eaters were associated with lower socioeconomic status. Conclusion The understanding of these health-compromising patterns and their social determinants is of use to Public Health, allowing tailored health-promoting interventions. Further research is needed to understand how cluster membership evolves and its influence on nutritional status.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available