Accumulation of lifestyle and psychosocial problems and persistence of adverse lifestyle over two-year follow-up among Finnish adolescents

BMC Public Health

Jaro Karppinen³  Juha Auvinen²  Simo Taimela⁵  Markus Paananen⁴  Jouko Remes¹  Eveliina Heikkala⁴ 

[1] Finnish Institute of Occupational Health, Statistics and Health Economics, Aapistie 1, 90220 Oulu, Finland;Institute of Health Sciences, University of Oulu, Aapistie 5 B, 90220 Oulu, Finland;Finnish Institute of Occupational Health, Health and Work Ability, and Disability Prevention Centre, Aapistie 1, 90220 Oulu, Finland;Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Aapistie 1, 90220 Oulu, Finland;Department of Public Health, University of Helsinki, Helsinki, Finland

关键词: Latent class;    Cohort studies;    Mental health;    Health behavior;    Adolescent;   

Others  :  1129925
DOI  :  10.1186/1471-2458-14-542

 received in 2013-11-25, accepted in 2014-05-23,  发布年份 2014

【 摘 要 】

Background

Adolescent’psychosocial problems associate with unhealthy behaviors, but data on co-occurring patterns is sparse. We investigated 1) whether adolescents could be categorized into meaningful subgroups with respect to psychosocial and lifestyle factors, 2) whether the prevalence of physical inactivity, overweight and smoking vary within the subgroups and 3) whether these unhealthy behaviors persist in a two-year follow-up.

Methods

The study was based on a subgroup of the 1986 Northern Finland Birth Cohort, which consisted of adolescents who replied to a postal questionnaire at 16 years (n = 6792) and a subgroup of this sample at 18 years (n = 1552). Latent class analysis (LCA) was performed to establish clusters at 16 years.

Results

Smoking co-existed with emotional and behavioral problems in both genders. Boys with the most inactive lifestyle slept poorly, whereas multiple problems co-occurred among girls. Those with a high body mass index (BMI) separated as groups of their own. Different combinations of adverse lifestyle and emotional and behavioral problems were relatively common in both sexes as only 51% of boys and 67% of girls belonged to the reference cluster with low probability for these findings. Physical inactivity, high BMI and smoking tended to persist over the two-year follow-up.

Conclusions

It seems that lifestyle and psychosocial factors divide adolescents into distinct subgroups in which unhealthy lifestyle patterns remain between the ages of 16 and 18. This may indicate problems in other life areas and expose them to an increased risk of future health problems.

【 授权许可】

   
2014 Heikkala et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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