期刊论文详细信息
BMC Public Health
Patterns of clustering of six health-compromising behaviours in Saudi adolescents
Georgios Tsakos1  Maria Aresu1  Aubrey Sheiham1  Richard G Watt1  Saeed G Alzahrani1 
[1] Research Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT, UK
关键词: Adolescents;    Male;    Patterns;    Clustering;    Health behaviours;   
Others  :  1122898
DOI  :  10.1186/1471-2458-14-1215
 received in 2014-05-15, accepted in 2014-11-07,  发布年份 2014
PDF
【 摘 要 】

Background

Clustering of multiple health-compromising behaviours is associated with an increased risk of various chronic diseases. There are few studies on patterns of clustering of multiple health-compromising behaviours in adolescents. Therefore, the aim of this study is to assess how six health-compromising behaviours, namely, low fruit consumption, high sweet consumption, less frequent tooth brushing, low physical activity, physical fighting and smoking, cluster among Saudi male adolescents.

Methods

A representative stratified cluster random sample of 1,335 Saudi Arabian male adolescents living in Riyadh city answered a questionnaire on health-related behaviours. Hierarchical Agglomerative Cluster Analysis (HACA) was used to identify cluster solutions of the six health-compromising behaviours.

Results

HACA suggested two broad and stable clusters for the six health-compromising behaviours. The first cluster included low fruit consumption, less frequent tooth brushing and low physical activity. The second cluster included high sweets consumption, smoking and physical fighting.

Conclusions

The six health-compromising behaviours clustered into two conceptually distinct clusters among Saudi Arabian male adolescents, one reflecting non-adherence to preventive behaviours and the second undertaking of risk behaviours. Clustering of health behaviours has important implications for health promotion.

【 授权许可】

   
2014 Alzahrani et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150215023910414.pdf 217KB PDF download
Figure 1. 11KB Image download
【 图 表 】

Figure 1.

【 参考文献 】
  • [1]Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, Bose K, Vos T, Ferguson J, Mathers CD: Global patterns of mortality in young people: a systematic analysis of population health data. Lancet 2009, 374:881-892.
  • [2]Pate RR, Heath GW, Dowda M, Trost SG: Associations between physical activity and other health behaviors in a representative sample of US adolescents. Am J Public Health 1996, 86:1577-1581.
  • [3]Coulson NS, Eiser C, Eiser JR: Diet, smoking and exercise: interrelationships between adolescent health behaviours. Child Care Health Dev 1997, 23:207-216.
  • [4]Steele JL, McBroom WH: Conceptual and empirical dimensions of health behavior. J Health Soc Behav 1972, 13:382-392.
  • [5]Williams AF, Wechsler H: Interrelationship of preventive actions in health and other areas. Health Serv Rep 1972, 87:969-976.
  • [6]Terre L, Drabman RS, Meydrech EF: Relationships among children's health-related behaviors: a multivariate, developmental perspective. Prev Med 1990, 19:134-146.
  • [7]Roysamb E, Rse J, Kraft P: On the structure and dimensionality of health-related behaviour in adolescents. Psychol Health 1997, 12:437-452.
  • [8]Jessor R, Jessor SL: Problem behavior and psychosocial development: A longitudinal study of youth New York: Academic Press. New York: Academic Press; 1977.
  • [9]van Nieuwenhuijzen M, Junger M, Velderman MK, Wiefferink KH, Paulussen TWGM, Hox J, Reijneveld SA: Clustering of health-compromising behavior and delinquency in adolescents and adults in the Dutch population. Prev Med 2009, 48:572-578.
  • [10]Ottevaere C, Huybrechts I, Benser J, De Bourdeaudhuij I, Cuenca-Garcia M, Dallongeville J, Zaccaria M, Gottrand F, Kersting M, Rey-Lopez J, Manios Y, Molnar D, Moreno L, Smpokos E, Widhalm K, De Henauw S, the HELENA Study Group: Clustering patterns of physical activity, sedentary and dietary behavior among European adolescents: The HELENA study. BMC Public Health 2011, 11:328-338. BioMed Central Full Text
  • [11]Busch V, Van Stel H, Schrijvers A, de Leeuw J: Clustering of health-related behaviors, health outcomes and demographics in Dutch adolescents: a cross-sectional study. BMC Public Health 2013, 13:1118. BioMed Central Full Text
  • [12]Patterson RE, Haines PS, Popkin BM: Health lifestyle patterns of U.S. adults. Prev Med 1994, 23:453-460.
  • [13]Raitakari OT, Leino M, Rakkonen K, Porkka KV, Taimela S, Rasanen L, Viikari JS: Clustering of risk habits in young adults. The cardiovascular risk in young Finns study. Am J Epidemiol 1995, 142:36-44.
  • [14]Neumark-Sztainer D, Story M, French S, Cassuto N, Jacobs DR Jr, Resnick MD: Patterns of health-compromising behaviors among Minnesota adolescents: sociodemographic variations. Am J Public Health 1996, 86:1599-1606.
  • [15]Wiefferink CH, Peters L, Hoekstra F, Dam GT, Buijs GJ, Paulussen TG: Clustering of health-related behaviors and their determinants: possible consequences for school health interventions. Prev Sci 2006, 7:127-149.
  • [16]Meng L, Maskarinec G, Lee J, Kolonel LN: Lifestyle factors and chronic diseases: application of a composite risk index. Prev Med 1999, 29:296-304.
  • [17]Khaw KT, Wareham N, Bingham S, Welch A, Luben R, Day N: Combined impact of health behaviours and mortality in Men and women: the EPIC-Norfolk prospective population study. PLoS Med 2008, 5:e12.
  • [18]Kelder SH, Perry CL, Klepp KI, Lytle LL: Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health 1994, 84:1121-1126.
  • [19]Lawlor DA, O'Callaghan MJ, Mamun AA, Williams GM, Bor W, Najman JM: Socioeconomic position, cognitive function, and clustering of cardiovascular risk factors in adolescence: findings from the mater university study of pregnancy and its outcomes. Psychosom Med 2005, 67:862-868.
  • [20]Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, Buchner D, Ettinger W, Heath GW, King AC, Kriska A, Leon AS, Marcus BH, Morris J, Paffenbarger RSJ, Patrick K, Pollock ML, Rippe JM, Sallis J, Wilmore JH: Physical activity and public health: a recommendation from the centers for disease control and prevention and the American college of sports medicine. JAMA 1995, 273:402-407.
  • [21]Dallongeville J, Marecaux N, Fruchart JC, Amouyel P: Cigarette smoking is associated with unhealthy patterns of nutrient intake: a meta-analysis. J Nutr 1998, 128:1450-1457.
  • [22]Currie C, Gabhainn SN, Godeau E, Roberts C, Smith R, Currie D, Picket W, Richter M, Morgan A, Barnekow V: Inequalities in Young People's health, HBSC International Report from 2005/2006 Survey. Copenhagen, Denmark: WHO Regoinal Office For Europe; 2008.
  • [23]Park Y, Patton L, Kim H: Clustering of oral and general health risk behaviors in Korean adolescents: a national representative sample. J Adolesc Health 2010, 47:277-281.
  • [24]Torabi MR, Bailey WJ, Majd-Jabbari M: Cigarette smoking as a predictor of alcohol and other drug Use by children and adolescents: evidence of the "gateway drug effect". J Sch Health 1993, 63:302-306.
  • [25]Pickett W, Craig W, Harel Y, Cunningham J, Simpson K, Molcho M, Mazur J, Dostaler S, Overpeck MD, Currie CE, on behalf of the HBSC Violence and Injuries Writing Group: Cross-national study of fighting and weapon carrying as determinants of adolescent injury. Pediatrics 2005, 116:e855-e863.
  • [26]Sosin DM, Koepsell TD, Rivara FP, Mercy JA: Fighting as a marker for multiple problem behaviors in adolescents. J Adolesc Health 1995, 16:209-215.
  • [27]Kuntsche EN, Gmel G: Emotional wellbeing and violence among social and solitary risky single occasion drinkers in adolescence. Addiction 2004, 99:331-339.
  • [28]WHO: Adolescent Friendly Health Services. Geneva: World Health Organisation; 2002.
  • [29]Currie C, Samdal O, Boyce W, Smith B: Health Behaviour in School-Aged Children: a World Health Organisation Cross-National Study. Research Protocol for the 2001/02 Survey. Copenhagen: WHO Regional Office for Europe; 2002.
  • [30]Peters TJ, Eachus JI: Achieving equal probability of selection under various random sampling strategies. Paediatr Perinat Epidemiol 1995, 9:219-224.
  • [31]Beaton DE, Bombardier C, Guillemin F, Ferraz MB: Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000, 25:3186-3191.
  • [32]Honkala S, Honkala E, Al-Sahli N: Do life- or school-satisfaction and self-esteem indicators explain the oral hygiene habits of schoolchildren? Community Dent Oral Epidemiol 2007, 35:337-347.
  • [33]Prochaska JJ, Sallis JF, Long B: A physical activity screening measure for Use with adolescents in primary care. Arch Pediatr Adolesc Med 2001, 155:554-559.
  • [34]Brener ND, Collins JL, Kann L, Warren CW, Williams BI: Reliability of the youth risk behavior survey questionnaire. Am J Epidemiol 1995, 141:575-580.
  • [35]Borgen FH, Barnett DV: Applying cluster analysis in counseling psychology research. J Couns Psychol 1987, 34:456-468.
  • [36]Everitt BS, Landau S, Leese M: Cluster Analysis. 4th edition. London: Arnold; 2001.
  • [37]Clatworthy J, Buick D, Hankins M, Weinman J, Horne R: The use and reporting of cluster analysis in health psychology: a review. Br J Health Psychol 2005, 10:329-358.
  • [38]Sanchez A, Norman GJ, Sallis JF, Calfas KJ, Cella J, Patrick K: Patterns and correlates of physical activity and nutrition behaviors in adolescents. Am J Prev Med 2007, 32:124-130.
  • [39]Alamian A, Paradis G: Clustering of chronic disease behavioral risk factors in Canadian children and adolescents. Prev Med 2009, 48:493-499.
  • [40]Mistry R, McCarthy WJ, Yancey AK, Lu Y, Patel M: Resilience and patterns of health risk behaviors in California adolescents. Prev Med 2009, 48:291-297.
  • [41]Pearson N, Atkin A, Biddle S, Gorely T, Edwardson C: Patterns of adolescent physical activity and dietary behaviours. Int J Behav Nutr Phys Act 2009, 2009:34.
  • [42]Schou L, Currie C, McQueen D: Using a "lifestyle" perspective to understand toothbrushing behaviour in Scottish schoolchildren. Community Dent Oral Epidemiol 1990, 18:230-234.
  • [43]Jessor R: Risk behavior in adolescence: a psychosocial framework for understanding and action. J Adolesc Health 1991, 12:597-605.
  • [44]Harris DM, Guten S: Health-protective behavior: an exploratory study. J Health Soc Behav 1979, 20:17-29.
  • [45]Brener ND, Billy JOG, Grady WR: Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature. J Adolesc Health 2003, 33:436-457.
  • [46]MacCallum RC, Zhang S, Preacher KJ, Rucker DD: On the practice of dichotomization of quantitative variables. Psychol Methods 2002, 7:19-40.
  • [47]Nigg CR, Allegrante JP, Ory M: Theory-comparison and multiple-behavior research: common themes advancing health behavior research. Health Educ Res 2002, 17:670-679.
  • [48]de Vries H, van't Riet J, Spigt M, Metsemakers J, van den Akker M, Vermunt JK, Kremers S: Clusters of lifestyle behaviors: results from the Dutch SMILE study. Prev Med 2008, 46:203-208.
  • [49]Sheiham A, Watt RG: The common risk factor approach: a rational basis for promoting oral health. Community Dent Oral Epidemiol 2000, 28:399-406.
  文献评价指标  
  下载次数:27次 浏览次数:15次