Patterns of health-related behaviours among adolescents: a cross-sectional study based on the National Survey of School Health Brazil 2012
ObjectivesThe aim of this study was to analyse the clustering of multiple health-related behaviours among adolescents and describe which socio-demographic characteristics are associated with these patterns.DesignCross-sectional study.SettingBrazilian schools assessed by the National Survey of School...
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description | ObjectivesThe aim of this study was to analyse the clustering of multiple health-related behaviours among adolescents and describe which socio-demographic characteristics are associated with these patterns.DesignCross-sectional study.SettingBrazilian schools assessed by the National Survey of School Health (PeNSE, 2012).Participants104 109 Brazilian ninth-grade students from public and private schools (response rate=82.7%).MethodsExploratory and confirmatory factor analyses were performed to identify behaviour clustering and linear regression models were used to identify socio-demographic characteristics associated with each one of these behaviour patterns.ResultsWe identified a good fit model with three behaviour patterns. The first was labelled ‘problem-behaviour’ and included aggressive behaviour, alcohol consumption, smoking, drug use and unsafe sex; the second was labelled ‘health-compromising diet and sedentary behaviours’ and included unhealthy food indicators and sedentary behaviour; and the third was labelled ‘health-promoting diet and physical activity’ and included healthy food indicators and physical activity. No differences in behaviour patterns were found between genders. The problem-behaviour pattern was associated with male gender, older age, more developed region (socially and economically) and public schools (compared with private). The ‘health-compromising diet and sedentary behaviours’ pattern was associated with female gender, older age, mothers with higher education level and more developed region. The ‘health-promoting diet and physical activity’ pattern was associated with male gender and mothers with higher education level.ConclusionsThree health-related behaviour patterns were found among Brazilian adolescents. Interventions to decrease those negative patterns should take into account how these behaviours cluster together and the individuals most at risk. |
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The first was labelled ‘problem-behaviour’ and included aggressive behaviour, alcohol consumption, smoking, drug use and unsafe sex; the second was labelled ‘health-compromising diet and sedentary behaviours’ and included unhealthy food indicators and sedentary behaviour; and the third was labelled ‘health-promoting diet and physical activity’ and included healthy food indicators and physical activity. No differences in behaviour patterns were found between genders. The problem-behaviour pattern was associated with male gender, older age, more developed region (socially and economically) and public schools (compared with private). The ‘health-compromising diet and sedentary behaviours’ pattern was associated with female gender, older age, mothers with higher education level and more developed region. The ‘health-promoting diet and physical activity’ pattern was associated with male gender and mothers with higher education level.ConclusionsThree health-related behaviour patterns were found among Brazilian adolescents. Interventions to decrease those negative patterns should take into account how these behaviours cluster together and the individuals most at risk.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2016-011571</identifier><identifier>PMID: 28186927</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adolescent ; Adolescent Behavior ; Alcohol ; Alcohol Drinking ; Brazil ; Classrooms ; Cluster analysis ; Cross-Sectional Studies ; Dangerous Behavior ; Data collection ; Diet ; Exercise ; Family Characteristics ; Female ; Gender ; Health Behavior ; Healthy Diet ; High income ; Humans ; Linear Models ; Male ; Middle schools ; Paediatrics ; Regression analysis ; Response rates ; School boards ; School Health Services ; Schools ; Sedentary Behavior ; Self Report ; Sexual behavior ; Smoking ; Sociodemographics ; Students ; Teenagers ; Variables</subject><ispartof>BMJ open, 2016-11, Vol.6 (11), p.e011571-e011571</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ 2016 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b472t-5db63a727df0e04b1a867c957a087f01c6e45b660bff6c1fbbbc00e2280896c3</citedby><cites>FETCH-LOGICAL-b472t-5db63a727df0e04b1a867c957a087f01c6e45b660bff6c1fbbbc00e2280896c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bmjopen.bmj.com/content/6/11/e011571.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttp://bmjopen.bmj.com/content/6/11/e011571.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27548,27549,27923,27924,53790,53792,77472,77503</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28186927$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Azeredo, Catarina Machado</creatorcontrib><creatorcontrib>Levy, Renata Bertazzi</creatorcontrib><creatorcontrib>Peres, Maria Fernanda Tourinho</creatorcontrib><creatorcontrib>Menezes, Paulo Rossi</creatorcontrib><creatorcontrib>Araya, Ricardo</creatorcontrib><title>Patterns of health-related behaviours among adolescents: a cross-sectional study based on the National Survey of School Health Brazil 2012</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>ObjectivesThe aim of this study was to analyse the clustering of multiple health-related behaviours among adolescents and describe which socio-demographic characteristics are associated with these patterns.DesignCross-sectional study.SettingBrazilian schools assessed by the National Survey of School Health (PeNSE, 2012).Participants104 109 Brazilian ninth-grade students from public and private schools (response rate=82.7%).MethodsExploratory and confirmatory factor analyses were performed to identify behaviour clustering and linear regression models were used to identify socio-demographic characteristics associated with each one of these behaviour patterns.ResultsWe identified a good fit model with three behaviour patterns. The first was labelled ‘problem-behaviour’ and included aggressive behaviour, alcohol consumption, smoking, drug use and unsafe sex; the second was labelled ‘health-compromising diet and sedentary behaviours’ and included unhealthy food indicators and sedentary behaviour; and the third was labelled ‘health-promoting diet and physical activity’ and included healthy food indicators and physical activity. No differences in behaviour patterns were found between genders. The problem-behaviour pattern was associated with male gender, older age, more developed region (socially and economically) and public schools (compared with private). The ‘health-compromising diet and sedentary behaviours’ pattern was associated with female gender, older age, mothers with higher education level and more developed region. The ‘health-promoting diet and physical activity’ pattern was associated with male gender and mothers with higher education level.ConclusionsThree health-related behaviour patterns were found among Brazilian adolescents. Interventions to decrease those negative patterns should take into account how these behaviours cluster together and the individuals most at risk.</description><subject>Adolescent</subject><subject>Adolescent Behavior</subject><subject>Alcohol</subject><subject>Alcohol Drinking</subject><subject>Brazil</subject><subject>Classrooms</subject><subject>Cluster analysis</subject><subject>Cross-Sectional Studies</subject><subject>Dangerous Behavior</subject><subject>Data collection</subject><subject>Diet</subject><subject>Exercise</subject><subject>Family Characteristics</subject><subject>Female</subject><subject>Gender</subject><subject>Health Behavior</subject><subject>Healthy Diet</subject><subject>High income</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Male</subject><subject>Middle schools</subject><subject>Paediatrics</subject><subject>Regression analysis</subject><subject>Response rates</subject><subject>School boards</subject><subject>School Health Services</subject><subject>Schools</subject><subject>Sedentary Behavior</subject><subject>Self Report</subject><subject>Sexual behavior</subject><subject>Smoking</subject><subject>Sociodemographics</subject><subject>Students</subject><subject>Teenagers</subject><subject>Variables</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNUcFu1DAQtRCIVku_AAlZ4sIlxXZiO-GARCugSBUgtXdrnEyarLzxYjsrLZ_AV-N0l6pwYi62NO-9mXmPkJecnXNeqrd2s_ZbnArBuCoY51LzJ-RUsKoqFJPy6aP_CTmLcc1yVbKRUjwnJ6LmtWqEPiW_vkNKGKZIfU8HBJeGIqCDhB21OMBu9HOIFDZ-uqPQeYexxSnFdxRoG3yMRcQ2jX4CR2Oauz21EDPXTzQNSL_CsXczhx3ulyE37eC9o1f3s-hFgJ-jo_kM8YI868FFPDu-K3L76ePt5VVx_e3zl8sP14WttEiF7KwqQQvd9QxZZTnUSreN1MBq3TPeKqykVYrZvlct7621LWMoRM3qRrXlirw_yG5nu8FuuSaAM9swbiDsjYfR_N2ZxsHc-Z2RXNQNq7LAm6NA8D9mjMlsxmyKczChn6PJ1upsc9moDH39D3Sd7cx-LKhSN4yVuVakPKDuDQ3YPyzDmVnSNse0zZK2OaSdWa8e3_HA-ZNtBpwfAJn9X4q_ATAeuA4</recordid><startdate>20161110</startdate><enddate>20161110</enddate><creator>Azeredo, 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adolescents: a cross-sectional study based on the National Survey of School Health Brazil 2012</title><author>Azeredo, Catarina Machado ; Levy, Renata Bertazzi ; Peres, Maria Fernanda Tourinho ; Menezes, Paulo Rossi ; Araya, Ricardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b472t-5db63a727df0e04b1a867c957a087f01c6e45b660bff6c1fbbbc00e2280896c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adolescent Behavior</topic><topic>Alcohol</topic><topic>Alcohol Drinking</topic><topic>Brazil</topic><topic>Classrooms</topic><topic>Cluster analysis</topic><topic>Cross-Sectional Studies</topic><topic>Dangerous Behavior</topic><topic>Data collection</topic><topic>Diet</topic><topic>Exercise</topic><topic>Family Characteristics</topic><topic>Female</topic><topic>Gender</topic><topic>Health Behavior</topic><topic>Healthy Diet</topic><topic>High income</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Male</topic><topic>Middle schools</topic><topic>Paediatrics</topic><topic>Regression analysis</topic><topic>Response rates</topic><topic>School boards</topic><topic>School Health Services</topic><topic>Schools</topic><topic>Sedentary Behavior</topic><topic>Self Report</topic><topic>Sexual behavior</topic><topic>Smoking</topic><topic>Sociodemographics</topic><topic>Students</topic><topic>Teenagers</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Azeredo, Catarina Machado</creatorcontrib><creatorcontrib>Levy, Renata Bertazzi</creatorcontrib><creatorcontrib>Peres, Maria Fernanda Tourinho</creatorcontrib><creatorcontrib>Menezes, Paulo Rossi</creatorcontrib><creatorcontrib>Araya, Ricardo</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open 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Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Azeredo, Catarina Machado</au><au>Levy, Renata Bertazzi</au><au>Peres, Maria Fernanda Tourinho</au><au>Menezes, Paulo Rossi</au><au>Araya, Ricardo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterns of health-related behaviours among adolescents: a cross-sectional study based on the National Survey of School Health Brazil 2012</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2016-11-10</date><risdate>2016</risdate><volume>6</volume><issue>11</issue><spage>e011571</spage><epage>e011571</epage><pages>e011571-e011571</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>ObjectivesThe aim of this study was to analyse the clustering of multiple health-related behaviours among adolescents and describe which socio-demographic characteristics are associated with these patterns.DesignCross-sectional study.SettingBrazilian schools assessed by the National Survey of School Health (PeNSE, 2012).Participants104 109 Brazilian ninth-grade students from public and private schools (response rate=82.7%).MethodsExploratory and confirmatory factor analyses were performed to identify behaviour clustering and linear regression models were used to identify socio-demographic characteristics associated with each one of these behaviour patterns.ResultsWe identified a good fit model with three behaviour patterns. The first was labelled ‘problem-behaviour’ and included aggressive behaviour, alcohol consumption, smoking, drug use and unsafe sex; the second was labelled ‘health-compromising diet and sedentary behaviours’ and included unhealthy food indicators and sedentary behaviour; and the third was labelled ‘health-promoting diet and physical activity’ and included healthy food indicators and physical activity. No differences in behaviour patterns were found between genders. The problem-behaviour pattern was associated with male gender, older age, more developed region (socially and economically) and public schools (compared with private). The ‘health-compromising diet and sedentary behaviours’ pattern was associated with female gender, older age, mothers with higher education level and more developed region. The ‘health-promoting diet and physical activity’ pattern was associated with male gender and mothers with higher education level.ConclusionsThree health-related behaviour patterns were found among Brazilian adolescents. Interventions to decrease those negative patterns should take into account how these behaviours cluster together and the individuals most at risk.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>28186927</pmid><doi>10.1136/bmjopen-2016-011571</doi><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adolescent Behavior Alcohol Alcohol Drinking Brazil Classrooms Cluster analysis Cross-Sectional Studies Dangerous Behavior Data collection Diet Exercise Family Characteristics Female Gender Health Behavior Healthy Diet High income Humans Linear Models Male Middle schools Paediatrics Regression analysis Response rates School boards School Health Services Schools Sedentary Behavior Self Report Sexual behavior Smoking Sociodemographics Students Teenagers Variables |
title | Patterns of health-related behaviours among adolescents: a cross-sectional study based on the National Survey of School Health Brazil 2012 |
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