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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Veröffentlicht in:BMJ open 2016-11, Vol.6 (11), p.e011571-e011571
Hauptverfasser: Azeredo, Catarina Machado, Levy, Renata Bertazzi, Peres, Maria Fernanda Tourinho, Menezes, Paulo Rossi, Araya, Ricardo
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container_issue 11
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container_title BMJ open
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creator Azeredo, Catarina Machado
Levy, Renata Bertazzi
Peres, Maria Fernanda Tourinho
Menezes, Paulo Rossi
Araya, Ricardo
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. 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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. 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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.</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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