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Clustering of health-related behaviours and its relationship with individual and contextual factors in Portuguese adolescents

2020-05-25Artigo científico Acesso aberto
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dc.contributor.authorSantos, Constança Soares dos
dc.contributor.authorPicoito, João
dc.contributor.authorLoureiro, Isabel
dc.contributor.authorNunes, Carla
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblBioMed Central (BMC)
dc.date.accessioned2020-11-24T23:59:05Z
dc.date.available2020-11-24T23:59:05Z
dc.date.issued2020-05-25
dc.description.abstractBackground: 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.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1158636
dc.identifier.doi10.1186/s12887-020-02057-1
dc.identifier.otherPURE: 26550338
dc.identifier.otherPURE UUID: ab82a634-82f6-404c-a8d1-3bf399dadbe6
dc.identifier.otherScopus: 85085443271
dc.identifier.otherPubMed: 32450829
dc.identifier.otherWOS: 000537713100003
dc.identifier.otherPubMedCentral: PMC7249363
dc.identifier.urihttp://hdl.handle.net/10362/107736
dc.identifier.urlhttps://www.scopus.com/pages/publications/85085443271
dc.language.isoeng
dc.peerreviewedyes
dc.subjectAdolescents
dc.subjectCluster patterns
dc.subjectHBSC
dc.subjectHealth-related behaviours
dc.subjectPublic health
dc.subjectSocial determinants
dc.subjectPediatrics, Perinatology, and Child Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleClustering of health-related behaviours and its relationship with individual and contextual factors in Portuguese adolescentsen
dc.title.subtitleresults from a cross-sectional studyen
dc.typejournal article
degois.publication.issue1
degois.publication.titleBMC Pediatrics
degois.publication.volume20
dspace.entity.typePublication
rcaap.rightsopenAccess

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