Clustering effects of health risk behavior on mental health and physical activity in Chinese adolescents

作者：Xiangren Yi, Zongyu Liu, Wenzhen Qiao, Xiuye Xie, Nuo Yi, Xiaosheng Dong, Baozhen Wang · 发表于：Health and Quality of Life Outcomes · 年份：2020 · DOI：10.1186/s12955-020-01468-z · 被引用次数：40 · 研究领域：Obesity, Physical Activity, Diet、School Health and Nursing Education、COVID-19 and Mental Health

PURPOSE: Risk behaviors are significantly impacting physical and psychological health among adolescents, resulting in a tremendous public health issue. The aim of this study is to examine the association of clustered risk behaviors with mental health and physical activity, and identify to what extent the clustering of various risk behaviors is associated with psychological health and physical activity in Chinese adolescents. METHODS: Students aged 16-18 years, male 16.2 ± 1.03, female 16.3 ± 1.56, were recruited from 30 high schools to complete an online questionnaire in fall semester 2017. A structured questionnaire, 2017 state and local youth risk behavior survey was revised, modified, and translated into Chinese. Five questions were designed to assess physical activity times of the last 7 days. Symptom checklist 90 (SCL-90) was used to investigate the mental health status of the participants. Statistical analyses were done employing chi-square tests, two step cluster analysis, logistic regression. RESULT: Results illustrate that girls report a significantly higher mean of being bullied in school, electronically bullied, feeling sad or hopeless, and trying cigarette smoking. Two-step cluster analysis and regression analysis find that alcohol use, smoking and sedentary behavior have significant effect on adolescent health. Logic regression demonstrated that risk behaviors have significantly associated with mental health and physical activity in specific cluster. CONCLUSION: ...