Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis.

<h4>Background</h4>Adolescent health risk behaviors are a public health priority given their prevalence and their associations with chronic diseases and life quality in adulthood. This study examined the heterogeneity of adolescent health risk behaviors and the associations between demog...

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Main Authors: Yuanyi Ji, Huanyu Xu, Yu Zhang, Qiaolan Liu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0199286&type=printable
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author Yuanyi Ji
Huanyu Xu
Yu Zhang
Qiaolan Liu
author_facet Yuanyi Ji
Huanyu Xu
Yu Zhang
Qiaolan Liu
author_sort Yuanyi Ji
collection DOAJ
description <h4>Background</h4>Adolescent health risk behaviors are a public health priority given their prevalence and their associations with chronic diseases and life quality in adulthood. This study examined the heterogeneity of adolescent health risk behaviors and the associations between demographic characteristics and subgroup membership in rural western China.<h4>Methods</h4>In fall 2015, 2805 students from rural middle schools in Sichuan Province were surveyed using the Health-Related Behavior Questionnaire for Adolescents. Latent class analysis (LCA) was used to identify subgroups of adolescents with distinct patterns of health risk behaviors. Differences in class membership related to selected demographic characteristics were examined using multinomial logistic regression analysis.<h4>Results</h4>A four-class model emerged: (1) high-risk group (n = 108, 4.0%), (2) high-physical-inactivity and suicide-risk group (n = 340, 12.1%), (3) moderate-risk group (n = 897, 32.0%), and (4) low-risk group (n = 1460, 52.1%). The multinomial logistic regression analysis revealed that boys and adolescents with poor parental relationships and high allowances (spending money) were significantly more likely to be in the high-risk group than the low-risk group.<h4>Conclusions</h4>Adolescents in rural western China are a heterogeneous population requiring different tailored and effective interventions.
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spelling doaj-art-482bb3d514004d15b0281f4e7ff1007d2025-08-20T02:03:52ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01136e019928610.1371/journal.pone.0199286Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis.Yuanyi JiHuanyu XuYu ZhangQiaolan Liu<h4>Background</h4>Adolescent health risk behaviors are a public health priority given their prevalence and their associations with chronic diseases and life quality in adulthood. This study examined the heterogeneity of adolescent health risk behaviors and the associations between demographic characteristics and subgroup membership in rural western China.<h4>Methods</h4>In fall 2015, 2805 students from rural middle schools in Sichuan Province were surveyed using the Health-Related Behavior Questionnaire for Adolescents. Latent class analysis (LCA) was used to identify subgroups of adolescents with distinct patterns of health risk behaviors. Differences in class membership related to selected demographic characteristics were examined using multinomial logistic regression analysis.<h4>Results</h4>A four-class model emerged: (1) high-risk group (n = 108, 4.0%), (2) high-physical-inactivity and suicide-risk group (n = 340, 12.1%), (3) moderate-risk group (n = 897, 32.0%), and (4) low-risk group (n = 1460, 52.1%). The multinomial logistic regression analysis revealed that boys and adolescents with poor parental relationships and high allowances (spending money) were significantly more likely to be in the high-risk group than the low-risk group.<h4>Conclusions</h4>Adolescents in rural western China are a heterogeneous population requiring different tailored and effective interventions.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0199286&type=printable
spellingShingle Yuanyi Ji
Huanyu Xu
Yu Zhang
Qiaolan Liu
Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis.
PLoS ONE
title Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis.
title_full Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis.
title_fullStr Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis.
title_full_unstemmed Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis.
title_short Heterogeneity of adolescent health risk behaviors in rural western China: A latent class analysis.
title_sort heterogeneity of adolescent health risk behaviors in rural western china a latent class analysis
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0199286&type=printable
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AT qiaolanliu heterogeneityofadolescenthealthriskbehaviorsinruralwesternchinaalatentclassanalysis