Physical Disorders are Associated with Health Risk Behaviors in Chinese Adolescents: A Latent Class Analysis
| Autor: | Chunyu Guo, Weirong Hu, Fangbiao Tao, Danlin Li, Zhengmei Xia, Bingdong Song, Rong Yang, Shichen Zhang, Jun Fang, Jie Hu, Wanxia Hu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
China Adolescent Health Toxicology and Mutagenesis lcsh:Medicine Article Suicidal Ideation 03 medical and health sciences Screen time 0302 clinical medicine Medicine Humans 030212 general & internal medicine adolescents physical disorders business.industry lcsh:R Public Health Environmental and Occupational Health Odds ratio health risk behaviors Mental health Latent class model Confidence interval Diarrhea Adolescent Behavior Latent Class Analysis Vomiting Cluster sampling Female medicine.symptom business 030217 neurology & neurosurgery Demography |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 6 International Journal of Environmental Research and Public Health, Vol 17, Iss 6, p 2139 (2020) |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | It is known that health risk behaviors (HRBs) can lead to a variety of physical and mental health problems among adolescents, but few studies have paid attention to the relationship between latent classes of HRBs and adolescent diseases. The purpose of this study was to use latent class analysis (LCA) to clarify the potential subgroups of HRBs (smoking, drinking, screen time, non-suicidal self-injuries, suicidal behaviors, and unintentional injuries) and examine the association between the subgroups of HRBs and physical disorders (diarrhea, fever, cough, and vomiting) with multiple logistic regression analysis, in Chinese adolescents. Self-reported HRBs and physical disorders were used to evaluate 22,628 middle school students in six cities of China, from November 2015 to January 2016, based on a multistage stratified cluster sampling approach. The prevalence of diarrhea, fever, cough, and vomiting was 23.5%, 15.9%, 50.6%, and 10.7%, respectively. We identified four latent classes of HRBs by LCA, including low-risk class, moderate-risk class 1 (smoking, drinking, and screen time), moderate-risk class 2 (non-suicidal self-injuries and suicidal behaviors, unintentional injuries), and high-risk class (smoking, drinking, screen time, non-suicidal self-injuries, suicidal behaviors, and unintentional injuries), which were 64.0%, 4.5%, 28.8% and 2.7% of participants, respectively. Compared to the low-risk class, all other classes showed higher risk for these physical disorders (P < 0.01 for each). In particular, the high-risk class had the highest risk (diarrhea (odds ratio (OR) = 2.628, 95% confidence interval (CI) 2.219 to 3.113), fever (OR = 3.103, 95% CI 2.591 to 3.717), cough (OR = 2.142, 95% CI 1.805 to 2.541), and vomiting (OR = 3.738, 95% CI 3.081 to 4.536). In conclusion, these results indicated that heterogeneity exists in HRBs, and subgroups of HRBs were correlated to the occurrence of common physical disorders in Chinese adolescents. Therefore, multiple HRBs rather than single factors should be considered for the prevention of common physical disorders in schools. |
| Databáze: | OpenAIRE |
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