ArticleJournal of public health (Oxford, England)2018
Clustering of health-related behaviors among early and mid-adolescents in Tuscany: results from a representative cross-sectional study.
Article in Journal of public health (Oxford, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Screen time among school-aged children of aged 6-14: a systematic review.Global health research and policy · 2023Pooled it
- Clustering of health-related behaviours within children aged 11-16: a systematic review.BMC public health · 2021Pooled it
- Activity-related behavior typologies in youth: a systematic review.The international journal of behavioral nutrition and physical activity · 2019Pooled it
- Breakfast Is Brain Food? The Effect on Grade Point Average of a Rural Group Randomized Program to Promote School Breakfast.The Journal of school health · 2019Trial
- Social determinants of clusters of health behaviours: a longitudinal cohort study using latent- class analysis.BMC public health · 2026Article
- Lifestyle Behavior Patterns and Their Association with Active Commuting to School Among Spanish Adolescents: A Cluster Analysis.Healthcare (Basel, Switzerland) · 2025Article
- A Cross-Sectional Study of Oral Health Status and Behavioral Risk Indicators among Non-Smoking and Currently Smoking Lithuanian Adolescents.International journal of environmental research and public health · 2023Article
- Clustering of Physical Activity, Diet and Sedentary Behavior among Youth from Low-, Middle-, and High-Income Countries: A Scoping Review.International journal of environmental research and public health · 2021Article
- Analysis of the mandibular canal course using unsupervised machine learning algorithm.PloS one · 2021Article
- Clustering of Six Key Risk Behaviors for Chronic Disease among Adolescent Females.International journal of environmental research and public health · 2020Article
- Clustering of health-related behaviours and its relationship with individual and contextual factors in Portuguese adolescents: results from a cross-sectional study.BMC pediatrics · 2020Article
- Young people, young adults and binge drinking.Journal of preventive medicine and hygiene · 2019Observational
- Clustering of diet, physical activity and sedentary behavior among Brazilian adolescents in the national school - based health survey (PeNSE 2015).BMC public health · 2018Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: A huge amount of literature suggests that adolescents' health-related behaviors tend to occur in clusters, and the understanding of such behavioral clustering may have direct implications for the effective tailoring of health-promotion interventions. Despite the usefulness of analyzing clustering, Italian data on this topic are scant. This study aimed to evaluate the clustering patterns of health-related behaviors. Methods: The present study is based on data from the Health Behaviors in School-aged Children (HBSC) study conducted in Tuscany in 2010, which involved 3291 11-, 13- and 15-year olds. To aggregate students' data on 22 health-related behaviors, factor analysis and subsequent cluster analysis were performed. Results: Factor analysis revealed eight factors, which were dubbed in accordance with their main traits: 'Alcohol drinking', 'Smoking', 'Physical activity', 'Screen time', 'Signs & symptoms', 'Healthy eating', 'Violence' and 'Sweet tooth'. These factors explained 67% of variance and underwent cluster analysis. A six-cluster κ-means solution was established with a 93.8% level of classification validity. The between-cluster differences in both mean age and gender distribution were highly statistically significant. Conclusions: Health-compromising behaviors are common among Tuscan teens and occur in distinct clusters. These results may be used by schools, health-promotion authorities and other stakeholders to design and implement tailored preventive interventions in Tuscany.
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