ArticleFrontiers in public health2018
Clustering of Multiple Risk Behaviors Among a Sample of 18-Year-Old Australians and Associations With Mental Health Outcomes: A Latent Class Analysis.
Article in Frontiers in public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.
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Who cites it
48 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions implemented through sporting organisations for promoting healthy behaviour or improving health outcomes.The Cochrane database of systematic reviews · 2025Pooled it
- Multiple Health Risk Factors in Vocational Education Students: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Uptake of Proactively Offered Online and Telephone Support Services Targeting Multiple Health Risk Behaviors Among Vocational Education Students: Process Evaluation of a Cluster Randomized Controlled Trial.Journal of medical Internet research · 2021Trial
- The Relationship Between Combined Lifestyle Behaviors and Mental Illness in Emerging Adults: A Narrative Review.Nutrients · 2026Review
- Co-Occurrence of Lifestyle Risk Behaviors Among Physical Education and Sport University Students: Evidence from a Cluster Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Associations of clustered unhealthy lifestyle behaviors with comorbidity of anxiety and depression among adolescents.BMC psychiatry · 2026Article
- Article
- Lifestyle Behavior Patterns During the Transition From Adolescence to Emerging Adulthood: Associations With Mental Health and Wellbeing.Emerging adulthood (Print) · 2025Article
- Profiles of risk taking behaviors among hookah smokers and associations with life satisfaction.BMC public health · 2025Article
- Examining the continuity of modifiable cancer-risk behaviors from youth into adulthood through prospective longitudinal studies: A scoping review.Social science & medicine (1982) · 2025Article
- Movement and dietary behaviours and mental health among university students: the Health@NUS study.BMC public health · 2025Observational
- Mobile Application Intervention for Prevention of Multiple Risk Behaviors among Thai Female Adolescents: A Quasi-experimental Study.International journal of community based nursing and midwifery · 2025Article
- Latent class analysis for quality of life status, sleep quality and anxiety in patients with type 2 diabetes.BMC endocrine disorders · 2025Article
- Family Support, Communication with Parents, and Adolescent Health Risk Behaviour: A Case of HBSC Study from Bulgaria and Lithuania.Children (Basel, Switzerland) · 2025Article
- The prevalence of the co-occurrence of risky behaviors and association with socioeconomic status in Iran: a latent class analysis.BMC public health · 2025Article
- The effectiveness of school-based obesity prevention interventions on the health behaviours of children aged 6-18 years: A secondary data analysis of a systematic review.Preventive medicine reports · 2025Review
- Clustering of behavioral and chronic health risk factors and their association with self-reported health and cardiovascular disease outcome among adults in North Carolina.AIMS public health · 2025Article
- Clustering analysis of risk factors for non-suicidal self-injury behaviors in adolescents: a cross-sectional study of western China.Frontiers in psychiatry · 2025Article
- Moderating effects of socioeconomic status and geographical location on the Health4Life school-based intervention.Preventive medicine reports · 2024Article
- Latent classes of adolescent health behaviour, social covariates and mental wellbeing: a longitudinal birth cohort study.BMC public health · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
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Abstract
introductionRisk behaviors commonly co-occur, typically emerge in adolescence, and become entrenched by adulthood. This study investigated the clustering of established (physical inactivity, diet, smoking, and alcohol use) and emerging (sedentary behavior and sleep) chronic disease risk factors among young Australian adults, and examined how clusters relate to mental health.
methodsThe sample was derived from the long-term follow-up of a cohort of Australians. Participants were initially recruited at school as part of a cluster randomized controlled trial. A total of 853 participants (M
resultsThree classes emerged: "moderate risk" (moderately likely to binge drink and not eat enough fruit, high probability of insufficient vegetable intake; Class 1, 52%); "inactive, non-smokers" (high probabilities of not meeting guidelines for physical activity, sitting time and fruit/vegetable consumption, very low probability of smoking; Class 2, 24%), and "smokers and binge drinkers" (high rates of smoking and binge drinking, poor fruit/vegetable intake; Class 3, 24%). There were significant differences between the classes in terms of psychological distress ( DISCUSSION: Results indicate that risk behaviors are prevalent and clustered in 18-year old Australians. Mental health symptoms were significantly greater among the two classes that were characterized by high probabilities of engaging in multiple risk behaviors (Classes 2 and 3). An examination of the clustering of lifestyle risk behaviors is important to guide the development of preventive interventions. Our findings reinforce the importance of delivering multiple health interventions to reduce disease risk and improve mental well-being.
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