ArticleBMC public health2019
Clustering of lifestyle risk behaviours and its determinants among school-going adolescents in a middle-income country: a cross-sectional study.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- Clustering of diet, physical activity and sedentary behaviour and related physical and mental health outcomes: a systematic review.BMC public health · 2023Pooled it
- Unmasking the burden of mental health symptoms and risk behaviors in Vietnamese adolescents: evidence from a multicenter cross-sectional study involving 2,631 high school students.Social psychiatry and psychiatric epidemiology · 2026Article
- Co-occurrence of lifestyle and mental health issues in adolescents: A cross-sectional study of the YouthCHAT cohort in Aotearoa New Zealand.Dialogues in health · 2026Article
- Co-Occurrence of Lifestyle Risk Behaviors Among Physical Education and Sport University Students: Evidence from a Cluster Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Clustering of Oral Health-Related Behaviors and Their Association With Sociodemographic Factors in Adolescents Living in England, Wales, and Northern Ireland.Clinical and experimental dental research · 2025Article
- Association of body weight misperception and behavioral risk factors for non-communicable diseases among Vietnamese adolescents: A 3-year cohort study.Scientific reports · 2025Article
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- Genetic associations of risk behaviours and educational achievement.Communications biology · 2024Article
- Co-occurrence of and factors associated with health risk behaviors among adolescents: a multi-center study in sub-Saharan Africa, China, and India.EClinicalMedicine · 2024Article
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- The social support, healthy lifestyle, subjective well-being, and health-related quality of life among university students.Journal of education and health promotion · 2024Article
- Lifestyle behaviors clusters in a nationwide sample of Spanish children and adolescents: PASOS study.Pediatric research · 2023Article
- Unhealthy lifestyles and clusters status among 3637 adolescents aged 11-23 years: a school-based cross-sectional study in China.BMC public health · 2023Article
- Behavioural risk patterns in adolescents with excess weight participating in the PRALIMAP-INÈS trial.Public health nutrition · 2023Article
- Who Is Able to Resist What Is Forbidden?-The Relationship between Health Literacy and Risk Behaviours in Secondary School Students in the Broader Social and Educational Context.International journal of environmental research and public health · 2022Article
- Assuring Bangladesh's future: non-communicable disease risk factors among the adolescents and the existing policy responses.Journal of health, population, and nutrition · 2022Review
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11 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLifestyle risk behaviours such as smoking, alcohol consumption, physical inactivity, sedentary behaviour and low fruit/vegetable intake have been identified as the major causes of chronic diseases. Such behaviours are usually instigated in adolescence and tend to persist into adulthood. Studies on the clustering of lifestyle risk behaviours among adolescents are scarce, particularly in developing countries. Therefore, the present paper aimed to determine the clustering of lifestyle risk behaviours and its determinants among school-going adolescents in Malaysia.
methodsData were extracted from a cross-sectional study, the Malaysian Adolescent Health Risk Behaviour (MyAHRB) study, which was conducted from May to September 2013 across 11 states in Peninsular Malaysia. A two-stage proportionate-to-size sampling method was employed to select a total of 3578 school-going adolescents aged 16-17 years from 20 selected schools in urban and rural settlements, respectively. The MyAHRB study adopted a set of self-administered questionnaires adapted from the Global School-based Student's Health Survey (GSHS) and the Youth Risk Behaviour Surveillance.
resultsThe results from the analysis of 2991 school-going adolescents aged 16-17 years showed that 16 (in boys) and 15 (in girls) out of 32 combinations of lifestyle risk behaviours clustered. Girls (aOR 2.82, 95% CI: 2.32-3.43) were significantly more likely to have clustered risk behaviours than boys; however, no significant associated factors were observed among girls. In contrast, boys of Malay descent (aOR 0.64, 95% CI: 0.46-0.89) or boys who had at least three friends (aOR 0.65, 95% CI: 0.43-0.99) were less likely to engage in multiple risk behaviours.
conclusionThe present study demonstrated the clustering of multiple risk behaviours that occurred in both genders; these results suggest that multiple behaviour intervention programmes, instead of programmes based on siloed approaches, should be advocated and targeted to the high-risk sub-populations identified in the present study.
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