SynthesisBMC public health2021
Clustering of health-related behaviours within children aged 11-16: a systematic review.
Synthesis in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed.
- Effectiveness of a Mobile Phone-Delivered Multiple Health Behavior Change Intervention (LIFE4YOUth) in Adolescents: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Physical Activity-Sedentary Behaviour Profiles and Co-Occurring Lifestyle Behaviours Among Adolescents: A Person-Oriented Analysis.Nutrients · 2026Article
- Prevalence and correlates of co-use of alcohol and cigarettes among Chinese adolescents: a cross-sectional national survey in 2021.Preventive medicine reports · 2026Article
- Patterns of Gambling and Other Risky Behaviors among Adolescents. A Latent Class Analysis Study on the 2021/22 Health Behaviors in School Children Survey Data.Journal of gambling studies · 2026Article
- Clustering of substance use and its association with adolescents' health and well-being: evidence from the Health Behaviour in School-aged Children (HBSC) Luxembourg study.BMC public health · 2026Article
- Adolescents' Engagement With an mHealth Multiple Health Behavior Change Intervention (LIFE4YOUth): Mixed Methods and Qualitative Comparative Analysis.JMIR mHealth and uHealth · 2026Article
- Social determinants of clusters of health behaviours: a longitudinal cohort study using latent- class analysis.BMC public health · 2026Article
- Hierarchical Analysis of Physical Activity Determinants in Brazilian Adolescents: A Cross-Sectional Study.Sports (Basel, Switzerland) · 2026Article
- What is the relationship between individual and clusters of lifestyle behaviours during early adolescence with future youth mental health? a prospective cohort study.European child & adolescent psychiatry · 2025Article
- Have declines in the prevalence of young adult drinking in English-speaking high-income countries followed declines in youth drinking? A systematic review.Drugs (Abingdon, England) · 2025Article
- Screening for Adolescent Risk Behaviors: Preliminary Evidence for a Family Functioning Tool.International journal of behavioral medicine · 2024Article
- A latent class analysis of international change and continuity in adolescent health and wellbeing: A repeat cross-sectional study.PloS one · 2024Article
- A latent class analysis of change and continuity in adolescent health and wellbeing in England during the decline in youth alcohol consumption: A repeat cross-sectional study.Preventive medicine reports · 2023Article
- Sex differences in high-risk health behaviors among school-going adolescents in Yazd, Iran; a cross-sectional study.Heliyon · 2023Article
- Action status and willingness to change health-promoting behaviors during the COVID-19 pandemic among elementary school children: a study based on Prochaska's stages of behavior change theory (TTM).BMC public health · 2023Article
- Article
- Clustering of chronic disease risks among people accessing community mental health services.Preventive medicine reports · 2022Article
- 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
- Youth drinking in decline: What are the implications for public health, public policy and public debate?The International journal on drug policy · 2022Article
- Early-life maternal attachment and risky health behaviours in adolescence: findings from the United Kingdom Millennium Cohort Study.BMC public health · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveWe aimed to systematically review and synthesise evidence on the clustering of a broad range of health-related behaviours amongst 11-16 year olds.
methodA literature search was conducted in September 2019. Studies were included if they used cluster analysis, latent class analysis, prevalence odds ratios, principal component analysis or factor analysis, and considered at least three health-related behaviours of interest among 11-16 year olds in high-income countries. Health-related behaviours of interest were substance use (alcohol, cigarettes and other drug use) and other behavioural risk indicators (diet, physical activity, gambling and sexual activity).
resultsThe review identified 41 studies, which reported 198 clusters of health-related behaviours of interest. The behaviours of interest reported within clusters were used to define eight behavioural archetypes. Some included studies only explored substance use, while others considered substance use and/or other health-related behaviours. Consequently, three archetypes were comprised by clusters reporting substance use behaviours alone. The archetypes were: (1) Poly-Substance Users, (2) Single Substance Users, (3) Substance Abstainers, (4) Substance Users with No/Low Behavioural Risk Indicators, (5) Substance Abstainers with Behavioural Risk Indicators, (6) Complex Configurations, (7) Overall Unhealthy and (8) Overall Healthy.
conclusionStudies of youth health behavioural clustering typically find both a 'healthy' cluster and an 'unhealthy' cluster. Unhealthy clusters are often characterised by poly-substance use. Our approach to synthesising cluster analyses may offer a means of navigating the heterogeneity of method, measures and behaviours of interest in this literature.
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