ArticleThe Lancet regional health. Western Pacific2021
Clustering Lifestyle Risk Behaviors among Vietnamese Adolescents and Roles of School: A Bayesian Multilevel Analysis of Global School-Based Student Health Survey 2019.
Article in The Lancet regional health. Western Pacific, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- 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
- Association Between Physical Activity and Breakfast Skipping Among Saudi Adolescents: A Multi-City Analysis of the 2019 Global School-Based Student Health Survey.Children (Basel, Switzerland) · 2026Article
- Is there a bidirectional relationship between the number of unhealthy lifestyle factors and depressive symptoms in adolescents? Evidence from a longitudinal study.BMC medicine · 2026Article
- Perceived and Unmet Mental Health Care Needs Among Individuals with Chronic Illness: A Latent Class and Bayesian Approach.The Psychiatric quarterly · 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
- Latent class profiles of health-risk behaviors and the protective roles of psychological resilience and self-control in Chinese adolescents.Frontiers in public health · 2026Article
- Have sedentary lifestyles reached even remote parts of the Global South? Evidence from school-going adolescents' time use in India.PloS one · 2026Article
- Association of body weight misperception and behavioral risk factors for non-communicable diseases among Vietnamese adolescents: A 3-year cohort study.Scientific reports · 2025Article
- Non-random aggregations of healthy and unhealthy lifestyles and their population characteristics - pattern recognition in a large population-based cohort.Archives of public health = Archives belges de sante publique · 2025Article
- Prevalence and sociodemographic predictors of multiple non-communicable diseases risk behaviours among in-school adolescents in Delta State, Nigeria: A cross-sectional study.African health sciences · 2025Article
- Individual and contextual characteristics associated with concurrent risk factors among adolescents: a multilevel cross-sectional study based on the 2019 Brazilian National Health Survey.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- The relationship between non-communicable disease risk and mental wellbeing in adolescence: a cross-sectional study utilising objective measures in Indonesia.BMC public health · 2024Article
- Sex Differences in Clustering Unhealthy Lifestyles Among Survivors of COVID-19: Latent Class Analysis.JMIR public health and surveillance · 2024Article
- The relationship between cumulative ecological risk and health risk behaviors among Chinese adolescents.BMC public health · 2024Article
- Co-occurrence of non-communicable disease risk factors among adolescents in Jos, Nigeria.African journal of primary health care & family medicine · 2024Article
- A Clustering Study of Dietary Patterns and Physical Activity among Workers of the Uruguayan State Electrical Company.Nutrients · 2024Article
- Lifestyle interventions improving health-related quality of life: A systematic review and meta-analysis of randomized control trials.Journal of education and health promotion · 2024Review
- Validity and reliability of the Persian version of the Short-Form Adolescent Health Promotion scale: Methodological study.Health science reports · 2023Article
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15 authors.
Funding
Abstract
backgroundAdolescence is a vulnerable period for many lifestyle risk behaviors. In this study, we aimed to 1) examine a clustering pattern of lifestyle risk behaviors; 2) investigate roles of the school health promotion programs on this pattern among adolescents in Vietnam.
methodsWe analyzed data of 7,541 adolescents aged 13-17 years from the 2019 nationally representative Global School-based Student Health Survey, conducted in 20 provinces and cities in Vietnam. We applied the latent class analysis to identify groups of clustering and used Bayesian 2-level logistic regressions to evaluate the correlation of school health promotion programs on these clusters. We reassessed the school effect size by incorporating different informative priors to the Bayesian models.
findingsThe most frequent lifestyle risk behavior among Vietnamese adolescents was physical inactivity, followed by unhealthy diet, and sedentary behavior. Most of students had a cluster of at least two risk factors and nearly a half with at least three risk factors. Latent class analysis detected 23% males and 18% females being at higher risk of lifestyle behaviors. Consistent through different priors, high quality of health promotion programs associated with lower the odds of lifestyle risk behaviors (highest quality schools vs. lowest quality schools; males: Odds ratio (OR) = 0·67, 95% Highest Density Interval (HDI): 0·46 - 0·93; females: OR = 0·69, 95% HDI: 0·47 - 0·98).
interpretationOur findings demonstrated the clustering of specific lifestyle risk behaviors among Vietnamese in-school adolescents. School-based interventions separated for males and females might reduce multiple health risk behaviors in adolescence.
fundingThe 2019 Global School-based Student Health Survey was conducted with financial support from the World Health Organization. The authors received no funding for the data analysis, data interpretation, manuscript writing, authorship, and/or publication of this article.
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