ArticleBMC public health2023
Unhealthy lifestyles and clusters status among 3637 adolescents aged 11-23 years: a school-based cross-sectional study in China.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed.
- The impact of a growth mindset on adolescents' health risk behaviors: the chain mediating role of core self-evaluation and coping style.BMC psychology · 2026Article
- Reforming schools into health promoting schools: perspective based on expert consensus from a European multistakeholder consultation.European journal of pediatrics · 2026Article
- Correlates and co-occurrence of risk factors for non-communicable diseases among adolescents in schools in Karnataka, India: a cross-sectional study.Osong public health and research perspectives · 2026Article
- Behavioral and psychological characteristics of adolescents under different Parent-Child relationship patterns: a gender-based perspective.BMC psychology · 2025Article
- Prevalence of non-communicable disease risk factors and their association with economic status: findings from the 2021 health behaviour of population survey in Thailand.Global health action · 2025Article
- The relationship between perceived family conflicts and unhealthy lifestyles among adolescents: the interlocking mediating effect of mental health and school adaptation.BMC public health · 2025Article
- The association between child sexual abuse and mental health in Chinese vocational high school students.Scientific reports · 2025Article
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- Associations of Body Mass Index and Lifestyle Factors with Suicidal Ideation, Planning, and Attempts Among Korean Adolescents: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- A pilot study on the relationship between thermal habits, chronic inflammation, and arterial stiffness in young adults.BMC research notes · 2025Article
- Effects of acute low intensity aerobics and blueberry juice on arterial stiffness in young adults.NPJ science of food · 2025Article
- A comparative study of healthy lifestyle behaviors and related factors among Iranian male and female adolescents: a cross-sectional study.BMC public health · 2025Article
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- The epidemiology, etiology, and future prophylactic options for cancers in Mainland China.Frontiers in oncology · 2025Review
- Article
- Factors influencing health service utilization among 19,869 China's migrant population: an empirical study based on the Andersen behavioral model.Frontiers in public health · 2025Article
- Associations between social support and proactive health behaviours among Chinese adolescents: the mediating role of self-efficacy and peer relationships.BMC public health · 2024Article
- Psychosocial profiles influencing healthy dietary behaviors among adolescents in Shandong Province, China: a cross-sectional study.Frontiers in nutrition · 2024Article
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11 authors.
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Abstract
backgroundUnhealthy lifestyles are risk factors for non-communicable diseases (NCDs) and tend to be clustered, with a trajectory that extends from adolescence to adulthood. This study investigated the association of diets, tobacco, alcohol, physical activity (PA), screen time (ST) and sleep duration (SD) in a total of six lifestyles, separately and as cumulative lifestyle scores, with sociodemographic characteristics among school-aged adolescents in the Chinese city of Zhengzhou.
methodsIn the aggregate, 3,637 adolescents aged 11-23 years were included in the study. The questionnaire collected data on socio-demographic characteristics and lifestyles. Healthy and unhealthy lifestyles were identified and scored, depending on the individual score (0 and 1 for healthy and unhealthy lifestyles respectively), with a total score between 0 and 6. Based on the sum of the dichotomous scores, the number of unhealthy lifestyles was calculated and divided into three clusters (0-1, 2-3, 4-6). Chi-square test was used to analyze the group difference of lifestyles and demographic characteristics, and multivariate logistic regression was used to explore the associations between demographic characteristics and the clustering status of unhealthy lifestyles.
resultsAmong all participants, the prevalence of unhealthy lifestyles was: 86.4% for diet, 14.5% for alcohol, 6.0% for tobacco, 72.2% for PA, 42.3% for ST and 63.9% for SD. Students who were in university, female, lived in country (OR = 1.725, 95% CI: 1.241-2.398), had low number of close friends (1-2: OR = 2.110, 95% CI: 1.428-3.117; 3-5: OR = 1.601, 95% CI: 1.168-2.195), and had moderate family income (OR = 1.771, 95% CI: 1.208-2.596) were more likely to develop unhealthy lifestyles. In total, unhealthy lifestyles remain highly prevalent among Chinese adolescents.
conclusionIn the future, the establishment of an effective public health policy may improve the lifestyle profile of adolescents. Based on the lifestyle characteristics of different populations reported in our findings, lifestyle optimization can be more efficiently integrated into the daily lives of adolescents. Moreover, it is essential to conduct well-designed prospective studies on adolescents.
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