ArticleChild and adolescent psychiatry and mental health2025
The association of chronotype, sleep duration and trajectories of health-risk behaviors among college students: a cohort study.
Article in Child and adolescent psychiatry and mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Ambient PMBMC public health · 2026Article
- Longitudinal associations between multiple health-risk indicators and psychological distress among university students: a three-wave cross-lagged study.Frontiers in public health · 2026Article
- Health literacy and health behaviors among college students in underdeveloped regions of China: a cross-sectional study in Yunnan Province.Frontiers in public health · 2026Article
- Healthy lifestyle promote Chinese university students' well-being: a cross-sectional network analysis.BMC public health · 2025Article
- Dietary inflammatory index mediation lifestyle patterns and depression among women with osteopenia or osteoporosis.Frontiers in nutrition · 2025Article
- How electronic health literacy influences physical activity behaviour among university students: A moderated mediation model.PloS one · 2025Article
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Authors and funding
7 authors.
Funding
Abstract
purposeTo describe the trajectories of health-risk behaviors (HRBs) among college students through four consecutive surveys and explore the relationship between chronotype, sleep duration and different trajectories of HRBs.
methodsWe used a data sample of 1,042 college students from the College Student Behavior and Health Cohort Study. Students reported sleep parameters, including chronotype (Morningness-Eveningness Questionnaire-5, MEQ-5) and sleep duration. The behavior scale was used to evaluate four HRBs (smoking, alcohol use, low physical activity, smartphone addiction). The latent class growth analysis (LCGA) was used to estimate the trajectory of self-reported HRBs. Multivariate logistic regression models were used to study whether sleep parameters (chronotype and sleep duration) correlated with HRBs
resultsFour unique trajectories of behaviors were identified: unhealthy group (7.4%), increasing group (21.3%), decreasing group (10.3%) and healthy group (61.0%). Compared with the normal sleep, results from logistic regression analyses indicated that long sleep (> 9 h) was associated with the decreasing group and the unhealthy group (P < 0.05), while short sleep (< 7 h) was associated with the increasing group and the unhealthy group (P < 0.05). Compared with the M-type, the E-type were positively correlated with the unhealthy group, the increasing group, and the decreasing group (P < 0.05).
conclusionE-type, short sleep duration and long sleep duration were significantly associated with the trajectory of HRBs. Findings underscore the need for targeted screening and prevention of modifiable sleep behaviors with the aim of improving HRBs in college students.
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