ArticleInternational journal of public health2026
Examining Secular Changes in Health Risk Behavior Profiles and Their Associations With Mental Distress During Adolescence.
Article in International journal of public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: Adolescent mental distress has increased in recent decades. It is unclear whether this is associated with changes in health-risk behaviors. Methods: We analyzed five waves (2002-2018) of the repeated cross-sectional Swiss Health Behavior in School-aged Children study (ages 11-15; Results: A consistent four-profile solution (low-risk; high alcohol use/slightly elevated substance use; moderate substance use; highest risk) fit best across waves. The low-risk profile was most prevalent and increased in later cohorts (2014-2018), while elevated-risk profiles declined. Older adolescents were more likely to belong to elevated-risk groups, which were associated with greater mental distress, especially in earlier cohorts. No significant sex interactions were found. Conclusion: Health-risk behavior profiles remained stable, but their associations with mental distress weakened over time. Prevention efforts should adapt to evolving adolescent contexts.
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