ArticleDialogues in health2026
Co-occurrence of lifestyle and mental health issues in adolescents: A cross-sectional study of the YouthCHAT cohort in Aotearoa New Zealand.
Article in Dialogues in 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
Purpose: To identify patterns of co-occurring lifestyle and mental health issues among adolescents aged ≤15 years in Aotearoa New Zealand using data from the YouthCHAT screening tool, and to determine whether distinct clusters of risk profiles are associated with gender or ethnicity. Methods: A cross-sectional analysis was conducted on 11,244 de-identified YouthCHAT electronic psychosocial screens completed between 2019 and 2024 in primary care settings, predominantly serving low socioeconomic school communities. Frequencies of positive screens and help-seeking responses were calculated. Kendall's tau correlations, factor analysis, and k-means clustering were used to examine co-occurrence and derive latent risk clusters. Associations between cluster membership and gender or ethnicity were assessed using chi-squared tests with Bonferroni correction. Results: Three factors explained 44.6% of variance, representing: (1) psychosocial distress, (2) sexual health and identity concerns, and (3) substance misuse. Four clusters emerged: Minimal Issues (79.8%), Distressed (16.3%), Substance Misuse (3.2%), and High Risk (0.6%). Females were overrepresented in the Distressed cluster (3:1 vs males), and Māori youth were disproportionately represented in the High Risk and Substance Misuse clusters ( Conclusion: Distinct clusters of co-occurring lifestyle and mental health issues are evident in early adolescence, with inequitable distribution by gender and ethnicity. YouthCHAT's multi-issue, integrated approach supports early identification of these patterns and aligns with WHO frameworks emphasising comprehensive, holistic adolescent health assessment and targeted support for high-risk groups.
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