Clustering of oral and general health risk behaviors among adolescents

Since the co-occurrence of several health-risk behaviors is associated with an increase in chronic diseases, the study of clustering is relevant. The aim of this study was to evaluate how seven types of general and oral health-risk behaviors, cluster among adolescents. A cross-sectional analysis was...

Full description

Bibliographic Details
Main Authors: Silvia Carréra Austregésilo, Paulo Sávio Angeiras de Goes, Manoel Raimundo de Sena Júnior, Carolina Thaiza Costa Pazos
Format: Article
Language:English
Published: Elsevier 2019-09-01
Series:Preventive Medicine Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S221133551930110X
_version_ 1828523515474608128
author Silvia Carréra Austregésilo
Paulo Sávio Angeiras de Goes
Manoel Raimundo de Sena Júnior
Carolina Thaiza Costa Pazos
author_facet Silvia Carréra Austregésilo
Paulo Sávio Angeiras de Goes
Manoel Raimundo de Sena Júnior
Carolina Thaiza Costa Pazos
author_sort Silvia Carréra Austregésilo
collection DOAJ
description Since the co-occurrence of several health-risk behaviors is associated with an increase in chronic diseases, the study of clustering is relevant. The aim of this study was to evaluate how seven types of general and oral health-risk behaviors, cluster among adolescents. A cross-sectional analysis was performed with a sample of high school students from state public schools in São Lourenco da Mata, State of Pernambuco, Brazil (n = 1154). Data were obtained using a self-reported questionnaire. To identify cluster solutions of seven general and oral health-risk behaviors, Hierarchical Agglomerative Cluster Analysis (HACA) was performed. Most of the adolescents participating in the study was female (54.3%) and aged <16 years old (77.1%). HACA indicated two broad stable clusters for the seven health-risk types of behaviors. The first cluster included following behaviors: smoking, drinking and less frequent tooth brushing. The second cluster reveals the combination of high bread, pasta and snack intake; high intake of sweets; high intake of soft drinks; low intake of fruits and vegetables. Results provided by HACA identified two groups of health-risk behaviors. The first cluster mainly shows risk (problematic) behaviors, whereas the second cluster denotes the non-adhesion of preventive behavior (non-healthy diet). Health-compromising behaviors are common among teens and occur in distinct clusters. These findings could be used by schools, health promotion authorities and other stakeholders to design and implement tailored preventive interventions in Pernambuco, Brazil. Therefore, clustering of several types of behavior has important implications for a comprehensive strategy in health promotion policies and practices. Keywords: Oral health, Health behavior, Adolescent, Cluster analysis
first_indexed 2024-12-11T20:29:06Z
format Article
id doaj.art-a694245587cb4b8b81c59921a4a4fbe8
institution Directory Open Access Journal
issn 2211-3355
language English
last_indexed 2024-12-11T20:29:06Z
publishDate 2019-09-01
publisher Elsevier
record_format Article
series Preventive Medicine Reports
spelling doaj.art-a694245587cb4b8b81c59921a4a4fbe82022-12-22T00:51:52ZengElsevierPreventive Medicine Reports2211-33552019-09-0115Clustering of oral and general health risk behaviors among adolescentsSilvia Carréra Austregésilo0Paulo Sávio Angeiras de Goes1Manoel Raimundo de Sena Júnior2Carolina Thaiza Costa Pazos3Federal University of Pernambuco, Postgraduate Program in Child and Adolescent Health of the Federal University of Pernambuco, Recife, PE, Brazil; Correspondent author at: Professor Souto Maior Street, 54, apartment 403, Casa Amarela, Recife, Pernambuco, Brazil.Federal University of Pernambuco, Department of Clinical and Preventive Dentistry of the Federal University of Pernambuco, Recife, PE, BrazilFederal University of Pernambuco, Department of Statistics of the Federal University of Pernambuco, Recife, PE, BrazilFederal University of Pernambuco, Postgraduate Program in Child and Adolescent Health of the Federal University of Pernambuco, Recife, PE, BrazilSince the co-occurrence of several health-risk behaviors is associated with an increase in chronic diseases, the study of clustering is relevant. The aim of this study was to evaluate how seven types of general and oral health-risk behaviors, cluster among adolescents. A cross-sectional analysis was performed with a sample of high school students from state public schools in São Lourenco da Mata, State of Pernambuco, Brazil (n = 1154). Data were obtained using a self-reported questionnaire. To identify cluster solutions of seven general and oral health-risk behaviors, Hierarchical Agglomerative Cluster Analysis (HACA) was performed. Most of the adolescents participating in the study was female (54.3%) and aged <16 years old (77.1%). HACA indicated two broad stable clusters for the seven health-risk types of behaviors. The first cluster included following behaviors: smoking, drinking and less frequent tooth brushing. The second cluster reveals the combination of high bread, pasta and snack intake; high intake of sweets; high intake of soft drinks; low intake of fruits and vegetables. Results provided by HACA identified two groups of health-risk behaviors. The first cluster mainly shows risk (problematic) behaviors, whereas the second cluster denotes the non-adhesion of preventive behavior (non-healthy diet). Health-compromising behaviors are common among teens and occur in distinct clusters. These findings could be used by schools, health promotion authorities and other stakeholders to design and implement tailored preventive interventions in Pernambuco, Brazil. Therefore, clustering of several types of behavior has important implications for a comprehensive strategy in health promotion policies and practices. Keywords: Oral health, Health behavior, Adolescent, Cluster analysishttp://www.sciencedirect.com/science/article/pii/S221133551930110X
spellingShingle Silvia Carréra Austregésilo
Paulo Sávio Angeiras de Goes
Manoel Raimundo de Sena Júnior
Carolina Thaiza Costa Pazos
Clustering of oral and general health risk behaviors among adolescents
Preventive Medicine Reports
title Clustering of oral and general health risk behaviors among adolescents
title_full Clustering of oral and general health risk behaviors among adolescents
title_fullStr Clustering of oral and general health risk behaviors among adolescents
title_full_unstemmed Clustering of oral and general health risk behaviors among adolescents
title_short Clustering of oral and general health risk behaviors among adolescents
title_sort clustering of oral and general health risk behaviors among adolescents
url http://www.sciencedirect.com/science/article/pii/S221133551930110X
work_keys_str_mv AT silviacarreraaustregesilo clusteringoforalandgeneralhealthriskbehaviorsamongadolescents
AT paulosavioangeirasdegoes clusteringoforalandgeneralhealthriskbehaviorsamongadolescents
AT manoelraimundodesenajunior clusteringoforalandgeneralhealthriskbehaviorsamongadolescents
AT carolinathaizacostapazos clusteringoforalandgeneralhealthriskbehaviorsamongadolescents