Association Between the Patterns of Five Unhealthy Behaviors and Suicidal Behaviors Among Adolescents in Six Provinces of China
BackgroundIn adolescents, multiple unhealthy behaviors frequently occur together and are likely to be associated with suicidal behaviors (SBs), increasing the risk of suicide. This study aimed to clarify the potential patterns of unhealthy behaviors in Chinese adolescents and to examine the associat...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-07-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.901537/full |
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| author | Chunyu Guo Yanni Xue Zhengmei Xia Yingying Cui Jie Hu Xuexue Huang Yuhui Wan Jun Fang Jun Fang Shichen Zhang |
| author_facet | Chunyu Guo Yanni Xue Zhengmei Xia Yingying Cui Jie Hu Xuexue Huang Yuhui Wan Jun Fang Jun Fang Shichen Zhang |
| author_sort | Chunyu Guo |
| collection | DOAJ |
| description | BackgroundIn adolescents, multiple unhealthy behaviors frequently occur together and are likely to be associated with suicidal behaviors (SBs), increasing the risk of suicide. This study aimed to clarify the potential patterns of unhealthy behaviors in Chinese adolescents and to examine the associations between the different patterns of unhealthy behaviors and SBs.MethodsA total of 22,628 middle school students were enrolled in this study. Self-reported unhealthy behaviors and SBs were investigated using questionnaires. Latent class analysis (LCA) was performed based on five unhealthy behaviors [smoking, alcohol use (AU), diet pill use (DPU), screen time (ST), and problematic mobile phone use (PMPU)]. Multivariate logistic regressions were used to examine associations between the different patterns of unhealthy behaviors and SBs.ResultsFour subgroups of unhealthy behaviors were identified by LCA, including high-risk class (smoking/AU/DPU/PMPU/ST), moderate-risk class 1 (DPU/PMPU), moderate-risk class 2 (smoking/AU/ST), and low-risk class. Compared with the low-risk class, moderate-risk class 1, moderate-risk class 2, and high-risk class had higher risks of suicidal ideation, suicide plan, and suicide attempt.ConclusionsThese findings suggested that patterns of unhealthy behaviors were related to SBs in Chinese adolescents. Accordingly, considerations of different classes of unhealthy behaviors may be essential for developing effective preventive programs. |
| first_indexed | 2024-04-13T14:05:54Z |
| format | Article |
| id | doaj.art-d978819cb6be418a9102d296182b19a3 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-13T14:05:54Z |
| publishDate | 2022-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-d978819cb6be418a9102d296182b19a32022-12-22T02:43:54ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-07-011310.3389/fpsyt.2022.901537901537Association Between the Patterns of Five Unhealthy Behaviors and Suicidal Behaviors Among Adolescents in Six Provinces of ChinaChunyu Guo0Yanni Xue1Zhengmei Xia2Yingying Cui3Jie Hu4Xuexue Huang5Yuhui Wan6Jun Fang7Jun Fang8Shichen Zhang9Department of Toxicology, School of Public Health, Anhui Medical University, and Key Laboratory of Environmental Toxicology of Anhui Higher Education Institutes, Hefei, ChinaDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, and MOE Key Laboratory of Population Health Across Life Cycle/Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, ChinaDepartment of Toxicology, School of Public Health, Anhui Medical University, and Key Laboratory of Environmental Toxicology of Anhui Higher Education Institutes, Hefei, ChinaDepartment of Toxicology, School of Public Health, Anhui Medical University, and Key Laboratory of Environmental Toxicology of Anhui Higher Education Institutes, Hefei, ChinaDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, and MOE Key Laboratory of Population Health Across Life Cycle/Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, ChinaDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, and MOE Key Laboratory of Population Health Across Life Cycle/Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, ChinaDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, and MOE Key Laboratory of Population Health Across Life Cycle/Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, ChinaDepartment of Toxicology, School of Public Health, Anhui Medical University, and Key Laboratory of Environmental Toxicology of Anhui Higher Education Institutes, Hefei, ChinaFaculty of Pharmaceutical Science, Sojo University, Kumamoto, JapanSchool of Public Health and Health Management, Anhui Medical College, Hefei, ChinaBackgroundIn adolescents, multiple unhealthy behaviors frequently occur together and are likely to be associated with suicidal behaviors (SBs), increasing the risk of suicide. This study aimed to clarify the potential patterns of unhealthy behaviors in Chinese adolescents and to examine the associations between the different patterns of unhealthy behaviors and SBs.MethodsA total of 22,628 middle school students were enrolled in this study. Self-reported unhealthy behaviors and SBs were investigated using questionnaires. Latent class analysis (LCA) was performed based on five unhealthy behaviors [smoking, alcohol use (AU), diet pill use (DPU), screen time (ST), and problematic mobile phone use (PMPU)]. Multivariate logistic regressions were used to examine associations between the different patterns of unhealthy behaviors and SBs.ResultsFour subgroups of unhealthy behaviors were identified by LCA, including high-risk class (smoking/AU/DPU/PMPU/ST), moderate-risk class 1 (DPU/PMPU), moderate-risk class 2 (smoking/AU/ST), and low-risk class. Compared with the low-risk class, moderate-risk class 1, moderate-risk class 2, and high-risk class had higher risks of suicidal ideation, suicide plan, and suicide attempt.ConclusionsThese findings suggested that patterns of unhealthy behaviors were related to SBs in Chinese adolescents. Accordingly, considerations of different classes of unhealthy behaviors may be essential for developing effective preventive programs.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.901537/fullbehaviorsadolescentlatent class analysissuicide ideationsuicide plansuicide attempt |
| spellingShingle | Chunyu Guo Yanni Xue Zhengmei Xia Yingying Cui Jie Hu Xuexue Huang Yuhui Wan Jun Fang Jun Fang Shichen Zhang Association Between the Patterns of Five Unhealthy Behaviors and Suicidal Behaviors Among Adolescents in Six Provinces of China Frontiers in Psychiatry behaviors adolescent latent class analysis suicide ideation suicide plan suicide attempt |
| title | Association Between the Patterns of Five Unhealthy Behaviors and Suicidal Behaviors Among Adolescents in Six Provinces of China |
| title_full | Association Between the Patterns of Five Unhealthy Behaviors and Suicidal Behaviors Among Adolescents in Six Provinces of China |
| title_fullStr | Association Between the Patterns of Five Unhealthy Behaviors and Suicidal Behaviors Among Adolescents in Six Provinces of China |
| title_full_unstemmed | Association Between the Patterns of Five Unhealthy Behaviors and Suicidal Behaviors Among Adolescents in Six Provinces of China |
| title_short | Association Between the Patterns of Five Unhealthy Behaviors and Suicidal Behaviors Among Adolescents in Six Provinces of China |
| title_sort | association between the patterns of five unhealthy behaviors and suicidal behaviors among adolescents in six provinces of china |
| topic | behaviors adolescent latent class analysis suicide ideation suicide plan suicide attempt |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.901537/full |
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