Cluster Analysis of Sleep Time and Adolescent Health Risk Behaviors

Adolescents are prone to multiple health risk behaviors. These might lead to insufficient sleep, which is inconducive to adolescent growth. Therefore, this study explored the impact of a cluster of adolescent health risk behaviors on sleep time, providing a reference for designing relevant intervent...

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Main Authors: Junjie Yu MD, Yang Liu MD, Liping Liao MD, Jie Yan MD, Hong Wang MD
Format: Article
Language:English
Published: SAGE Publishing 2023-02-01
Series:Inquiry: The Journal of Health Care Organization, Provision, and Financing
Online Access:https://doi.org/10.1177/00469580231153272
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author Junjie Yu MD
Yang Liu MD
Liping Liao MD
Jie Yan MD
Hong Wang MD
author_facet Junjie Yu MD
Yang Liu MD
Liping Liao MD
Jie Yan MD
Hong Wang MD
author_sort Junjie Yu MD
collection DOAJ
description Adolescents are prone to multiple health risk behaviors. These might lead to insufficient sleep, which is inconducive to adolescent growth. Therefore, this study explored the impact of a cluster of adolescent health risk behaviors on sleep time, providing a reference for designing relevant intervention measures. From November to December 2019, a stratified cluster sampling method was used to sample middle and high schools in 4 functional districts of Chongqing, China. A total of 8546 participants were selected for a questionnaire survey. Two-step clustering helped identify the health risk behavior clusters. Multivariate logistic regression models helped examine the association between the different clusters and sleep time. The rate of insufficient sleep was 65.8%. Three types of clusters were identified, namely (1) high-risk (poor) cluster (17.3%), (2) low physical activity (medium) cluster (55.1%), and (3) low-risk (good) cluster (27.6%). The high-risk and low physical activity clusters showed that the adjusted OR values of 1.471 (1.266-1.710) and 1.174 (1.052-1.310) were significantly associated with insufficient sleep ( P  < .001). Adolescent health risk behaviors were clustered, and different clusters had different sleep time. Schools authorities and healthcare practitioners should formulate effective intervention measures according to the characteristics of different clusters to promote healthy growth among adolescents.
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spelling doaj.art-fe7b7e04b63848fda3c57f365f93bc4c2023-02-07T17:33:49ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432023-02-016010.1177/00469580231153272Cluster Analysis of Sleep Time and Adolescent Health Risk BehaviorsJunjie Yu MD0Yang Liu MD1Liping Liao MD2Jie Yan MD3Hong Wang MD4School of Public Health, Chongqing Medical University, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, ChinaSchool of Public Health, Chongqing Medical University, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, ChinaSchool of Public Health, Chongqing Medical University, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, ChinaSchool of Public Health, Chongqing Medical University, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, ChinaSchool of Public Health, Chongqing Medical University, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, ChinaAdolescents are prone to multiple health risk behaviors. These might lead to insufficient sleep, which is inconducive to adolescent growth. Therefore, this study explored the impact of a cluster of adolescent health risk behaviors on sleep time, providing a reference for designing relevant intervention measures. From November to December 2019, a stratified cluster sampling method was used to sample middle and high schools in 4 functional districts of Chongqing, China. A total of 8546 participants were selected for a questionnaire survey. Two-step clustering helped identify the health risk behavior clusters. Multivariate logistic regression models helped examine the association between the different clusters and sleep time. The rate of insufficient sleep was 65.8%. Three types of clusters were identified, namely (1) high-risk (poor) cluster (17.3%), (2) low physical activity (medium) cluster (55.1%), and (3) low-risk (good) cluster (27.6%). The high-risk and low physical activity clusters showed that the adjusted OR values of 1.471 (1.266-1.710) and 1.174 (1.052-1.310) were significantly associated with insufficient sleep ( P  < .001). Adolescent health risk behaviors were clustered, and different clusters had different sleep time. Schools authorities and healthcare practitioners should formulate effective intervention measures according to the characteristics of different clusters to promote healthy growth among adolescents.https://doi.org/10.1177/00469580231153272
spellingShingle Junjie Yu MD
Yang Liu MD
Liping Liao MD
Jie Yan MD
Hong Wang MD
Cluster Analysis of Sleep Time and Adolescent Health Risk Behaviors
Inquiry: The Journal of Health Care Organization, Provision, and Financing
title Cluster Analysis of Sleep Time and Adolescent Health Risk Behaviors
title_full Cluster Analysis of Sleep Time and Adolescent Health Risk Behaviors
title_fullStr Cluster Analysis of Sleep Time and Adolescent Health Risk Behaviors
title_full_unstemmed Cluster Analysis of Sleep Time and Adolescent Health Risk Behaviors
title_short Cluster Analysis of Sleep Time and Adolescent Health Risk Behaviors
title_sort cluster analysis of sleep time and adolescent health risk behaviors
url https://doi.org/10.1177/00469580231153272
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