Growth Trajectories of Health Behaviors from Adolescence through Young Adulthood.
Growth Trajectories of Health Behaviors from Adolescence through Young Adulthood.
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DOI：
10.3390/ijerph121113711
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发表时间：
2015-10-28
影响因子：
--
通讯作者：
Wold B
中科院分区：
文献类型：
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作者：
Wiium N;Breivik K;Wold B
本研究基于17年（1990年至2007年）期间收集的九波数据，探讨了以下不健康行为的不同发展轨迹：经常吸烟、缺乏规律运动、缺乏每日水果摄入量和酗酒。 1195 名 13 岁学生的基线样本来自挪威西部霍达兰县的 22 所随机选择的学校。潜在阶级增长分析揭示了三种发展轨迹。第一条轨迹是传统轨迹，包括 36.3% 的参与者，他们在吸烟、体育锻炼、水果摄入和醉酒方面表现出变化，与当时挪威社会这些行为的普遍年龄特定规范一致。第二条轨迹是被动轨迹，由 25.5% 的参与者组成，他们报告在 17 年期间健康和不健康行为的水平较低。第三条轨迹是不健康轨迹，占 38.2% 的参与者，随着时间的推移，他们的不健康行为水平很高。检查了几个协变量，但发现只有性别和父母的教育水平与确定的轨迹显着相关。虽然这些发现需要在未来的研究中重复，但不同轨迹的识别表明需要根据具体需求调整干预措施。
Based on nine waves of data collected during a period of 17 years (1990–2007), the present study explored different developmental trajectories of the following unhealthy behaviors: regular smoking, lack of regular exercise, lack of daily fruit intake, and drunkenness. A baseline sample of 1195 13-year-old pupils was from 22 randomly selected schools in the Hordaland County in western Norway. Latent class growth analysis revealed three developmental trajectories. The first trajectory was a conventional trajectory, comprising 36.3% of participants, who showed changes in smoking, physical exercise, fruit intake, and drunkenness consistent with the prevailing age specific norms of these behaviors in the Norwegian society at the time. The second trajectory was a passive trajectory, comprising 25.5% of participants, who reported low levels of both healthy and unhealthy behaviors during the 17-year period. The third trajectory was an unhealthy trajectory, comprising 38.2% of participants, who had high levels of unhealthy behaviors over time. Several covariates were examined, but only sex and mother’s and father’s educational levels were found to be significantly associated with the identified trajectories. While these findings need to be replicated in future studies, the identification of the different trajectories suggests the need to tailor intervention according to specific needs.