Latent class analysis of lifestyle characteristics and health risk behaviors among college youth.

Latent class analysis of lifestyle characteristics and health risk behaviors among college youth.
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DOI:
10.1007/s11121-009-0140-2
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发表时间:
2009-12
期刊:
影响因子:
3.5
通讯作者:
Ehlinger, Ed
Ehlinger, Ed
中科院分区:
医学2区
文献类型:
--
作者:
Laska, Melissa Nelson;Pasch, Keryn E.;Lust, Katherine;Story, Mary;Ehlinger, Ed

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很少有研究调查新兴成年人(18-25岁)的各种风险行为的背景,美国约有一半的人在中学后教育机构入学。本研究的目的是检查行为模式的体重行为(饮食和体育活动),物质使用,性行为,压力和睡眠的大学生。健康调查数据是在美国一所大型公立大学的本科生中收集的(n= 2,026)。潜类分析被用来确定同质的,相互排斥的“类”(模式)的十大风险行为。由此产生的班级男女生不同。女性类别被定义为:(1)不良的生活方式(饮食,体力活动,睡眠),但低风险行为(例如,吸烟、酗酒、性风险、酒后驾车; 40.0%的女性),(2)高风险(高物质使用、醉酒性行为、酒后驾车、饮食不良、睡眠不足)(24.3%),(3)生活方式温和,很少有危险行为(20.4%),(4)“健康意识”(有利的饮食/体育活动,一些不健康的体重控制; 15.4%)。男子班有:(1)不良生活方式,低风险(压力大,睡眠不足,男性占9.2%),(2)高风险(男性占33.6%,女性为2级),(3)中等生活方式,低风险(51.0%),(4)“典型运动员”(高体力活动,酗酒,6.2%)。据我们所知,这是第一个研究大学生复杂的生活方式模式的研究,特别是强调与体重有关的行为的作用。这些发现对针对新兴成年人和大学青年急需的健康促进战略具有重要意义。
Few studies have examined the context of a wide range of risk behaviors among emerging adults (ages 18–25 years), approximately half of whom in the USA enroll in post-secondary educational institutions. The objective of this research was to examine behavioral patterning in weight behaviors (diet and physical activity), substance use, sexual behavior, stress, and sleep among undergraduate students. Health survey data were collected among undergraduates attending a large, public US university (n=2,026). Latent class analysis was used to identify homogeneous, mutually exclusive “classes” (patterns) of ten leading risk behaviors. Resulting classes differed for males and females. Female classes were defined as: (1) poor lifestyle (diet, physical activity, sleep), yet low-risk behaviors (e.g., smoking, binge drinking, sexual risk, drunk driving; 40.0% of females), (2) high risk (high substance use, intoxicated sex, drunk driving, poor diet, inadequate sleep) (24.3%), (3) moderate lifestyle, few risk behaviors (20.4%), (4) “health conscious” (favorable diet/physical activity with some unhealthy weight control; 15.4%). Male classes were: (1) poor lifestyle, low risk (with notably high stress, insufficient sleep, 9.2% of males), (2) high risk (33.6% of males, similar to class 2 in females), (3) moderate lifestyle, low risk (51.0%), and (4) “classic jocks” (high physical activity, binge drinking, 6.2%). To our knowledge, this is among the first research to examine complex lifestyle patterning among college youth, particularly with emphasis on the role of weight-related behaviors. These findings have important implications for targeting much needed health promotion strategies among emerging adults and college youth.
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