دورية أكاديمية

A latent class analysis of international change and continuity in adolescent health and wellbeing: A repeat cross-sectional study.

التفاصيل البيبلوغرافية
العنوان: A latent class analysis of international change and continuity in adolescent health and wellbeing: A repeat cross-sectional study.
المؤلفون: Stevely AK; Sheffield Addictions Research Group (SARG), Sheffield Centre for Health and Related Research (SCHARR), University of Sheffield, Sheffield, United Kingdom., Gray LA; Health Economics and Decision Science, Sheffield Centre for Health and Related Research (SCHARR), University of Sheffield, Sheffield, United Kingdom.; Healthy Lifespan Institute, University of Sheffield, Sheffield, United Kingdom., Fairbrother H; Faculty of Health, University of Sheffield, Sheffield, United Kingdom., Fenton L; Sheffield Addictions Research Group (SARG), Sheffield Centre for Health and Related Research (SCHARR), University of Sheffield, Sheffield, United Kingdom., Henney M; Sheffield Addictions Research Group (SARG), Sheffield Centre for Health and Related Research (SCHARR), University of Sheffield, Sheffield, United Kingdom., Kersbergen I; Sheffield Addictions Research Group (SARG), Sheffield Centre for Health and Related Research (SCHARR), University of Sheffield, Sheffield, United Kingdom., Holmes J; Sheffield Addictions Research Group (SARG), Sheffield Centre for Health and Related Research (SCHARR), University of Sheffield, Sheffield, United Kingdom.; Healthy Lifespan Institute, University of Sheffield, Sheffield, United Kingdom.
المصدر: PloS one [PLoS One] 2024 Jun 11; Vol. 19 (6), pp. e0305124. Date of Electronic Publication: 2024 Jun 11 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Adolescent Health* , Latent Class Analysis*, Humans ; Adolescent ; Cross-Sectional Studies ; Male ; Female ; England ; Italy/epidemiology ; Health Behavior ; Netherlands/epidemiology ; Adolescent Behavior/psychology ; Hungary ; Finland ; Alcohol Drinking/epidemiology
مستخلص: Background: Since the early 2000s, there have been marked trends in adolescent health and wellbeing indicators across Europe, North America and Australia. In particular, there have been substantial declines in youth drinking. We know little about how these trends are underpinned by co-occurring indicators within individuals. This paper aims to analyse change over time in how indicators cluster within individuals and differences in these patterns between five countries with different trends in youth drinking.
Methods: We analysed four waves of repeat cross-sectional survey data from 15-year-olds in England (n = 5942), Italy (n = 5234), the Netherlands (n = 5408), Hungary (n = 5274), and Finland (n = 7446), which were included in the Health Behaviours in School-aged Children (HBSC) study between 2001/02 and 2013/14. We defined clusters of individuals using multigroup latent class analyses which accounts for change over time. The class indicators included health behaviours, attitudes, wellbeing and relationships. We modelled associations between class membership, sex, and family affluence over time.
Results: We identified four classes in all countries: Overall unhealthy, Overall healthy, Moderately healthy and Substance abstainers with behaviour risk indicators. The proportion of adolescents in the Overall unhealthy class declined between 2001/02 and 2013/14 by between 22.8 percentage points (pp) in England and 3.2pp in Italy. The extent to which indicators of health and wellbeing changed as linked clusters differed across countries, but changes in alcohol consumption, smoking, drug use and sexual activity were typically concurrent. Adolescents with low family affluence were more likely to be in the Overall unhealthy class in all years.
Conclusions: Improvements in indicators of adolescent health and well-being are due mainly to concurrent declines in drinking, smoking, sexual activity, and cannabis use, but these declines are not consistently associated with improvements in other domains. They have also not led to reductions in inequalities in indicators of health and well-being.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Stevely et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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معلومات مُعتمدة: 208090 United Kingdom WT_ Wellcome Trust; MR/S009868/1 United Kingdom MRC_ Medical Research Council
تواريخ الأحداث: Date Created: 20240611 Date Completed: 20240611 Latest Revision: 20240630
رمز التحديث: 20240630
مُعرف محوري في PubMed: PMC11166295
DOI: 10.1371/journal.pone.0305124
PMID: 38861509
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0305124