Title
Clustering of health-related behaviors and their determinants: Possible consequences for school health interventions
Author
Wiefferink, C.H.
Peters, L.
Hoekstra, F.
Ten Dam, G.
Buijs, G.J.
Paulussen, T.G.W.M.
TNO Kwaliteit van Leven
Publication year
2006
Abstract
Characterizing school health promotion is its category-by-category approach, in which each separate health-related behavior is addressed independently. Such an approach creates a risk that extra-curricular activities become overloaded, and that teaching staff are distracted by continuous innovations. Within the health promotion sector there are thus increasing calls for an integrative approach to health-related behaviors. However, a meaningful integrative approach to different lifestyles will be possible only if there is some clustering of individual health-related behaviors and if health-related behaviors have a minimum number of determinants in common. This systematic review aims to identify to what extent the four health-related behaviors smoking, alcohol abuse, safe sex and healthy nutrition cluster; and how their determinants are associated. Potentially modifiable determinants that offer clues for an integrative approach of school health-promotion programs are identified. Besides, the direction in which health educators should look for a more efficient instructional design is indicated. © 2006 Society for Prevention Research.
Subject
Health
Alcohol abuse
Clustering
Determinants
Health-related behaviors
School health interventions
Cluster analysis
Drinking behavior
Nutrition
Adolescent
Adult
Alcohol Drinking
Child
Cluster Analysis
Female
Health Behavior
Humans
Male
Nutrition Physiology
Safe Sex
School Health Services
Smoking
To reference this document use:
http://resolver.tudelft.nl/uuid:1d521409-0fbd-4310-8913-43a3d9f6a680
DOI
https://doi.org/10.1007/s11121-005-0021-2
TNO identifier
239297
ISSN
1389-4986
Source
Prevention Science, 7 (2), 127-149
Document type
article