Print Email Facebook Twitter Clustering of health-related behaviors and their determinants: Possible consequences for school health interventions 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 HealthAlcohol abuseClusteringDeterminantsHealth-related behaviorsSchool health interventionsCluster analysisDrinking behaviorNutritionAdolescentAdultAlcohol DrinkingChildCluster AnalysisFemaleHealth BehaviorHumansMaleNutrition PhysiologySafe SexSchool Health ServicesSmoking 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 Files To receive the publication files, please send an e-mail request to TNO Library.