Clustering of health-related behaviors and their determinants: possible consequences for school health interventions

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...

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Bibliographic Details
Published in:Prevention science 2006-06, Vol.7 (2), p.127-149
Main Authors: Wiefferink, Carin H, Peters, Louk, Hoekstra, Femke, Dam, Geert Ten, Buijs, Goof J, Paulussen, Theo G W M
Format: Article
Language:English
Subjects:
Adolescent
Adult
Alcohol Drinking
Child
Cluster Analysis
Female
Health Behavior
Humans
Information sources
Male
Nutritional Physiological Phenomena
Prevention
Safe Sex
School health
School Health Services
Smoking
Substance abuse
Systematic review
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Summary: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.
ISSN:1389-4986
1573-6695
DOI:10.1007/s11121-005-0021-2