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