{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:14:57Z","timestamp":1777677297876,"version":"3.51.4"},"reference-count":44,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2014,2,10]],"date-time":"2014-02-10T00:00:00Z","timestamp":1391990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Promotion Practice"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:p>Purpose. This study identified underlying subgroups among college students in terms of lifestyle characteristics and health risk behaviors and then investigated how demographic factors were associated with the underlying risk patterns to bolster health promotion efforts and interventions. Method. College students ( N = 996) enrolled at Indiana University during 2009-2010 participated in a multidimensional online survey. Latent class analysis was used to identify underlying risk patterns based on seven lifestyle and health behaviors, including frequent alcohol use, binge drinking, smoking, low physical activity, low vegetable intake, low fruit intake, and poor sleep. Results. Four distinct risk behavior patterns were identified for both males and females including a \u201chealthy\u201d class, \u201clow substance use but poor other health behaviors\u201d class, \u201chigh substance use\u201d (males)\/\u201chigh alcohol use\u201d (females) class, and a risk class characterized by elevated probability of all seven indicators. The highest risk class included 34% of the males and 22% of the females; they tended to be older or in more advanced undergraduate classes. Among males, compared with the \u201chealthy\u201d class, the \u201chigh substance use\u201d class was more likely to contain non-Hispanic White students and students in advanced classes. Among females, the \u201clow substance use but poor other health behaviors\u201d class was associated with racial\/ethnic minority status and lower levels of parental education. Conclusions. Our data suggest that risky health behaviors may tend to cluster in some students and that health promotion techniques might effectively be targeted to identifiable student subgroups.<\/jats:p>","DOI":"10.1177\/1524839914520702","type":"journal-article","created":{"date-parts":[[2014,2,11]],"date-time":"2014-02-11T00:43:22Z","timestamp":1392079402000},"page":"132-141","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":31,"title":["Risk Patterns Among College Youth"],"prefix":"10.1177","volume":"16","author":[{"given":"Juhua","family":"Luo","sequence":"first","affiliation":[{"name":"Indiana University, Bloomington, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon","family":"Agley","sequence":"additional","affiliation":[{"name":"Indiana University, Bloomington, IN, USA"},{"name":"Indiana Prevention Resource Center, Bloomington, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Hendryx","sequence":"additional","affiliation":[{"name":"Indiana University, Bloomington, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Gassman","sequence":"additional","affiliation":[{"name":"Indiana University, Bloomington, IN, USA"},{"name":"Indiana Prevention Resource Center, Bloomington, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Lohrmann","sequence":"additional","affiliation":[{"name":"Indiana University, Bloomington, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,2,10]]},"reference":[{"key":"bibr1-1524839914520702","doi-asserted-by":"publisher","DOI":"10.1097\/00005768-200009001-00009"},{"key":"bibr2-1524839914520702","doi-asserted-by":"publisher","DOI":"10.1007\/BF02294359"},{"key":"bibr3-1524839914520702","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.55.5.469"},{"key":"bibr4-1524839914520702","doi-asserted-by":"publisher","DOI":"10.1016\/j.physbeh.2012.09.003"},{"key":"bibr5-1524839914520702","doi-asserted-by":"publisher","DOI":"10.17763\/haer.64.2.m14947g30k1x5781"},{"key":"bibr6-1524839914520702","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(99)00105-1"},{"key":"bibr7-1524839914520702","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2007.08.005"},{"key":"bibr8-1524839914520702","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2010.04.005"},{"key":"bibr9-1524839914520702","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6602359"},{"key":"bibr10-1524839914520702","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2004.04.017"},{"key":"bibr11-1524839914520702","doi-asserted-by":"publisher","DOI":"10.1177\/1524839910370425"},{"key":"bibr12-1524839914520702","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jhh.1002212"},{"key":"bibr13-1524839914520702","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.771881"},{"key":"bibr14-1524839914520702","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2011.07.009"},{"key":"bibr15-1524839914520702","volume-title":"Problem behavior and psychosocial development: A longitudinal study of youth","author":"Jessor R.","year":"1977"},{"key":"bibr16-1524839914520702","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2007.09.010"},{"key":"bibr17-1524839914520702","volume-title":"Results of the Indiana College Substance Use Survey\u20142012","author":"King R. 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