{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:42:06Z","timestamp":1790185326530,"version":"4.1.0"},"reference-count":0,"publisher":"Health Promotion and Chronic Disease Prevention Branch (HPCDP) Public Health Agency of Canada","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Promot Chronic Dis Prev Can"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<sec>\n         <title>Introduction<\/title>\n         <p>University and college campuses may be the last setting where it is\npossible to comprehensively address the health of a large proportion of the young adult\npopulation. It is important that health promoters understand the collective challenges\nstudents are facing, and to better understand the broader lifestyle behavioural\npatterning evident during this life stage. The purpose of this study was to examine\nthe clustering of modifiable health-risk behaviours and to explore the relationship\nbetween these identified clusters and mental health outcomes among a large Canadian\nuniversity sample.<\/p>\n       <\/sec>\n       <sec>\n         <title>Methods<\/title>\n         <p>Undergraduate students (n = 837; mean age = 21 years) from the University\nof Toronto completed the National College Health Assessment survey. The survey\nconsists of approximately 300 items, including assessments of student health status, mental\nhealth and health-risk behaviours. Latent class analysis was used to identify patterning\nbased on eight salient health-risk behaviours (marijuana use, other illicit drug use, risky\nsex, smoking, binge drinking, poor diet, physical inactivity, and insufficient sleep).<\/p>\n       <\/sec>\n       <sec>\n         <title>Results<\/title>\n         <p>A three-class model based on student behavioural patterns emerged: \u201ctypical,\u201d\n\u201chigh-risk\u201d and \u201cmoderately healthy.\u201d Results also found high-risk students reporting\nsignificantly higher levels of stress than typical students (\u03c72(1671) = 7.26, p &lt; .01).<\/p>\n       <\/sec>\n\t   <sec>\n         <title>Conclusion<\/title>\n         <p>Students with the highest likelihood of engaging in multiple health-risk\nbehaviours reported poorer mental health, particularly as it relates to stress. Although\nthese findings should be interpreted with caution due to the 28% response rate, they do\nsuggest that interventions targeting specific student groups with similar patterning of\nmultiple health-risk behaviours may be needed.<\/p>\n\t\t<\/sec>","DOI":"10.24095\/hpcdp.36.8.03","type":"journal-article","created":{"date-parts":[[2017,3,29]],"date-time":"2017-03-29T14:59:46Z","timestamp":1490799586000},"page":"163-170","source":"Crossref","is-referenced-by-count":92,"title":["Patterns of multiple health risk\u2013behaviours in university students and their association with mental health: application of latent class analysis"],"prefix":"10.24095","volume":"36","author":[{"given":"M. Y.","family":"Kwan","sequence":"first","affiliation":[{"name":"Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada"},{"name":"Michael G. DeGroote School of Medicine, Niagara Regional Campus, McMaster University, St. Catharines, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. P.","family":"Arbour-Nicitopoulos","sequence":"additional","affiliation":[{"name":"Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Duku","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioural Neurosciences and Offord Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Faulkner","sequence":"additional","affiliation":[{"name":"Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada"},{"name":"School of Kinesiology, University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10188","container-title":["Health Promotion and Chronic Disease Prevention in Canada"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/health-promotion-chronic-disease-prevention-canada-research-policy-practice\/vol-36-no-8-2016\/patterns-multiple-health-risk-behaviours-university-students-their-association-with-mental-health-application-latent-class-analysis.html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,12,6]],"date-time":"2017-12-06T14:40:47Z","timestamp":1512571247000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/health-promotion-chronic-disease-prevention-canada-research-policy-practice\/vol-36-no-8-2016\/patterns-multiple-health-risk-behaviours-university-students-their-association-with-mental-health-application-latent-class-analysis.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8]]},"references-count":0,"journal-issue":{"issue":"8"},"URL":"https:\/\/doi.org\/10.24095\/hpcdp.36.8.03","archive":["Internet Archive"],"relation":{},"ISSN":["2368-738X"],"issn-type":[{"value":"2368-738X","type":"print"}],"subject":[],"published":{"date-parts":[[2016,8]]}}}