Mathur, MR;
Singh, A;
Mishra, VK;
Parmar, P;
Nagrath, D;
Watt, RG;
Tsakos, G;
(2020)
Socioeconomic inequalities in clustering of health-compromising behaviours among Indian adolescents.
Indian Journal of Community Medicine
, 45
(2)
pp. 139-144.
10.4103/ijcm.IJCM_349_19.
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Abstract
Background: The simultaneous occurrence of health-compromising behaviors can accentuate the risk of noncommunicable diseases (NCDs). This study aimed to examine the existence and patterns of clustering of four NCD risk behaviors among adolescents and its association with social position. In addition, socioeconomic inequalities in the occurrence of clustering of NCD risk behaviors were also assessed. Methods: A cross-sectional study was undertaken among 1218 adolescents (14-19 years old) in the city of New Delhi, India. An interviewer-administered questionnaire was used to assess health-compromising behaviors (tobacco and alcohol use, fruit/vegetable intake, and physical inactivity). Clustering was assessed using pairwise correlations, counts of clustering of health-compromising behaviors, comparison of observed/expected ratios, and hierarchical agglomerative cluster analysis. Multivariable logistic regressions were used to test the associations of clustering with social position (education and wealth). The relative and slope indices of inequalities in the presence of clustering of behaviors according to education and wealth were estimated. Results: Three major clusters of health behaviors emerged: (a) physical inactivity + lower fruit and vegetable intake, (b) tobacco + alcohol use, and (c) lower fruit and vegetable intake + tobacco + alcohol use. Pronounced clustering of health-compromising behaviors was observed with lower educational attainment and wealth. Conclusion: The presence of clustering of health-compromising behaviors was considerably higher among adolescents with lower educational attainment and wealth. The area of residence has an important influence on socioeconomic inequalities in clustering of NCD risk factors.
| Type: | Article |
|---|---|
| Title: | Socioeconomic inequalities in clustering of health-compromising behaviours among Indian adolescents |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.4103/ijcm.IJCM_349_19 |
| Publisher version: | https://doi.org/10.4103/ijcm.IJCM_349_19 |
| Language: | English |
| Additional information: | This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non‑commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. See here for further information: https://creativecommons.org/licenses/by-nc-sa/4.0/ |
| Keywords: | Clustering, health behavior, noncommunicable disease, relative index of inequality, slope index of inequality |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10104120 |
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