Online Program

NCD-Related Lifestyle Patterns from Childhood to Adolescence: A 13 Years Longitudinal Study

Monday, November 2, 2015 : 3:24 p.m. - 3:42 p.m.

Yi Han Chang, MS, PhD Candidate, Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan
Lee-Lan Yen, ScD, Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taiwan, Taipei, Taiwan
Hsing-Yi Chang, DR.PH, Center for Health Policy Research and Development, National Health Research Institutes, Taiwan, Miaoli County, Taiwan
Chi-Chen Wu, MS, Center for Health Policy Research and Development, National Health Research Insitutes, Maoli, Taiwan
Background: Eight of the ten leading causes of death in Taiwan were non-communicable diseases (NCDs) in 2013, which accounted for approximately 66% of deaths. To prevent NCDs, physical activity, healthy diet, tobacco and alcohol use are the most common modifiable behaviors that frequently tending to occur in cluster and typically establishing during adolescence and persisting throughout life. However, few studies have examined the lifestyle development patterns. This study investigates distinct lifestyle development patterns and the predictors from childhood to adolescence.

Methods: A longitudinal sample of 2624 (4th grade in 2001, 51.43% male) from the Child and Adolescent Behaviors in Long-term Evolution (CABLE) project was used. Indicators measuring NCD-related lifestyle patterns came from four variables (eating vegetable/fruit every day, physical activity 3 times a week, tobacco and alcohol use), which repeatedly measured in 2001-2013. Longitudinal latent class analysis (LLCA), also referred to as repeated-measures latent class analysis (RMLCA) and multinomial logistic model were used for analysis.  

Result: The LCA model identified six latent classes (all posterior probability>0.75) by behavior indicators response probability during 13 years: persistently inactive lifestyle (18.64%), high risk lifestyle (12.02%), early alcohol use (12.64%), lack of health promotion lifestyle (19.29%), persistently healthy lifestyle (22.97%), non-smoking (14.44%). Gender, mother’s education, family income, parental marriage status, parents’ rule of drinking and personality were predictors of NCD-related lifestyle patterns.

Conclusion: We demonstrated the existence of heterogeneity of NCD-related lifestyle development patterns during childhood and adolescence. Future research is needed to identify the mechanism of subgroups lifestyle patterns and the shared affecting factors, thus policies or interventions aim to multiple behaviors can be designed accordingly.

Learning Areas:

Public health or related public policy
Public health or related research
Social and behavioral sciences

Learning Objectives:
Demonstrate distinct NCD-related lifestyle development patterns and analyze the predictors from childhood to adolescence

Keyword(s): Children and Adolescents, Behavioral Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an investigator at National Health Research Institutes in Taiwan. My research interests include methodology for health related surveys and epidemiology. I have involved in several large surveys in Taiwan. I am one co-author of this study and also the principle investigator of the CABLE project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.