Objective To understand the potential categories of health-risk behaviors among adolescents in the Wuling Mountain Area and their association with school connectedness,so as to provide reference for formulating classified and effective intervention measures.Methods From March to June 2023,3 386 middle and high school students from eight schools in the Wuling Mountain Area were selected using the multistage stratified cluster random sampling method.A basic information questionnaire,health-risk behaviors questionnaire,and school connectedness scale were utilized for the survey.The latent classes of adolescent health-risk be-haviors in the Wuling Mountain Area were investigated by using latent class analysis,while an multinomial Logistic regression model was employed to analyze the association between latent classes and school connectedness.Results Adolescent health-risk behaviors in the Wuling Mountains Area were classified into three latent classes:high-risk class of episodic behaviors(5.64％),high-risk class of implicit behaviors(26.90％),and low-risk class of implicit behaviors(67.45％).Gender,ethnicity,and family type re-vealed significant differences in the distribution of the three latent classes(X2=117.91,22.55,21.51,P＜0.05).The results of the regression model analysis showed that,with the low-risk class as the reference category,high school connectedness scores were as-sociated with the high-risk class of episodic behaviors(OR=0.89,95％CI=0.88-0.91)and the high-risk class of implicit behaviors(OR=0.90,95％CI=0.89-0.91)(P＜0.05).Conclusions The characteristics of adolescent health-risk behavior classes in the Wuling Mountain Area are obvious.The high-risk class of episodic behaviors and the high-risk class of implicit behaviors are nega-tively correlated with school connectedness.Corresponding measures should be taken to enhance adolescents'sense of belonging in school and reduce the aggregation and co-occurrence of health-risk behaviors.
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万方数据
