Children’s profile of healthy and unhealthy behaviors ... … · Children’s profile of healthy...

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Children’s profile of healthy and unhealthy behaviors: Demographic characteristics and perceptions of social environment Yannis Theodorakis a, *, Athanasios Papaioannou b , Antonis Hatzigeorgiadis a , & Eva Papadimitriou a a University of Thessaly, Trikala, Greece b Democtitus University of Thrace, Komotini, Greece Manuscript submitted: December 5, 2002 Running head: children’s healthy and unhealthy profiles Address for correspondence: Yannis Theodorakis University of Thessaly, Department of Physical Education & Sport Science, 42100, Karies, Trikala, Greece. e-mail: Phone: [email protected] + 30 24310 47001

Transcript of Children’s profile of healthy and unhealthy behaviors ... … · Children’s profile of healthy...

  • Childrens profile of healthy and unhealthy behaviors: Demographic

    characteristics and perceptions of social environment

    Yannis Theodorakis a,*, Athanasios Papaioannou b, Antonis Hatzigeorgiadis a,

    & Eva Papadimitriou a

    a University of Thessaly, Trikala, Greece

    b Democtitus University of Thrace, Komotini, Greece

    Manuscript submitted: December 5, 2002 Running head: childrens healthy and unhealthy profiles

    Address for correspondence: Yannis Theodorakis University of Thessaly,

    Department of Physical Education & Sport Science, 42100, Karies, Trikala, Greece.

    e-mail: Phone:

    [email protected] + 30 24310 47001

  • Childrens profile of healthy and unhealthy behaviors: Demographic

    characteristics and perceptions of social environment

    Manuscript submitted: December 5, 2002 Running head: CHILDRENS HEALTHY AND UNHEALTHY PROFILES

  • Childrens profile of healthy and unhealthy behaviors: Demographic

    characteristics and perceptions of social environment.

    Abstract

    Objectives. In recent years health promotion is a matter of great interest

    among researchers in the field of social sciences. The aim of the present study was to

    identify the profile of children who exhibit healthy and unhealthy behaviors in

    relation to demographic characteristics and perceptions of social environment.

    Method. Participants were 3640 Greek students from 10 to 16 years of age.

    They responded on self-report questionnaires assessing a number of behaviors

    (exercise, diet, smoking, and violence), as well as family structure, family income,

    perceived family and peer behavior and perceived family support.

    Results. Cluster analysis identified four distinct profiles. One including

    children adopting healthy behaviors (exercising, healthy eating) and avoiding

    unhealthy ones (smoking, violence), a second including children avoiding unhealthy

    behaviors, but not adopting healthy ones, a third including children adopting healthy

    behaviors, but also taking part in violent incidents, and a fourth including children

    adopting smoking and avoiding healthy behaviors. Demographic characteristics

    seemed to better explain the adoption or not of healthy behaviors, whereas

    perceptions of social environment and age seemed to better explain the adoption or

    not of unhealthy behaviors.

    Conclusion. The results of the present study indicate that health promotion

    programs should take into serious consideration both personal and social

    characteristics of the targeted population.

    Key words: exercise, nutrition, smoking, violence, children profiles

  • childrens healthy and unhealthy profiles 1

    Childrens profile of healthy and unhealthy behaviors: Demographic

    characteristics and perception of social environment.

    Introduction

    In recent years the interest of health-related scientific and medical organizations

    on health promotion is progressively growing. However, despite the increasing focus

    on health prevention, results from relevant studies show that behavior patterns are

    quite worrying, especially among younger populations (Mota & Queiros, 1996; Pate

    et al., 1997; Steptoe et al., 2002). Since the early nineties, the adoption of unhealthy

    behaviors like smoking, use of alcohol and drugs, seems to spread rapidly (Torabi &

    Nakornhet, 1996). Furthermore, low levels of exercise and poor diet have been

    identified that are related to obesity and have been characterized as potentially risk-

    factors for individuals health (Muecke, Simons-Morton, Huang & Parcel, 1992).

    Thus, the study of health-related behaviors becomes of great importance especially for

    younger children and adolescents, since it is at that age when health beliefs are

    established (Baranowski, 1997) and healthy/unhealthy habits are adopted (Taylor,

    1999). The purpose of the present study was to identify whether patterns of healthy

    and/or unhealthy behaviors exist among young population and to examine likely

    personal and social factors that may be important in determining the adoption of

    healthy and unhealthy habits.

    Considerable amount of research during the past and present years has been

    dealing with the healthy and unhealthy behaviors of children and the factors that

    influence and finally shape them. Researchers claim that healthy behaviors such as

    exercise and healthy eating habits are positively correlated (Liang, Shediac -

    Ritzkallan, Celantano & Rohde, 1999), and so are unhealthy behaviors, such as the

  • childrens healthy and unhealthy profiles 2

    use of nicotine, drugs and violent behavior (Barnes, Welte, Hoffman & Dintcheff,

    1999; Bauman & Phongsavan, 1999; Liang et al., 1999; Friedman, 1998; Griesler &

    Kandel, 1998). Of the amount of healthy and unhealthy behaviors the present study

    will focus on exercise, healthy eating, smoking, and violence.

    There is a number of models which have been developed over the years to

    explain health-related behaviors and which recognize the importance of personal and

    social factors. According to Rosenstock (1991) the health belief model (Becker, 1974)

    has been the most influential and widely tested approach to health behaviors.

    According to the health belief model, among the forces that are recognized as

    important in shaping behavior are demographic characteristics such as age, gender

    education and ethnicity, and socio-psychological factors such as personality, social

    environment and social class. In a similar fashion Banduras (1986) social cognitive

    theory suggests that behavior is a product of relationships between personal factors

    (coming within the individual) and environmental factors (coming from the context in

    which the behavior occurs). Finally, Sallis and Hovells (1990) social learning model

    stresses that with regard to younger populations, personal factors (e.g. age, gender,

    personality) and social influences especially (e.g. family modeling, peer influences,

    social support) are significant determinants of health-related behaviors, in particularly

    physical activity. Therefore, it becomes evident that the important role of personal and

    social factors in shaping health behavior is widely recognized.

    In the literature, it has been reported that there are numerous factors influencing

    the adoption of behaviors like exercising or smoking, however family and friends are

    two of the most important factors proposed to account for such behaviors (e.g.

    Friedman & Glassman, 2000; Herrenkohl et al., 2000; Blackson, et al., 1999; Brook,

    Mendelberg, Galili, Priel, & Bujanover, 1999; Duncan, Duncan, Biglan, & Ary,

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    1998). Broadly speaking children 's physical activity and their opinion about it as well

    has been found to be in accordance to their parents' (Babkes & Weiss, 1999; Trost,

    Pate, Ward, Saunders & Riner, 1999; Kimiecic, Horn & Shurin, 1996; Stucky-Ropp

    & DiLorenzo, 1993; Anderssen & Wold, 1992). Parents are said to influence their

    children either as models or motivationally (Stucky-Ropp & DiLorenzo, 1993;

    Anderssen & Wold, 1992). Vilhjalmlsson and Thorlindsson (1998) also claimed that

    father's, friends' and older siblings' involvement in exercise is significantly correlated

    to children's behavior. Meta-analysis about the effects of social influences on

    individuals attitudes, intention and behavior, revealed that the influence of important

    others is stronger than that of family (Carron, Hausenblas & Mack, 1996). However,

    relevant study that dealt with parental influence concluded that children who grow up

    with one or no parents adopt unhealthier lifestyle behaviors than children who grow

    up with both parents (Theodorakis, Papaioannou & Karastogianidou, submitted).

    Thus, regarding exercise, the influence of both family and peers is clearly evident.

    As far as healthy eating is concerned parental modeling is considered the major

    factor in shaping children 's behavior (Lau, Quadrel & Hartman, 1990). Parental

    influence is evident in the work of Hooper, Gruber, Munoz and MacConnie (1996)

    who studied family and school influence in the modulation of healthy nutritional

    habits and concluded that parental and school cooperation was the most effective. It

    has been also noticed that financial and social status of the family influence children 's

    nutritional habits (Neumark - Sztainer, Story, Perry & Casey, 1999; Hupkens, Knibbe,

    Otterloo & Drop, 1998). Children who lived with one of their parents, single and

    unemployed people were characterized as at-risk groups (Roux, Le Couedic, Durand-

    Gasselin & Luquet, 1999). Finally, nutritional habits are said to be affected by

    appearance, weight and peer influence (McLellan, Rissel, Donnelly & Bauman, 1999;

  • childrens healthy and unhealthy profiles 4

    Shisslak, et al., 1998), whereas family and peer influence as models has been also

    found to be related to bulimic symptoms of teenagers (Stice, 1998).

    Regarding smoking, it has been reported that peer influence is the most

    influential factor, and that the closer the friends are the more likely it is for children to

    adopt similar beliefs and behaviors (Roosmalen & McDaniel, 1989). Family influence

    is also recognized as important (Zhu, Liu, Shelton, Liu & Giovino, 1996; Dusenbury,

    et al., 1992), with mothers having the most significant influence (Griesler & Kandel,

    1998). In a study by Brook, Mendelberg, Galili, Priel and Bujanover (1999), young

    children whose parents were smokers were found to be more tolerant towards

    smoking compared to the ones whose parents did not smoke, although they knew its

    consequences. Children whose parents and siblings were smokers were also found to

    start smoking at an earlier age (Unger & Chen, 1999; Roosmalen & McDaniel, 1989).

    Peer influence though is claimed to be stronger than parental (Friedman & Glassman,

    2000; Dusenbury et al., 1992) and so is sibling influence (Sugathan, Moody, Bustan

    & Elgerges, 1998).

    Furthermore, it has been supported that parental monitoring (Barnes et al, 1999;

    Duncan et al., 1998) and frequent conflicts between parents and children (Duncan et

    al., 1998) are related to increased use of nicotine by children, whereas parental

    supportive behavior leads to its decrease (Griesler & Kandel, 1998). According to

    Sobeck, Abbey, Agius, Clinton and Harrison (2000) it is more possible for children

    who smoke to come from families that face problems and know less about smoking

    compared to non-smokers of the same age. Finally, smoking has been found related to

    low socioeconomic family condition, poor academic performance and ignorance (Zhu

    et al., 1996).

  • childrens healthy and unhealthy profiles 5

    The last behavior that this study deals with is violent behavior. Paetsch and

    Bertrand (1997) reported that the most important factor predicting violent behavior

    was peer deviant behavior. Sport activities and in a large degree involvement in

    amusement activities were positively correlated to such behaviors, whereas

    Herrenkohl, et al. (2000) reported violence to be related to poor academic

    performance. Blackson, et al. (1999) also supported that peers and family condition

    instill deviant behaviors when the environment is tolerable towards such behaviors.

    Other factors that violent behavior is likely to depend on during adolescence are

    modeling, family malfunctioning, and family separation (Dahlberg, 1998). Family and

    peer influences were also supported by Ary, Duncan, Duncan and Hops (1999) who

    claimed that family conflicts, congruous family relationship and inadequate children

    monitoring by parents play a major role in the adoption of violent behavior.

    Summarizing the above-mentioned, it is well documented that family and peer

    influence and support are important determinants of children's behavior. The aim of

    the study was first to examine how the behaviors of interest, i.e. exercising, smoking,

    healthy eating and participating in violent acts, cluster, that is how certain behaviors

    relate to each other, and second to identify the profile of children in these clusters of

    behaviors, in relation to demographic characteristics and social influences. Given the

    exploratory character of the study, no specific hypotheses were formed regarding how

    behaviors would cluster. Nevertheless, we expected that age, gender and social

    influences (family support and perceived family and peer behavior) would be the most

    crucial factors in determining the adoption of healthy and unhealthy behaviors.

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    Method

    Participants and procedures

    Participants in this study were 3640 Greek students. Their age ranged from 10

    to 16 years. The sample was selected with a random stratified sampling method from

    85 classes of 30 elementary schools, grade 6, from 87 classes of 33 junior high

    schools, grades 2 and 3, and from 86 classes of 28 high schools, grades 5 and 6. These

    schools were elected from 6 urban areas of Greece varying in population from four

    millions to seventy-five thousands residents.

    The study was conducted with the permission of the ministry of education. Ten

    trained research assistants were employed in the data collection process. Participants

    were informed that questionnaires were anonymous and signed consent forms. In their

    class environment, they responded on questionnaires assessing the examined

    behaviors, family and peer influence, perceived family support, family structure and

    family income. After completing the forms children were asked to place it in a poll.

    Measures

    Self-report past behaviors. The examined behaviors were four and were

    assessed by self-reported measures. The scales were adopted from Kimiecik (1992)

    and Steptoe, et al. (2002) and complied with Ajzens (2002) guidelines for

    measurement of behavior. In particular, students were asked to indicate frequency of

    the examined behaviors on six-point scales. For exercising, how many times you

    exercised intensively during the last month (none to more than twenty times).

    Participants were instructed that intensive exercise meant taking part in physical

    activities, which cause increased heart rate and sweating for more than 30 minutes

    (e.g. football, basketball, aerobic). For smoking and eating fruits, how many

    cigarettes/fruits you smoked/ate during the last week (none to more than twenty). For

  • childrens healthy and unhealthy profiles 7

    participating in violent acts, how many times you got involved in violent acts during

    the last month (none to more than ten times).

    Perceived family and peer behavior. Family and peer influence was estimated

    in terms of modeling. The questionnaire used was based on prior work by Wang,

    Fitzhugh, Westerfield and Eddy (1995). Students answered 16 items regarding

    perceived parents' and peer's behavior towards the examined behaviors. Four items for

    each behavior were used. More specifically students were asked what they believed

    about their parents, siblings and best friends: How often do you think your mother/

    father/ siblings/best friend exercised/smoked/ate fruits/ participated in violent action

    during the previous month. Responses on these items were rated on a 7-point scale

    (never to all the time).

    Perceived family support. Perceived parental support was estimated by a

    questionnaire based on prior work by Wickrama, Lorenz and Conger (1997). It

    consisted of 10 items assessing students' perception of their parents' behavior towards

    them. For example, students were asked how often during the previous month their

    parents illustrated their real interest for them, expressed their love and affection to

    them, were angry with them and so on. Reponses on these items were rated on a 6-

    point scale (never to all the time). Cronbachs alpha was .86.

    Family structure. To assess family structure, participants were asked to

    indicate whether they live with both parents, with their mother only, with their father

    only, with their grandparents, or alone. They also had the choice to state other.

    Perceived family income. Finally, regarding family income, participants were

    asked to indicate on a five-point scale whether they perceived their family income to

    be significantly above average, a little above average, on average, a little below

    average or significantly below average. They could also state that they did not know.

  • childrens healthy and unhealthy profiles 8

    Data analysis

    Cluster analysis was chosen to answer the main research question, that is whether

    identifiable subgroups or profiles of children would emerge based on variations

    regarding the behaviors of exercising, smoking, eating fruits and participating in

    violent acts. A nonhierarchical clustering method was employed (SPSS Quick

    Cluster) with the squared Euclidean distance used as the similarity measure. Before

    submitting the data to the cluster procedures, all variables were converted to z scores

    in order to standardize the measurement scales and to allow the easier interpretation

    of the results. A z score value of +/-.50 was used as a criterion for interpreting

    whether individuals scored relatively higher or lower compared to their peers on each

    of the four variables.

    Results

    Cases with missing values on the variables of main interest (behavioral

    variables) were deleted. This resulted in a sample of 3307 children. Descriptive

    statistics for all variables are presented in Table 1. Mean scores indicate that children

    scored moderately on exercising and eating fruits and low in smoking and

    participating in violent incidents. Furthermore, they scored moderately high on

    perceived family support and perceived family and peer exercise behavior,

    moderately low on perceived family and peer smoking behavior, moderately high on

    perceived family and peer eating fruits behavior, and low on perceived family and

    peer violent behavior.

    Exercise was negatively, but lowly correlated with smoking (r= -.11), and

    positively but again lowly correlated with eating fruits (.20) and participating in

    violent acts (.11). Furthermore, smoking correlated moderately (r= .36) with

  • childrens healthy and unhealthy profiles 9

    participating in violent acts. Family support correlated negatively with smoking (r= -

    .32) and participating in violent acts (r= -.29). Finally, childrens behavior correlated

    with perceived family and peer behavior for all corresponding behaviors (.23 < r <

    .46). All correlations were significant at p< .001 level.

    Cluster analysis

    Results from the cluster analysis revealed four distinct children profiles. Three

    and five-cluster analyses were also examined, however the four-cluster solution was

    the most meaningful. Z scores, unstandardized means and standard deviations for

    each of the key variables on which participants were classified into subgroups are

    presented in Table 2.

    Cluster one comprised 221 children. The unique characteristic of this cluster

    was high scores on participating in violent acts. Children in this cluster scored high on

    exercising and eating fruits, and low on smoking. Cluster 2 comprised 1272 children.

    The main characteristic of this cluster was the low scores on exercising. Children in

    this cluster also scored near-zero on smoking and participating in violent acts, and

    moderately low on eating fruits. Cluster three comprised 382 children. The unique

    characteristic of this cluster was the high scores on smoking. Children in this cluster

    also scored low on exercising, and participating in violent acts, and moderately on

    eating fruits. Finally, cluster four comprised 1432 children. The main characteristic of

    this cluster was the high scores on exercising in combination with near-zero scores on

    smoking and participating in violent acts. Children in this cluster also scored

    moderately high on eating fruits.

    In relative terms, children in cluster one were those participating in violent acts,

    who however maintain a satisfactory level of exercise, comparable to that of children

    in cluster four who were characterised by the adoption of healthy behaviors, and

  • childrens healthy and unhealthy profiles 10

    absence of unhealthy ones. Children in cluster two, like those in cluster four were

    characterised by absence of unhealthy behaviors, however their level of exercise was

    very low, and they also had the lowest scores on eating fruits. Finally, children in

    cluster three were those who were smokers, who also had comparatively moderate

    levels of participating in violent acts and low levels of exercising.

    Cluster profiles in relation to demographic characteristics

    Statistics regarding demographic characteristics of participants falling into each

    cluster are presented in Table 3. Regarding within gender differences, the first cluster

    (high violence, high exercise) included higher percentage of boys than girls. In

    particular, 11,6% of the boys and 2,3% of the girls fall in this cluster. The opposite

    was evident for cluster two (low exercise, low smoking, low violence), which

    included 29,6% of the boys and 46,2% of the girls. Gender representation in clusters

    three and four was comparable.

    Regarding family structure, because the vast majority of children were living

    with both parents, children were regrouped to form two groups, one including

    children living with both parents (n= 2835) and one including children living with one

    or no parents (n= 409). Representation in clusters one and two was similar for

    children living with both parents and children living with one or no parent. In cluster

    three (high smoking) there was a higher percentage of children living with one or no

    parent. In particular, cluster three included 22,7% of children living with one or no

    parents and 9% of children living with both parents. Finally, cluster four (high

    exercise, low smoking, low violence) included 44,8% of children living with both

    parents and 33,5% of children living with one or no parent.

    In relation to grade, in cluster one there was no specific pattern regarding

    representation of different grades. In contrast, obvious patterns could be observed in

  • childrens healthy and unhealthy profiles 11

    cluster two, three and four. In particular, in cluster two (low exercise, low smoking,

    low violence) and cluster three (high smoking) percentage of membership increased

    in direct relation with grade. In cluster four (high exercise, low smoking, low

    violence) the pattern was opposite with membership decreasing as grade increased.

    Finally, in relation to family income, observable differences were revealed in

    cluster three (high smoking), where the percentage of children coming from families

    with the lowest income was high (26.5%) compared to the total (12.4%), and cluster

    four (high exercise, low smoking, low violence) where the percentage of children

    coming from families with the lowest income was low (26.5%) compared to the total

    (42.6%).

    Cluster profiles in relation to perceptions of social environment

    Analysis of variance was subsequently calculated in order to examine

    differences in family support and perceived family and peer behavior among

    participants falling into each cluster. The results of the analysis and mean scores for

    these variables in each cluster are presented in Table 4. One-way ANOVA was

    calculated to test for differences in family support. The analysis revealed significant

    univariate effect (F3,2118= 88.16, p

  • childrens healthy and unhealthy profiles 12

    contrast, differences between clusters two/four and clusters one/three were larger (ES

    ranging from .45 to 1.01).

    One-way MANOVA was calculated to examine differences between

    participants in each cluster in perceived family and peer behavior. The analysis

    revealed significant multivariate effect (F12,5604= 52.18, p

  • childrens healthy and unhealthy profiles 13

    Discussion

    The adoption of healthy and unhealthy behaviors is a matter of great

    importance in the study of contemporary lifestyle. Children and adolescents are a

    population of particular interest, since health beliefs adopted in early years are

    indicative of later behavioral patterns. The present study explored patterns of behavior

    among adolescent Greek population and examined personal and social factors as

    likely determinants of such behavioral patterns.

    Cluster profiles in relation to demographic characteristics

    The first aim of this study was to identify profiles of the Greek student

    population regarding healthy and unhealthy behaviors, according to demographic

    characteristics. The cluster profile results indicate considerable variability among

    children as far as the examined behaviors are concerned. These differences were

    associated, at least partly, with age, gender, family structure and income. In relation to

    gender, the results of the present study give some interesting information regarding

    the adoption of healthy and unhealthy habits. Comparing cluster two to cluster four it

    becomes evident that among children that avoid unhealthy behaviors, boys are more

    involved in exercising than girls. Similar findings have been reported by Anderssen

    and Wold (1992) and Mota and Queiros, (1996) who found that girls are significantly

    less active than boys. Comparison of clusters one and four reveals that among

    children that exercise regularly, there is a greater number of boys getting involved in

    violent acts. This result incorporates findings from Paetsch and Bertrand (1997) who

    found involvement in sport activities being associated to violent behavior and findings

    from Herrenkohl et al. (2000) who reported male gender to be a significant predictor

    of violence. Regarding smoking and eating behavior there were no differences

  • childrens healthy and unhealthy profiles 14

    between boys and girls, in contrast to Lau et al. (1990) who reported that girls adopt

    healthier eating habits than boys.

    In relation to age, the patterns that were identified are quite worrying. It seems

    that as children grow older they abandon healthy behaviors and adopt unhealthy ones.

    Similar results regarding smoking and alcohol use have been reported by Johnston,

    OMalley and Backman (2000), who found that during high school rates of smoking

    and alcohol use increase rapidly with age, whereas similar conclusions have been

    drawn by Botvin and Kantor (2000).

    Family structure was another factor that seemed to influence the adoption of

    healthy and unhealthy behaviors, especially smoking and exercising. A relatively

    large percentage of children living with one or no parents are smokers and non-

    exercisers, and respectively a relatively small percentage of those children are regular

    exercisers. Similar patterns emerged for family income. However, overall, family

    income did not seem to be a very crucial factor.

    Regarding aspects of family structure and its relation to childrens behavior, the

    findings of this study are in accordance with the existing literature suggesting that

    children living in single-parent families are at high risk as far as unhealthy behaviors

    are concerned (Roux et al., 1999). Shisslak et al. (1998) reported that girls having

    separated or divorced parents show at risk-levels of weight control behaviors, whereas

    Sobeck et al. (2000) found that it is more possible for smokers to come from families

    that are not congruous. Similar results have been reported regarding drug use

    (Friedman & Glassman, 2000). Finally, in relation to the present findings, Dahleberg

    (1998) reports that among the factors that increase the possibility of violent behavior

    are family malfunctioning and family disruption. Similar views have been expressed

  • childrens healthy and unhealthy profiles 15

    by Herrenkohl et al. (2000) and Blackson et al. (1999) who claim that family conflicts

    lead to violent behavior.

    Overall, the demographic results of the present study indicate that regarding

    healthy behaviors, older children, children from disrupted families, and mainly girls

    can be characterized as at greater risk groups, whereas regarding unhealthy behaviors

    older children, children from disrupted families, and mainly boys can be characterized

    as at greater risk groups. However, it is also notable that younger children,

    irrespective of other variables, exhibited healthier profiles. To our view, this finding

    stresses the need to direct our attention to earlier ages where healthy habits are still

    dominant and try to improve maintenance of healthier life-style.

    Cluster profiles in relation to perceptions of social environment

    Researchers claim that the effect of social factors on the adoption of healthy and

    unhealthy behaviors are of particular importance. More specifically, it has been

    supported that childrens behavior regarding exercise, healthy eating, smoking, and

    violent behavior can be predicted by social factors, mainly family and peer influences

    (Friedman & Glassman, 2000; Herrenkohl et al., 2000; Blackson et al., 1999; Brook et

    al., 1999; Duncan et al., 1998). The second aim of the present study, was to identify

    profiles of the Greek student population regarding healthy and unhealthy behaviors, in

    relation to perceived family support and perceived family and peer behavior.

    According to the results of the present study, the role of family support seems to

    be influential in shaping behavior. A more careful examination reveals that family

    support looks more crucial in relation to the adoption of unhealthy, rather than

    healthy, behaviors. In particular, children who scored higher on family support were

    those who do not smoke and do not take part in violent acts (cluster four and cluster

    two). However, children in cluster two had the lowest scores on exercising and eating

  • childrens healthy and unhealthy profiles 16

    fruits. Moreover, children who scored lower on family support were those who

    engage in unhealthy behaviors, such as smoking and violent acts (cluster one and

    cluster three), even though they scored higher in exercising and eating fruits

    compared to children in cluster two.

    Similar patterns of relationships were revealed regarding perceived family and

    peer behavior. Thus, it seems that perceptions of social environment are more

    influential in relation to the adoption or not of unhealthy, rather than healthy,

    behaviors. In relation to these results, in the literature, there are evidence that parental

    monitoring (Barnes et al., 1999; Duncan et al., 1998) as well as frequent conflicts

    between parents and children (Duncan et al., 1998) relate to increased smoking among

    children. Moreover, Grisler and Kandel (1998) suggested that supportive parental

    behavior invokes reduction of smoking. Finally, Blackson et al. (1999) claim that

    negatively perceived parental control and psychological dominance are responsible

    for violent behavior, while Ary et al. (1999) reported loose parental control to be also

    related to deviant behavior.

    Overall, what seems of great importance to us is some of the patterns that

    emerged. In particular, even though clear connections between smoking and non-

    exercising were detected, the opposite was not evident, that is, no clear pattern

    between non-smoking and exercising were revealed. This lead us to believe that

    avoidance of unhealthy behaviors is not necessarily connected to adoption of healthy

    behaviors. Furthermore, the relationship between exercising and violence indicates in

    addition, that adoption of healthy behaviors is not necessarily connected to avoidance

    of unhealthy behaviors.

    Considering the evidence regarding prevailing lifestyles around the world (e.g.

    Johnston et al. 2000, for the USA; Steptoe et al. 2002, for Europe, Leslie et al. 1999,

  • childrens healthy and unhealthy profiles 17

    for Australia) the need to develop health promotion programs is universally

    recognized. In accordance to health behavior theories personal and social

    characteristics are amongst the important determinants of health-behavior. The results

    of the present study can prove helpful in developing more efficient health promotion

    programs. Demographic characteristics and descriptions of social environment can

    help identify intervention targets. Furthermore, the way behaviors cluster can help

    schedule more specific intervention programs in relation to specific groups. For

    example, a program with emphasis on the importance of exercising in maintaining

    healthy life style would be more appropriate for individuals who are not smokers but

    are not physically active, whereas a program emphasizing long-term consequences of

    unhealthy life-style and benefits of healthy habits would be more appropriate for

    inactive individuals who also smoke and a program designed to promote fair-play,

    respect for team-mates and opponents and avoidance of violence would be more

    appropriate for exercisers with violent behavior. Finally, with regard to social

    environment, this should also become part of the intervention programs with

    educational programs for parents about personal behavior and parental guidance.

  • childrens healthy and unhealthy profiles 18

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  • childrens healthy and unhealthy profiles 25

    Table 1.

    Descriptive statistics for the examined behaviors, perceived family support and

    perceived family and peer behaviors.

    Variables N Mean SD

    Exercise behavior 3307 2.47 1.70

    Smoking behavior 3307 .61 1.52

    Eating behavior 3307 2.81 1.51

    Violence behavior 3307 .46 1.23

    Perceived family Support 2866 4.70 .95

    Perceived family and peer exercise behavior 2532 3.26 1.18

    Perceived family and peer smoking behavior 2567 2.51 1.29

    Perceived family and peer eating behavior 2287 4.71 1.28

    Perceived family and peer violence behavior 2560 1.63 1.13

  • childrens healthy and unhealthy profiles 26

    Table 2.

    Mean scores, standard deviations and z-scores for the four clusters.

    Cluster 1 (n= 221) Cluster 2 (n= 1272) Cluster 3 (n= 382) Cluster 4 (n= 1432)

    mean s.d. z mean s.d. z mean s.d. z mean s.d. z

    Exercising 3.38 1.57 .53 1.11 .95 -.80 1.93 1.82 -.31 3.68 1.13 .71

    Smoking

    0.25 .70 -.24 0.01 .41 -.34 4.66 .65 2.64 0.01 .26 -.38

    Eating fruits 3.15 1.64 .23 2.09 1.20 -.47 2.63 1.77 -.12 3.44 1.37 .42

    Participating in violent incidents 3.53 1.25 2.43 0.01 .30 -.33 1.58 1.98 .87 0.01 .20 -.45

  • childrens healthy and unhealthy profiles 27

    Table 3.

    Cluster profiles in relation to demographic characteristics.

    Cluster1 Cluster 2 Cluster3 Cluster 4

    Gender (n= 3212)

    Males 172 (11.6%) 439 (29.6%) 190 (12.8%) 680 (45.9%)

    Females 39 (2.3%) 800 (46.2%) 173 (10%) 719 (41.5%)

    Family structure (n= 3244)

    Both parents 180 (6.3%) 1105 (39%) 279 (9.8%) 1271 (44.8%)

    One or no parents 32 (7.8%) 147 (35.9%) 93 (22.7%) 137 (33.5%)

    Grade (n= 3303)

    Elementary school 6th grade 33 (5.3%) 177 (28.5%) 11 (1.8%) 400 (64.4%)

    Junior high school 2nd grade 57 (8.2%) 215 (39.8%) 39 (5.6%) 388 (55.6%)

    Junior high school 3rd grade 72 (9.7%) 279 (37.8%) 63 (8.5%) 325 (44%)

    High school 2nd grade 49 (6.7%) 339 (46.2%) 136 (18.5%) 210 (28.6%)

    High school 3rd grade 8 (1.6%) 261 (51.2%) 133 (26.1%) 108 (21.2%)

    Family income (n= 2425)

    Much below average 3 (8.8%) 13 (38.2%) 9 (26.5%) 9 (26.5%)

    Below average 7 (5.8%) 50 (41.7%) 17 (14.2%) 46 (38.3)

    On average 61 (5.8%) 478 (45.4%) 113 (10.7%) 402 (38.1%)

    Above average 52 (6.3%) 297 (36%) 91 (11%) 385 (46.7%)

    Much above average 36 (9.2%) 93 (23.7%) 71 (18.1%) 192 (49%)

  • childrens healthy and unhealthy profiles 28

    Table 4.

    Mean scores on family support and perceived family and peer behavior for the four clusters.

    Cluster 1 Cluster 2 Cluster3 Cluster 4 F

    Family support (n= 2866) 4.23 2,3,4 4.76 1,3,4 3.94 1,2,4 4.89 1,2,3 88,16**

    Perceived family and peer behavior (n= 1873)

    Exercise 3.53 2,3 2.98 1,3,4 2.71 1,2,4 3.70 2,3 74.54**

    Smoking 3.03 2,3,4 2.351,3 3.63 1,2,4 2.291,3 76.80**

    Eating fruits 4.524 4.63 3,4 4.16 2,4 5.051,2,3 37.14**

    Participating in violent incidents 2.76 2,3,4 1.36 1,3 2.26 1,2,4 1.43 1,3 100.66**

    *p < .05, **p

  • childrens healthy and unhealthy profiles 29

  • childrens healthy and unhealthy profiles 30

  • childrens healthy and unhealthy profiles 31

    Yannis Theodorakis University of Thessaly Department of Physical Education and Sport Science 42100, Karies, Trikala, Greece E-mail [email protected] +302431 47042 Tel +302431 470001, Trikala, 05 December 2002 To: Professor Stuart Biddle, Loughborough University, Department of PE, Sports Science & Recreation Management, Loughborough, Leics., LE11 3TU,

    Dear Stuart

    Please find enclosed 4 copies of the paper titled " CHILDRENS PROFILE OF

    HEALTHY AND UNHEALTHY BEHAVIORS: DEMOGRAPHIC

    CHARACTERISTICS AND PERCEPTIONS OF SOCIAL ENVIRONMENT " which

    I submit for publication into Psychology of Sport and Exercise.

    I am looking forward to hearing from you. Sincerely yours,

    Yannis Theodorakis,

    Professor

    mailto:[email protected]

  • childrens healthy and unhealthy profiles 32

    e-mail:Phone:[email protected]+ 30 24310 47001AbstractIntroductionMethodParticipants and procedures

    MeasuresSelf-report past behaviors. The examined behaviors were fourFamily structure. To assess family structure, participants wData analysisCluster analysisCluster profiles in relation to perceptions of social enviroDiscussionThe adoption of healthy and unhealthy behaviors is a matter Cluster profiles in relation to demographic characteristics

    Variables

    Cluster 1 (n= 221)Cluster 2 (n= 1272)Cluster 3 (n= 382)Cluster 4 (n= 1432)Cluster1Gender (n= 3212)Males

    Family structure (n= 3244)Grade (n= 3303)Family income (n= 2425)Much below averageOn average

    Cluster 1Family support (n= 2866)Perceived family and peer behavior (n= 1873)Exercise

    Yannis Theodorakis