Aggregation of Health Behaviors among Fourth Graders in Northern Taiwan

Lee Lan Yen*, Ching Ju Chiu, Wen Chi Wu, Ling Yen Pan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)


Purpose: To investigate the aggregation of health behaviors among fourth graders in northern Taiwan. Methods: This study conducted an analysis of data collected from the 2001 Child and Adolescent Behaviors in Long-term Evolution (CABLE) project, which included a sample of 2075 fourth grade students. Factor analysis and cluster analysis were used to investigate the aggregation patterns. Results: After factor analysis, we found that the 18 health behaviors could be grouped under five factors. These five factors were named: healthy behavior, rule-breaking behavior, substance use behavior, violent behavior, and pleasure-seeking behavior, according to the characteristics of the various health behaviors grouped under each of them. Each study subject was assigned points for each of these five factors and then cluster analysis was used to divide the subjects into four different clusters. The names of these clusters and the percentage of subjects within them were as follows: healthy group (43.47%), violent group (29.11%), pleasure-seeking group (22.55%), and rebellious group (4.87%). Conclusions: A total of 56.53% of the study sample were grouped under unhealthy groups (violent group, pleasure-seeking group and rebellious group), which indicates that already more than half of the students had lifestyles that put their health at risk. It was suggested that health and educational organizations need to place importance on behavioral problems in children and adopt early prevention measures.

Original languageEnglish
Pages (from-to)435-442
Number of pages8
JournalJournal of Adolescent Health
Issue number3
Publication statusPublished - 2006 Sept
Externally publishedYes


  • Children
  • Cluster analysis
  • Factor analysis
  • Health behavior
  • Lifestyle

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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