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Lifestyle Behavior Patterns and Socio-Demographic Predictors Among US College Students: Implications for Chronic
Keegan T Peterson1, Melissa Bopp1
1Department of Kinesiology, The Pennsylvania State University, University Park, PA, USA (KTP, MB).
American Journal of Lifestyle Medicine
|July 7, 2025
Summary
College students
Area of Science:
- Public Health
- Behavioral Science
- Health Disparities
Background:
- College students are crucial for establishing lifelong healthy habits to prevent chronic diseases.
- Disparities in lifestyle behaviors exist among college students, influenced by socio-demographic factors.
- Understanding these behaviors is key to developing targeted public health interventions.
Purpose of the Study:
- To identify distinct lifestyle behavior patterns among college students.
- To examine how gender, sexual orientation, and race/ethnicity influence these patterns.
- To inform tailored strategies for promoting healthy behaviors and reducing chronic disease risk in this population.
Main Methods:
- Latent class analysis of self-reported data from 6,197 college students (2018-2024) at a Northeastern US university.
- Data included physical activity (aerobic and muscle-strengthening), diet, sleep, and alcohol/substance use.
- Regression models analyzed the impact of sexual orientation, gender identity, and race/ethnicity on class membership.
Main Results:
- Four distinct lifestyle classes were identified: 'healthy partygoer' (36.8%), 'balanced health seeker' (9.6%), 'risky lifestyler' (43.5%), and 'sedentary but health-conscious' (10.0%).
- A significant proportion of students were classified as 'risky lifestylers,' engaging in more health-diminishing than health-enhancing behaviors.
- Male gender, identifying as a sexual minority, and specific racial/ethnic identities were significant predictors of class membership.
Conclusions:
- Lifestyle behaviors among college students vary significantly, with a notable segment exhibiting risky patterns.
- Gender, sexual orientation, and race/ethnicity are critical factors associated with lifestyle choices that may increase chronic disease risk.
- Tailored public health interventions are essential to address these disparities and mitigate health threats in the college student population.
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