title: Targets for primary prevention: cultural, social and intrapersonal factors associated with co-occurring health-related behaviours.
abstract: OBJECTIVE
  Multiple studies have identified clusters of co-occurring health-related behaviours. Little is known, however, about factors associated with such clusters. This study aims to identify these factors and to assess whether their effects are in accordance with the Theory of Triadic Influence (TTI).
  
  
  METHODS
  A cross-sectional study using a representative sample (N = 3497) of the Dutch population aged 19-40.
  
  
  METHODS
  Our data concerned 18 health-related behaviours combined in three clusters (Health, Alcohol and Delinquency) and 30 non-behaviour-specific (i.e. ultimate or distal) cultural, social and intrapersonal factors. The three clusters were used as outcomes in regression analyses.
  
  
  RESULTS
  Descriptive Norms of Friends and Gender were associated with all three behaviour clusters. Furthermore, Having Parents who Smoke or Consume Alcohol was associated with, respectively, the Health and Alcohol clusters. Self-Control and past Parental Monitoring were associated with the Health and Delinquency clusters. Effect sizes were moderate to large (r²: 0.05 to 0.22).
  
  
  CONCLUSIONS
  Factors with a moderate to large association with several behaviour clusters were identified. These factors were located within the social and intrapersonal stream of the TTI, not within the cultural stream.
authors.affiliation: a Netherlands Organisation for Applied Scientific Research (TNO), Behavioural and Societal Sciences , Leiden , The Netherlands.
authors.forename: Elise
authors.initials: E
authors.lastname: Dusseldorp
authors.forename: Mariska
authors.initials: M
authors.lastname: Klein Velderman
authors.forename: Theo W G M
authors.initials: TW
authors.lastname: Paulussen
authors.forename: Marianne
authors.initials: M
authors.lastname: Junger
authors.forename: Maroesjka
authors.initials: M
authors.lastname: van Nieuwenhuijzen
authors.forename: Sijmen A
authors.initials: SA
authors.lastname: Reijneveld
mesh_terms: D000328:Adult; D016000:Cluster Analysis; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D005260:Female; D033062:Friends / Q000523:psychology; D015438:Health Behavior / Q000208:ethnology; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009426:Netherlands; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology; D011322:Primary Prevention / Q000458:organization & administration*; D011582:Psychological Theory; D012307:Risk Factors; D012309:Risk-Taking; D055815:Young Adult