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Cluster Analysis of Risky Behaviors Among the Youth in Western Iran: Determining Correlates and Comparing Clusters Based on Severity of Disability and Attitude Toward Mental Health Help-Seeking Publisher



Khazaie H1 ; Najafi F2 ; Hamzeh B3 ; Chehri A4 ; Rahimimovaghar A5 ; Aminesmaeili M5 ; Moradinazar M3 ; Khazaie S1 ; Zakiei A1 ; Kamasi S6 ; Pasdar Y3
Authors
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Authors Affiliations
  1. 1. Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  2. 2. Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  3. 3. Research Center for Environmental Determinants of Health, School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
  4. 4. Department of Psychology, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran
  5. 5. Iranian National Center for Addiction Studies, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Neuroscience and Psychopathology Research, Mind GPS Institute, Kermanshah, Iran

Source: Indian Journal of Psychiatry Published:2021


Abstract

Background and Aims: The objectives of the study were (i) cluster analysis of risky behaviors; (ii) determining correlates; and (iii) comparing clusters with regard to the attitude toward mental health help seeking. Methods: The current cross-sectional study is a part of the first phase of the Persian Youth Cohort. From October 2014 to January 2017, 2990 individuals from Ravansar City in western Iran completed structured interviews and national and international standard questionnaires. The obtained data were analyzed using two-stage cluster analysis, multinomial logistic regression analysis, and Chi-square test. Results: This model provided three distinct clusters: (i) low-risk group with mild distress, (ii) high-risk group with high distress, and (iii) violent group with medium distress. Some sociodemographic and lifetime psychiatric disorders were the correlates of unhealthy clusters (P < 0.05). Compared to the reference cluster, a higher number of members in unhealthy clusters were suffering from medium to severe disability. Nevertheless, the participants in these clusters were less inclined to mental health help seeking. Conclusions: More than half of the youth were suffering from suicidal and violent behaviors. Since high-risk participants are less inclined to mental health help seeking, the health policymakers can successfully utilize the results in planning general health programs. © 2021 Wolters Kluwer Medknow Publications. All rights reserved.
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