Social determinants of clusters of health behaviours: a longitudinal cohort study using latent- class analysis

Our results support the much-established relationship between income poverty and harmful health behaviours related to lifestyle that is evidenced when looking at these behaviours individually and thereby provides further empirical evidence for the theories on 'fundamental causes' of health inequalities and the 'social exclusion framework.' We find an association between oppositional values and substance use behaviours, and furthermore that oppositional values tend to be highest among the income poorest adolescents. We highlight a concurrent influence for substance use in adolescence, which is also relevant for addressing inequalities in health behaviour engagement.