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Associations between Health Behaviors Index and Mental Health in Brazilian Adolescents: Insights from the 2019 National School Health Survey.

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Title: Associations between Health Behaviors Index and Mental Health in Brazilian Adolescents: Insights from the 2019 National School Health Survey.
Authors: Espírito Santo, Rafaela Cavalheiro do (AUTHOR), dos Santos, Leonardo Peterson (AUTHOR), Tornquist, Debora (AUTHOR), Schuch, Felipe Barreto (AUTHOR), Agostinis-Sobrinho, Cesar (AUTHOR)
Source: Behavioral Medicine. Apr-Jun2026, Vol. 52 Issue 2, p81-93. 13p.
Subjects: Lifestyles, Cross-sectional method, Mental health, Adolescent health, Research funding, Sadness, Schools, Smoking, Sedentary lifestyles, Logistic regression analysis, Sex distribution, Anxiety, Age distribution, Descriptive statistics, Chi-squared test, Race, Surveys, Students, Health behavior, Psychological stress, Cluster sampling, Alcohol drinking, Student attitudes, Sociodemographic factors, Data analysis software, Confidence intervals, Social classes, Diet, Physical activity, Social isolation, Mental depression
Geographic Terms: Brazil
Abstract: Previous studies have shown associations between individual health behaviors and mental health outcomes. However, the impact of the accumulation of such behaviors on mental health remains unclear. This study aimed to examine the association between an index of accumulated health behaviors and mental health in adolescents, using data from the Brazilian National School Health Survey (PeNSE), which included 4,361 schools and a sample of 124,898 students. Health behaviors were assessed across five domains: healthy diet, alcohol consumption, smoking, physical activity, and sedentary behavior, with scores ranging from 0 to 5. Mental health outcomes (anxiety, sadness, social isolation, stress, and depression) and self-rated health were evaluated based on students' responses about their feelings over the previous 30 days. Regression models were applied, adjusting for key sociodemographic variables. The majority of participants were female, aged 13–15 years, and from the Southeast region. The results showed that a higher accumulation of healthy behaviors was associated with better mental health and more favorable self-rated health. These associations remained consistent after controlling for potential confounders. The findings underscore the importance of promoting multiple healthy behaviors to support mental well-being and self-perceived health among Brazilian adolescents. [ABSTRACT FROM AUTHOR]
Copyright of Behavioral Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Associations between Health Behaviors Index and Mental Health in Brazilian Adolescents: Insights from the 2019 National School Health Survey.
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  Data: <searchLink fieldCode="AR" term="%22Espírito+Santo%2C+Rafaela+Cavalheiro+do%22">Espírito Santo, Rafaela Cavalheiro do</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22dos+Santos%2C+Leonardo+Peterson%22">dos Santos, Leonardo Peterson</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tornquist%2C+Debora%22">Tornquist, Debora</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schuch%2C+Felipe+Barreto%22">Schuch, Felipe Barreto</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Agostinis-Sobrinho%2C+Cesar%22">Agostinis-Sobrinho, Cesar</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Behavioral+Medicine%22">Behavioral Medicine</searchLink>. Apr-Jun2026, Vol. 52 Issue 2, p81-93. 13p.
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  Data: <searchLink fieldCode="DE" term="%22Lifestyles%22">Lifestyles</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescent+health%22">Adolescent health</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Sadness%22">Sadness</searchLink><br /><searchLink fieldCode="DE" term="%22Schools%22">Schools</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking%22">Smoking</searchLink><br /><searchLink fieldCode="DE" term="%22Sedentary+lifestyles%22">Sedentary lifestyles</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Students%22">Students</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Cluster+sampling%22">Cluster sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Alcohol+drinking%22">Alcohol drinking</searchLink><br /><searchLink fieldCode="DE" term="%22Student+attitudes%22">Student attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Social+classes%22">Social classes</searchLink><br /><searchLink fieldCode="DE" term="%22Diet%22">Diet</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+activity%22">Physical activity</searchLink><br /><searchLink fieldCode="DE" term="%22Social+isolation%22">Social isolation</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Brazil%22">Brazil</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Previous studies have shown associations between individual health behaviors and mental health outcomes. However, the impact of the accumulation of such behaviors on mental health remains unclear. This study aimed to examine the association between an index of accumulated health behaviors and mental health in adolescents, using data from the Brazilian National School Health Survey (PeNSE), which included 4,361 schools and a sample of 124,898 students. Health behaviors were assessed across five domains: healthy diet, alcohol consumption, smoking, physical activity, and sedentary behavior, with scores ranging from 0 to 5. Mental health outcomes (anxiety, sadness, social isolation, stress, and depression) and self-rated health were evaluated based on students' responses about their feelings over the previous 30 days. Regression models were applied, adjusting for key sociodemographic variables. The majority of participants were female, aged 13–15 years, and from the Southeast region. The results showed that a higher accumulation of healthy behaviors was associated with better mental health and more favorable self-rated health. These associations remained consistent after controlling for potential confounders. The findings underscore the importance of promoting multiple healthy behaviors to support mental well-being and self-perceived health among Brazilian adolescents. [ABSTRACT FROM AUTHOR]
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  Label:
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  Data: <i>Copyright of Behavioral Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=193318256
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/08964289.2025.2517627
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 81
    Subjects:
      – SubjectFull: Lifestyles
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Adolescent health
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Sadness
        Type: general
      – SubjectFull: Schools
        Type: general
      – SubjectFull: Smoking
        Type: general
      – SubjectFull: Sedentary lifestyles
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Race
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Students
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Psychological stress
        Type: general
      – SubjectFull: Cluster sampling
        Type: general
      – SubjectFull: Alcohol drinking
        Type: general
      – SubjectFull: Student attitudes
        Type: general
      – SubjectFull: Sociodemographic factors
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Social classes
        Type: general
      – SubjectFull: Diet
        Type: general
      – SubjectFull: Physical activity
        Type: general
      – SubjectFull: Social isolation
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Brazil
        Type: general
    Titles:
      – TitleFull: Associations between Health Behaviors Index and Mental Health in Brazilian Adolescents: Insights from the 2019 National School Health Survey.
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            – D: 01
              M: 04
              Text: Apr-Jun2026
              Type: published
              Y: 2026
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