**1. Introduction**

Latinxs experience a disproportionate burden of cardiometabolic diseases, including high rates of hypercholesterolemia, obesity, diabetes, and hypertension [1,2]. The risk for and development of cardiometabolic diseases such as cardiovascular disease and diabetes are strongly influenced by modifiable health behaviors, particularly smoking, unhealthy diet, and low physical activity [3,4]. Although more attention has been paid to single health behaviors and their association with health [5], individuals often engage in more than one unhealthy behavior simultaneously (e.g., smoking and physical inactivity) [5], which may further increase their risk for chronic diseases. Indeed, prior studies have shown that the risk of chronic diseases and mortality increases with a greater number of health risk behaviors (see Lacombe et al. [6] for a review).

Moreover, extant research suggests that engagement in different health behaviors varies by race or ethnicity and sex. Specifically, men from racial or ethnic minorities generally have less favorable health behavior profiles than women and non-Hispanic or non-Latino White men [1,7]. For example, in general, men tend to engage in risky health behaviors more frequently and have higher odds of engaging in multiple behaviors simultaneously than women [8–10]. However, despite being part of the largest ethnic minority group in the United States (U.S.) [11], Latino men have seldom been included in studies focusing on clusters of health behaviors. Examining how health behaviors cluster together among this group may be an important step in developing culturally tailored,

**Citation:** Alonso, A.; Rosas, C.E.; Rademaker, A.; Sanchez-Johnsen, L. Clustering of Health Risk Behaviors in Mexican and Puerto Rican Men: Results from the Latino Men's Health Initiative. *Nutrients* **2022**, *14*, 4495. https://doi.org/10.3390/nu14214495

Academic Editors: Abeer M. Mahmoud and Shane Phillips

Received: 28 August 2022 Accepted: 17 October 2022 Published: 26 October 2022

**Copyright:** © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).

preventive interventions to improve cardiometabolic health, as changing simultaneously versus isolated occurring behaviors may require different strategies [12].
