Abstract To understand the impact of negative behavior patterns on the physical and psychological health of secondary vocational school students, the study systematically reviews the multidimensional and co-occurring characteristics of behavioral risk aggregation with physical and psychological health problems among secondary vocational school students, analyzes the intertwined influence of new and traditional behavioral risk factors, and explores a comprehensive intervention framework centered on multidimensional rhythm reshaping and individual-family-school-society multi level intervention pathways, providing theoretical reference for promoting the health of secondary vocational school students.