Patterns of health behavior in US adults
Patterns of health behavior in US adults
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DOI：
10.1016/s0091-7435(02)00067-1
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发表时间：
2003-05-01
影响因子：
5.1
通讯作者：
Barbash, RB
中科院分区：
文献类型：
--
作者：
Berrigan, D;Dodd, K;Barbash, RB
背景健康相关行为之间的关联很重要，原因有二。首先，疾病预防和健康促进取决于了解健康行为的流行和这些行为之间的关联。其次，行为可能对疾病风险有协同作用。我们使用第三次全国健康和营养检查调查的数据，记录了美国成年人（n = 15，425）对有关五种行为（体力活动，吸烟，饮酒，水果和蔬菜消费以及膳食脂肪摄入）的建议的遵守模式。将个体划分为与坚持或不坚持生活方式建议相关的类别，导致32种坚持/不坚持模式。在32种行为模式中，有21种行为模式的美国成年人的比例偏离了健康行为相互独立的预期比例。两个极端的模式，所有遵守（5.9%）和所有不遵守（4.9%），发现约两倍的比例预期。年龄、性别、种族/民族、教育和收入与许多模式相关，包括两个极端。这种行为模式的分析突出了公共卫生重要性的人口亚群，为健康行为之间的多元关联研究提供了基准，并支持健康行为的多维模型。(C)2003年美国健康基金会和爱思唯尔科学（美国）。All rights reserved.
Background. Associations between health-related behaviors are important for two reasons. First, disease prevention and health promotion depend on understanding both prevalence of health behaviors and associations among such behaviors. Second, behaviors may have synergistic effects on disease risk.Methods. We document patterns of adherence to recommendations concerning five behaviors (physical activity, tobacco use, alcohol consumption, fruit and vegetable consumption, and dietary fat intake) in U.S. adults (n = 15,425) using data from the Third National Health and Nutrition Examination Survey. Division of individuals into categories associated with adherence or nonadherence to lifestyle recommendations results in 32 patterns of adherence/nonadherence.Results. Proportions of U.S. adults with 21 of 32 behavior patterns characterized here deviated from proportions expected if health behaviors are independent of each other. The two extreme patterns, all adherence (5.9%) and all nonadherence (4.9%), were found in about double the proportion expected. Age, gender, race/ethnicity, education, and income were associated with a number of patterns, including the two extremes.Conclusions. This analysis of behavior patterns highlights population subgroups of public health importance, provides a benchmark for studies of multivariate associations between health behaviors, and supports a multidimensional model of health behavior. (C) 2003 American Health Foundation and Elsevier Science (USA). All rights reserved.