Living with a Smoker and Multiple Health-Risk Behaviors.

Autor:	Holahan CJ; Department of Psychology, University of Texas at Austin, Austin, TX, USA., Holahan CK; Department of Kinesiology and Health Education, University of Texas at Austin, Austin, TX, USA., Lim S; Department of Educational Psychology, University of Texas at Austin, Austin, TX, USA., Powers DA; Department of Sociology, University of Texas at Austin, Austin, TX, USA.
Jazyk:	angličtina
Zdroj:	Annals of behavioral medicine : a publication of the Society of Behavioral Medicine [Ann Behav Med] 2021 Apr 07; Vol. 55 (4), pp. 287-297.
DOI:	10.1093/abm/kaaa059
Abstrakt:	Background: Behavioral medicine is showing growing theoretical and applied interest in multiple health-risk behaviors. Compared to engaging in a single health-risk behavior, multiple health-risk behaviors are linked to increased morbidity and mortality. A contextual determinant of multiple risk behaviors may be living with a smoker. Purpose: This study investigated the role of living with a smoker in predicting multiple health-risk behaviors compared to a single health-risk behavior, as well as whether these multiple risk behaviors occur across both physical activity and dietary domains. Moreover, the study tested these effects across 3 years in longitudinal and prospective (controlling for health-risk behaviors at baseline) analyses. Methods: Participants were 82,644 women (age M = 63.5, standard deviation = 7.36, age range = 49-81) from the Women's Health Initiative Observational Study. Analyses used multinomial and binary logistic regression. Results: Living with a smoker was more strongly associated with multiple health-risk behaviors than with a single health-risk behavior. These multiple risk behaviors occurred across both physical activity and dietary domains. The effects persisted across 3 years in longitudinal and prospective analyses. Living with a smoker, compared to not living with a smoker, increased the odds of multiple health-risk behaviors 82% cross-sectionally and, across 3 years, 94% longitudinally and 57% prospectively. Conclusions: These findings integrate research on multiple health-risk behaviors and on living with a smoker and underscore an unrecognized public health risk of tobacco smoking. These results are relevant to household-level interventions integrating smoking-prevention and obesity-prevention efforts. (© Society of Behavioral Medicine 2020. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu