Temporal Trend in the Coexistence of Risk Behaviors for Noncommunicable Diseases in Brazil: 2009-2019.

Autor:	Caldeira TCM; Postgraduate Program in Public Health, Medical School, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.; Universidade Federal de Minas Gerais, Department of Preventive and Social Medicine, Av. Prof. Alfredo Balena, 190 - Santa Efigênia Belo Horizonte Minas Gerais 30130-100, Brazil (thaismarquezinec@gmail.com)., Silva LESD; Postgraduate Program in Public Health, Medical School, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Sousa TM; Nutrition Department, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Soares MM; Postgraduate Program in Public Health, Medical School, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Claro RM; Nutrition Department, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Jazyk:	angličtina
Zdroj:	Preventing chronic disease [Prev Chronic Dis] 2023 Apr 06; Vol. 20, pp. E22. Date of Electronic Publication: 2023 Apr 06.
DOI:	10.5888/pcd20.220296
Abstrakt:	Introduction: Individuals can accumulate multiple risk factors for noncommunicable diseases, increasing the chance of adverse health outcomes. We aimed to analyze the temporal trend in the coexistence of risk behaviors for noncommunicable diseases and their association with sociodemographic characteristics among adults in Brazil from 2009 through 2019. Methods: This cross-sectional study and time-series analysis was based on data collected by the Surveillance System for Risk Factors and Protection for Chronic Diseases by Telephone Survey (Vigitel) from 2009 through 2019 (N = 567,336). We used item response theory to identify the coexistence of risk behaviors (infrequent consumption of fruits and vegetables, regular consumption of sugar-sweetened beverages, smoking, abusive alcohol consumption, insufficient leisure-time physical activity). We used Poisson regression models to assess the temporal trend in the prevalence of the coexistence of noncommunicable disease-related risk behaviors and associated sociodemographic characteristics. Results: Risk behaviors that most contributed to the occurrence of coexistence were smoking, consumption of sugar-sweetened beverages, and alcohol abuse. Coexistence was more frequent among men and was inversely associated with age and education level. During the study period, we found a significant decrease in coexistence (adjusted prevalence ratio decreased from 0.99 in 2012 to 0.94 in 2019; P = .001), especially before 2015 (adjusted prevalence ratio = 0.94; P = .001). Conclusion: We found a reduction in the frequency of the coexistence of noncommunicable disease-related risk behaviors and their association with sociodemographic characteristics. It is necessary to implement effective actions to reduce risk behaviors, especially behaviors that lead to a greater coexistence of those behaviors.
Databáze:	MEDLINE
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