APH 2001, 59, 281-307:
Psychosocial factors and multiple unhealthy behaviours in 25- to 64-year-old Belgian citizens.
D. Roberfroid and J. Pomerleau
Keywords: Behaviours, psychosocial, health, cluster
|Background: Correlations between
lifestyles and health have been well-demonstrated. However,
multiple unhealthy behaviour patterns and their determinants have been
less studied. Do unhealthy behaviours occur independently, or do
they exhibit clustering ? What are the psychosocial,
socioeconomic, and demographic determinants that may contribute to this
clustering ? How do multiple unhealthy behaviours relate to
general health status ?
Aim: The aim of the present study was to analyse the distribution of multiple unhealthy behaviours and their association with psychosocial factors and health status indicators in the 25- to 64-year-old Belgian population.
A secondary analysis of the 1997
Belgium Health Survey was performed. Associations between 5 selected
unhealthy behaviours were analysed: smoking, heavy drinking, inactivity,
non-use of a seat belt, and unhealthy diet. Psychosocial factors were
derived from the data set. Con founding was controlled for socioeconomic
status, sex, and age. Health status was assessed by self-rated health,
functional health, and morbidity.
The 5 selected unhealthy behaviours do not occur independently,
but aggregate. Marital status, social network, self-efficacy (as
assessed by proxy), employment status, and religion membership are all
significantly associated with the clustering of unhealthy behaviours and
unhealthy clusters are related to poor health status. Relationships
between psychosocial factors, health-related behaviours, and health
status are discussed.
Conclusions: Public health policies and interventions should acknowledge the aggregated pattern of unhealthy behaviours and the important links between multiple unhealthy behaviours and psychosocial factors.