Prevalence, Co-Occurrence and Clustering of Lifestyle Risk Factors Among UK Men

Main Article Content

Stephen Zwolinsky
Gary Raine
Steve Robertson

Keywords

men’s health, clustering, lifestyle risk, reduction

Abstract

Objective: Men – more than women - engage in unhealthy lifestyle practices that place them at greater risk of developing non-communicable disease. This paper aims to explore the prevalence, co-occurrence and clustering of four core lifestyle risk factors and examine the socio demographic variation of their distribution, among men living in two central London boroughs.


Method: A stratified street survey was undertaken with N=859 men. Prevalence odds ratios calculated risk factor clustering and a multinomial logistic regression model examined the socio-demographic variation.


Results: Over 72% of men presented with combinations of lifestyle risk factors. Physical inactivity combined with a lack of fruit and vegetables was the most common combination. Co-occurrence was more prominent for unemployed, widowed, divorced/separated and white British men. Clustering was evident for adherence and non-adherence to UK health recommendations.


Conclusion: Men may benefit from targeted health interventions that address multiple – rather than single – health related behaviours.

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References

1. Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2224-60. Epub 2012/12/19.
2. World Health Organization. Global status report on noncommunicable diseases. Swizerland: World Health Organization; 2015.
3. Zwolinsky S, McKenna J, Pringle A. How can the health system benefit from increasing participation in sport, exercise and physical activity? In: Conrad D, White A, editors. Sports-Based Health Interventions: Case studies from around the world. London: Springer; 2016. p. 29-52.
4. World Health Organization. European Strategy for the prevention and control or non-communicable diseases in Europe. Copenhagen: World Health Organization, 2006.
5. World Health Organization. Scaling up action against non-communicable diseases: How much will it cost? Geneva, Switzerland: World Health Organization, 2011.
6. Newton JN, Briggs AD, Murray CJ, Dicker D, Foreman KJ, Wang H, et al. Changes in health in England, with analysis by English regions and areas of deprivation, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(10010):2257-74. Epub 2015/09/19.
7. Pronk NP, Anderson LH, Crain AL, Martinson BC, O’Connor PJ, Sherwood NE, et al. Meeting recommendations for multiple healthy lifestyle factors. Prevalence, clustering, and predictors among adolescent, adult, and senior health plan members. Am J Prev Med. 2004;27(2 Suppl):25-33. Epub 2004/07/28.
8. Poortinga W. The prevalence and clustering of four major lifestyle risk factors in anEnglish adult population. preventive Medicine. 2007;44(2):124-8.
9. Khaw K, Wareham N, Bingham S, Welch A, Luben R, Day N. Combined Impact of Health Behaviours and Mortality in Men and Women: The EPICNorfolk Prospective Population Study. PLoS Medicine. 2008; 5:39-47.
10. Noble N, Paul C, Turon H, Oldmeadow C. Which modifiable health risk behaviours are related? A systematic review of the clustering of Smoking, Nutrition, Alcohol and Physical activity (‘SNAP’) health risk factors. Prev Med. 2015; 81:16-41. Epub 2015/07/21.
11. Zwolinsky S, McKenna J, Pringle A, Daly-Smith A, Robertson S, White A. Optimizing lifestyles for men regarded as ‘hard-to-reach’ through top-flight football/soccer clubs. Health Education Research. 2013;28(3):405-13. Epub 2012/11/30.
12. Conry MC, Morgan K, Curry P, McGee H, Harrington J, Ward M, et al. The clustering of health behaviours in Ireland and their relationship with mental health, self-rated health and quality of life. BMC Public Health. 2011; 11:692. Epub 2011/09/08.
13. Schuit A, van Loon A, Tijhuis M, Ocke M. Clustering of Lifestyle Risk Factors in a General Adult Population. Preventive Medicine. 2002; 35:219-24.
14. Chiolero A, Wietlisbach V, Ruffieux C, Paccaud F, Cornuz J. Clustering of risk behaviors with cigarette consumption: A population-based survey. Preventive Medicine 2006; 42:348-53.
15. Buck D, Frosini F. Clustering of unhealthy behaviours over time: Implications for policy and practice. London: The Kings Fund, 2012.
16. White A, McKee M, Richardson N, Visser R, Madsen SA, Sousa BC, et al. Europe’s men need their own health strategy. BMJ. 2011;343: d7397. Epub 2011/12/01.
17. Sinclair A, Alexander H. Using outreach to involve the hard-to-reach in a health check: what difference does it make? Public Health. 2012;126(2):87-95.
18. European Commission. The state of mens health in Europe report. European Commision; 2011.
19. Laaksonen M, Prattala R, Lahelma E. Sociodemographic determinants of multiple unhealthy behaviours. Scandanavian Journal of Public Health. 2003; 31:37-4.
20. Shankar A, McMunn A, Steptoe A. Health-Related Behaviors in Older Adults: Relationships with Socioeconomic Status. American Journal of Preventive Medicine. 2010;38(1):39-46.
21. Pronk N, Lowry M, Kottke T, al e. The Association between optimal lifestyle adherence and short-term incidence of chronic conditions among employees. Population Health Management 2010;13(6):289-95.
22. Office for National Statistics. 2011 Census: Population and household estimates fact file, unrounded estimates, local authorities. London: Office for National Statistics; 2012 [July 2013 http://www.ons.gov.uk/ons/publications/
re-reference-tables.html?edition=tcm%3A77-274670].
23. Greater London Authority. Land Area and Population Density, Borough. London: Greater London Authority; 2012 [July 2013 http://data.london.gov.uk/datastore/package/land-area-and-population-density-borough].
24. Department of Communities & Local Government. Indices of Deprivation. Borough summaries. London: Department of Communities & Local Government; 2010 [July 2013 http://data.london.gov.uk/datastore/package/indices-deprivation-2010].
25. Office for National Statistics. Life expectancy at birth and at age 65 by local areas in the United Kingdom, 2004-06 to 2008 10. London: Office for National Ststistics; 2010 [cited July 2013 http://www.ons.gov.uk/ons/publications/rereference-
tables.html?edition=tcm%3A77-223356].
26. Men’s Health Forum. Guy’s and St Thomas’s back innovative MHF project for London men. [Acessed September 2013]; 2012 [September 2013]; Available from: http://www.menshealthforum.org.uk/22381-guys-and-st-thomasscharity-
backs-mhf-innovation.
27. South J, Tilford S. Perceptions of research and evaluation in health promotion practice and influences on activity. Health Education Research. 2000;15(6):729-41.
28. Department of Health. Start Active, Stay Active: A report on physical activity for health from the four home countries Chief Medical Officers. London: Department of Health; 2011.
29. Milton K, Bull FC, Bauman A. Reliability and validity testing of a single-item physical activity measure. Br J Sports Med. 2011;45(3):203-8. Epub 2010/05/21.
30. National Institute of Health and Clinical Excellence. Guidance on the Prevention, Identification, Assessment and Management of Overweight and Obesity in Adults and Children. London: National Institute of Health and Clinical Excellence., 2006.
31. Department of Health. How much is too much? Drinking and you. London: Department of Health; 2007.
32. Vartiainen E, Seppala T, Puska P. Validation of self reported smoking by serum cotinine measurement in a community-based study. Journal of Epidemiology and Community Health. 2002; 56:167-70.
33. Zwolinsky S, McKenna J, Pringle A, Daly-Smith A, Robertson S, White A. Supporting lifestyle risk reduction: promoting men’s health through professional football. Soccer & Society. 2016;17(2):183-95.
34. Sweet SN, Fortier MS. Improving physical activity and dietary behaviours with single or multiple health behaviour interventions? A synthesis of meta-analyses and reviews. Int J Environ Res Public Health. 2010;7(4):1720-43. Epub
2010/07/10.
35. Tsai J, Ford ES, Li C, Zhao G, Pearson WS, Balluz LS. Multiple healthy behaviors and optimal self-rated health: findings from the 2007 Behavioral Risk Factor Surveillance System Survey. Prev Med. 2010;51(3-4):268-74. Epub 2010/07/22.
36. World Health Organisation. Global Strategy on Diet, Physical Activity and Health. Geneva, Switzerland: World Health Organisation; 2004.
37. Jensen MK, Sorensen TI, Andersen AT, Thorsen T, Tolstrup JS, Godtfredsen NS, et al. A prospective study of the association between smoking and later alcohol drinking in the general population. Addiction. 2003;98(3):355-63. Epub 2003/02/27.
38. Fine L, Philogene S, Gramling R, Coups E, Sinha S. Prevalence of multiple chronic disease risk factors: 2001 national health interview survey. Am J Prev Med. 2004;27(2S):18-24.
39. Berrigan D, Dodd K, Troiano R, Krebs-Smith S, Barbash R. Patterns of health behavior in U.S. adults. Preventive medicine. 2003; 36:615-23.
40. Goldstein MG, Whitlock EP, DePue J. Multiple behavioral risk factor interventions in primary care. Summary of research evidence. Am J Prev Med. 2004; 27(2 Suppl):61-79. Epub 2004/07/28.
41. Pronk NP, Peek CJ, Goldstein MG. Addressing multiple behavioral risk factors in primary care. A synthesis of current knowledge and stakeholder dialogue sessions. Am J Prev Med. 2004;27(2 Suppl):4-17. Epub 2004/07/28.
42. Praet SF, van Loon LJ. Exercise therapy in type 2 diabetes. Acta Diabetol. 2009;46(4):263-78. Epub 2009/05/30.
43. Nigg CR, Allegrante JP, Ory M. Theory-comparison and multiple-behavior research: common themes advancing health behavior research. Health Educ Res. 2002;17(5):670-9. Epub 2002/11/01.
44. Rosal MC, Ockene JK, Luckmann R, Zapka J, Goins KV, Saperia G, et al. Coronary heart disease multiple risk factor reduction. Providers’ perspectives. Am J Prev Med. 2004;27(2 Suppl):54-60. Epub 2004/07/28.
45. Prochaska JJ, Spring B, Nigg CR. Multiple health behavior change research: an introduction and overview. Prev Med. 2008;46(3):181-8. Epub 2008/03/06.
46. Eriksson KM, Westborg CJ, Eliasson MC. A randomized trial of lifestyle intervention in primary healthcare for the modification of cardiovascular risk factors. Scand J Public Health. 2006;34(5):453-61. Epub 2006/09/23.
47. Hyman DJ, Pavlik VN, Taylor WC, Goodrick GK, Moye L. Simultaneous vs sequential counseling for multiple behavior change. Arch Intern Med. 2007;167(11):1152-8. Epub 2007/06/15.