Multiple risk behaviour: increasing socio-economic gap over time?

European Journal of Public Health
Sabine DrieskensJean Tafforeau

Abstract

Unhealthy behaviours often occur in combination. In this study the relationship between education and lifestyle, defined as a cluster of risk behaviours, has been analysed with the purpose to assess socio-economic changes in multiple risk behaviour over time. Cross-sectional data from the Belgian Health Interview Surveys 1997, 2001 and 2004 were analysed. This study is restricted to persons aged ≥ 15 years with information on those health behaviours and education (n = 7431, n = 8142 and n = 7459, respectively). A lifestyle index was created based on the sum of the four unhealthy behaviours: smokers vs. non-smokers, risky versus non-risky alcohol use, sedentaryness vs. physically active and poor vs. healthy diet. The lifestyle index was dichotomized as low (0-2) vs. high (3-4). For the assessment of socio-economic inequalities in multiple risk behaviour, summary measures as Odds Ratio (OR) and Relative Index of Inequality (RII) were calculated using logistic regression, stratified by sex. Of the adult population, 7.5% combined three to four unhealthy behaviours. Lower educated men are the most at risk. Besides, the OR among men significantly increased from 1.6 in 2001 to 3.4 in 2004 (P = 0.029). The increase of the OR among wome...Continue Reading

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Citations

Jan 20, 2012·Journal of Public Health Policy·Nicholas Freudenberg
Jan 11, 2011·European Journal of Public Health·Herman Van OyenStefaan Demarest
Aug 23, 2011·BMC Public Health·Jennis Freyer-AdamUlrich John
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Jan 6, 2021·Journal of Korean Medical Science·Jungyul ParkHee Young Choi

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