Abstract:
:Although socioeconomic, behavioural, psychological, and biological factors have been individually linked to multimorbidity, data on the importance of these factors are limited. Our study aimed to determine the leading predictors for multimorbidity of chronic conditions in middle-aged Australian adults using machine learning methods. We included 53,867 participants aged 45-64 years from the 45 and Up Study who were free of eleven predefined chronic conditions at baseline (2006-2009) in the analysis. Incident multimorbidity was defined by the co-existence of ≥2, ≥3, or ≥ 4 conditions during follow-up until December 31, 2016. The five leading predictors for multimorbidity in men were age (7.2-20.5% of total variance), body mass index (6.5-15.4%), smoking (4.0-8.3%), chicken intake (3.6-7.5%), and red meat intake (4.6-6.3%) across the three definitions. Leading predictors varied across the three definitions in women, but the four common ones were body mass index (6.3-20.1%), age (6.2-16.4%), chicken intake (4.1-8.3%), and red meat intake (4.2-4.7%). The ten leading modifiable health factors accounted for 39.4-46.1% of total variance across the three definitions. Men with 6-10 health factors had 46-54% lower risks for multimorbidity compared with those reporting ≤2. The corresponding percentage for women was 45-52%. Non-behavioural factors including psychological distress, low education and income and high relative economic disadvantage were among the leading risk factors for multimorbidity. In conclusion, modifications on behavioural factors including diets, physical activity, smoking, alcohol consumption may reduce the risk of multimorbidity in middle-aged adults, whereas individuals with low socioeconomic status or psychological distress are at the highest priority for intervention.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Shang X,Peng W,Wu J,He M,Zhang Ldoi
10.1016/j.ypmed.2020.106260subject
Has Abstractpub_date
2020-12-01 00:00:00pages
106260eissn
0091-7435issn
1096-0260pii
S0091-7435(20)30284-Xjournal_volume
141pub_type
杂志文章abstract:OBJECTIVE:The present study investigates the cross-sectional relationship between tobacco smoking and body fatness. METHODS:This cross-sectional study consisted of 469,543 men and women who participated in the European Prospective Investigation into Cancer and Nutrition (EPIC) study between 1992 and 2000 providing ant...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2009.08.009
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:A large portion of the elderly population of the United States fails to receive an annual influenza vaccination. Minorities may receive disproportionately fewer vaccinations. The objectives of this study were to (a) estimate the levels of influenza vaccination among noninstitutionalized, U.S. citizens, 65 ye...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2001.0983
更新日期:2002-02-01 00:00:00
abstract:BACKGROUND:Previous register studies have shown that mortality rates and disability pension statistics favor Swedish-speakers when compared to their Finnish-speaking neighbors in the same bilingual region in Finland. The purpose of the present questionnaire survey was to determine whether the Swedish-speaking community...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0782
更新日期:2001-02-01 00:00:00
abstract::The Rhode Island Department of Corrections (RIDOC) recently implemented the first state-wide, comprehensive medications for addiction treatment (MAT) program in the US. The objective of this study was to elucidate perceived barriers for individuals who participated in RIDOC's MAT program while incarcerated. Of the 588...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2019.105766
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVES:Although the harms of tobacco use are widely accepted, few studies have examined the relationship between access to tobacco outlets and hospital admissions. This study aimed to examine the relationship between neighbourhood access to tobacco outlets, smoking and hospital admissions and self-reported morbidit...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.05.003
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Little is known about the perception of bilateral prophylactic mastectomy (BPM), and whether perceptions are influenced by a family history of breast cancer. It is also unclear what factors may play a role in selecting BPM for follow-up care. METHODS:Samples of predominantly Caucasian, well-educated women w...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0524
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:Walkable urban form predicts physical activity and lower body mass index, which lower C-reactive protein (CRP). However, urban form is also related to pollution, noise, social and health behavior, crowding, and other stressors, which may complement or contravene walkability effects. PURPOSE:This paper asses...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2013.09.019
更新日期:2013-12-01 00:00:00
abstract::Despite growing public awareness, health systems are struggling under the escalating burden of non-communicable diseases. While personal responsibility is crucial, alone it is insufficient. We argue that one must place themselves within the broader/global context to begin to truly understand the health implications of...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.05.006
更新日期:2014-07-01 00:00:00
abstract::Airbnb hosts rent their homes to guests as an alternative to traditional hospitality settings. Airbnb venues are not uniformly regulated for allowing smoking or requiring fire-safety amenities. This study quantified the reported prevalence of fire-safety amenities in 413,339 Airbnb venues that allow smoking in 43 citi...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2019.02.021
更新日期:2019-06-01 00:00:00
abstract::Skin cancer presents a significant public health burden in Australia. The present study aimed to supplement population-based estimates of sun protection behaviour by examining setting-specific trends in directly observed sun protection in public outdoor leisure settings. Repeated cross-sectional observational surveys ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.106230
更新日期:2020-10-01 00:00:00
abstract::Mental health has been recognized as a public health priority for nearly a century. Little is known, however, about what local health departments (LHDs) do to address the mental health needs of the populations they serve. Using data from the 2013 National Profile of Local Health Departments - a nationally representati...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2015.11.007
更新日期:2016-01-01 00:00:00
abstract::The purpose of this multinational and cross-sectional study was to investigate whether nighttime sleep duration was associated with physical activity (PA) and sedentary time (SED) the following day, whether daytime PA/SED were associated with sleep duration the subsequent night, and whether the associations were modif...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.12.006
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:The aim of this study is to assess public support for a smoking cessation policy involving financial incentives. METHODS:We conducted a randomized controlled trial using an experimental survey design. One of four questionnaire versions was distributed to participants. Each version described a smoking cessati...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2012.06.013
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Diet is an essential part of the nonpharmacological management of hypertension. The aim of this study was to investigate in a primary health care setting the effect of intensified diet counseling on the diet of hypertensive subjects. METHODS:A total of 715 free-living subjects, ages 25-74 years, with systol...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.2002.1120
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:Accelerometers are being increasingly used in studies of physical activity (PA) among older adults, however the use of these monitors requires some specialized knowledge and up-to-date information on technological innovations. The purpose of this review article is to provide researchers with a guide to some c...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2008.12.001
更新日期:2009-02-01 00:00:00
abstract::The goal of this study is to provide, for the United States, estimates for gun-owning and non-owning households in terms of firearm and non-firearm suicides and suicide attempts. To make these ballpark estimates I combine a half-dozen known "facts" about suicide (e.g., households with firearms are at approximately 3× ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2018.12.003
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Genetic testing for cancer susceptibility is an emerging technology in medicine. This study assessed the knowledge, attitudes and professional behavior of Italian physicians regarding the use of predictive genetic tests for breast and colorectal cancer, including the BRCA1/2 and APC tests. METHODS:A cross-s...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2013.06.022
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of a lifestyle intervention and a structured exercise intervention on physical activity in older adults. METHOD:Participants were randomly assigned to a lifestyle intervention (n=60), including an individualized home-based program supported by phone calls, or to a structured intervent...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.ypmed.2008.02.017
更新日期:2008-06-01 00:00:00
abstract::This paper reviews research studies evaluating the use of financial incentives to promote weight control conducted between 1972 and 2010. It provides an overview of behavioral theories pertaining to incentives and describes empirical studies evaluating specific aspects of incentives. Research on financial incentives a...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2011.12.024
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Women age 50 years and older are in need of multiple preventive health care services. Despite recent improvements in rates of delivery of preventive care services, especially within managed care organizations, substantial numbers of women are still being underscreened. Efforts to improve delivery of preventi...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1006/pmed.2000.0724
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:This 1-year randomized trial tested the efficacy of behavioral techniques for increasing mammography referrals by primary care physicians in small, community practices. METHODS:Sixty-one practices were randomly assigned to one of three conditions: (1) education-only control, (2) education plus cue enhanceme...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.1997.0219
更新日期:1997-11-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2008.09.001
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND:Recent studies find lesbians at greater risk for overweight and obesity than heterosexual women. While this may reflect differences in attitudes concerning weight and body shape, little is actually known about risk factors within this group. This study examines correlates of obesity and exercise frequency am...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/s0091-7435(03)00020-3
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVES:To address the question of whether serum cotinine is a better measure of cigarette smoking than self-reported behavior by examining the relation of biochemical, physical examination, and depression assessments to self-reported cigarette consumption and serum cotinine in a population-based sample. METHODS:Se...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1995.1031
更新日期:1995-03-01 00:00:00
abstract::Sunburn is associated with an increased risk for skin cancer. Denmark has one of the highest incidences of melanoma in the world, although it is a relatively northern country. The objective of this study was to determine whether sunburn is associated with demographic factors and health behaviour among young Danes. Cro...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2018.08.009
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:Inflammatory processes contribute to disease pathways and may be affected by behavioral lifestyle factors. The relative contributions of fatness and cardiorespiratory fitness to inflammatory factors remain unclear. The present review examines the hypothesis that the association between fitness and inflammator...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2006.09.005
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate the association between self-efficacy, enjoyment, and volitional control with active commuting, as well as to analyze the impact of social support from parents, friends, and teachers with active commuting to school. METHODS:Participants in this cross-sectional study w...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.02.019
更新日期:2014-06-01 00:00:00
abstract::Alcohol consumption as a potential risk factor for breast cancer was examined in a case-control study of 1,467 female breast cancer patients and 10,178 hospital controls. Lean females (Quetelet index less than 22) had elevated unadjusted odds ratios for breast cancer of 2.1, 1.7, and 1.4, associated with consuming les...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/0091-7435(88)90084-9
更新日期:1988-11-01 00:00:00
abstract:OBJECTIVE:Existing data suggest that influenza vaccination rates among adults in the United States fall far short of the Healthy People 2010 goals and the updated Healthy People 2020 targets. We identified characteristics associated with influenza vaccination that might inform strategies for increasing coverage. METHO...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2012.03.008
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Inadequate opportunities for physical activity at school and overall low levels of activity contribute to the high prevalence of overweight and obesity in American-Indian children. METHODS:A school-based physical activity intervention was implemented which emphasized increasing the frequency and quality of ...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/j.ypmed.2003.08.005
更新日期:2003-12-01 00:00:00