Prevalence of multiple chronic disease risk factors. 2001 National Health Interview Survey.


BACKGROUND:Four common factors--cigarette smoking, risky drinking of alcoholic beverages, physical inactivity, and overweight--contribute substantially to chronic disease prevalence. METHODS:We used data from the 2001 National Health Interview Survey to provide an up-to-date picture of multiple risk factor prevalence and clustering in the U.S. population. We conducted a multinomial logit analysis to examine the independent association between each covariate and the dependent ordinal risk factor variable with three levels (none or one risk factor, two risk factors, and three or four risk factors). RESULTS:Seventeen percent of the sample of 29,183 subjects had three or more risk factors. For the entire sample, the mean number of risk factors was 1.68 (95% confidence interval [CI]=1.66-1.70). Many demographic and health factors were significantly associated with the mean number of risk factors including gender, age, ethnic/racial categories, education, martial status, presence of chronic diseases, level of mental distress, country of birth, and presence and type of health insurance. Using the risk factor score as the ordinal dependent variable, adjusted odds for having a risk score of three or four versus zero or one were as follows: men aged <65, 2.49 (95% CI=2.29-2.72); education attainment of high school graduate or less, 3.24 (95% CI=2.86-3.67); and individuals with high levels of mental distress, 2.06 (95% CI=1.65-2.58). CONCLUSIONS:Our analyses confirm earlier reports of the high prevalence of multiple, clustered behavioral risk factors and underline the challenge this presents for primary care and public health systems.


Am J Prev Med


Fine LJ,Philogene GS,Gramling R,Coups EJ,Sinha S




Has Abstract


2004-08-01 00:00:00




2 Suppl










  • Cost-Effectiveness of Cancer Screening: Health and Costs in Life Years Gained.

    abstract:INTRODUCTION:Studies reporting on the cost-effectiveness of cancer screening usually account for quality of life losses and healthcare costs owing to cancer but do not account for future costs and quality of life losses related to competing risks. This study aims to demonstrate the impact of medical costs and quality o...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Ratushnyak S,Hoogendoorn M,van Baal PHM

    更新日期:2019-12-01 00:00:00

  • Neighborhood walkability: field validation of geographic information system measures.

    abstract:BACKGROUND:Given the health benefits of walking, there is interest in understanding how physical environments favor walking. Although GIS-derived measures of land-use mix, street connectivity, and residential density are commonly combined into indices to assess how conducive neighborhoods are to walking, field validati...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Hajna S,Dasgupta K,Halparin M,Ross NA

    更新日期:2013-06-01 00:00:00

  • Cross-sectional relationship between diet and physical activity in two southeastern New England communities.

    abstract::The hypothesis that health promotive diets associated with higher levels of habitual physical activity confound the relationship between regular physical activity and health has not been well explored in epidemiologic studies. We evaluated self-reported physical activity, Willett Food Frequency dietary data, sociodemo...

    journal_title:American journal of preventive medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Eaton CB,McPhillips JB,Gans KM,Garber CE,Assaf AR,Lasater TM,Carleton RA

    更新日期:1995-07-01 00:00:00

  • Implementation of an Integrative Medicine Curriculum for Preventive Medicine Residents.

    abstract::The University of Maryland Department of Epidemiology and Public Health collaborated with the Center for Integrative Medicine at the same institution to develop and implement a unique integrative medicine curriculum within a preventive medicine residency program. Between October 2012 and July 2014, Center for Integrat...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Chiaramonte DR,D'Adamo C,Amr S

    更新日期:2015-11-01 00:00:00

  • Low-cost cigarettes and smoking behavior in California, 1990-1993.

    abstract::Low-cost generic cigarettes grew dramatically in market share between 1990 and 1993, raising concerns that some smokers might view generics as an alternative to quitting. We report sociodemographic predictors of generic brand choice among a cross-sectional sample of California smokers and investigate changes in brand ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Cavin SW,Pierce JP

    更新日期:1996-01-01 00:00:00

  • Factors Related to Pre-exposure Prophylaxis Prescription by U.S. Primary Care Physicians.

    abstract:INTRODUCTION:Although pre-exposure prophylaxis (PrEP) greatly reduces risk of HIV infection in HIV-negative individuals, use is not widespread enough to impact HIV incidence. Involvement of primary care physicians (PCPs) in PrEP prescription is essential, but previous research has shown low rates of prescription among ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Walsh JL,Petroll AE

    更新日期:2017-06-01 00:00:00

  • Nonexercise Interventions for Prevention of Musculoskeletal Injuries in Armed Forces: A Systematic Review and Meta-Analysis.

    abstract:CONTEXT:This study evaluates the effect of nonexercise interventions on the reduction of risk for musculoskeletal injuries in armed forces. EVIDENCE ACQUISITION:A database search was conducted in PubMed/MEDLINE, Embase, Cochrane Library, CINAHL, SPORTdiscus, Greylit, Open Grey, the WHO trial registry, and the referenc...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,评审


    authors: Arslan IG,Dijksma I,van Etten-Jamaludin FS,Lucas C,Stuiver MM

    更新日期:2021-02-01 00:00:00

  • School wellness policies and foods and beverages available in schools.

    abstract:BACKGROUND:Since 2006-2007, education agencies (e.g., school districts) participating in U.S. federal meal programs are required to have wellness policies. To date, this is the only federal policy that addresses foods and beverages sold outside of school meals (in competitive venues). PURPOSE:To examine the extent to ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Hood NE,Colabianchi N,Terry-McElrath YM,O'Malley PM,Johnston LD

    更新日期:2013-08-01 00:00:00

  • Teen driving: motor-vehicle crashes and factors that contribute.

    abstract::The motor-vehicle crash risk of novice teen drivers is unacceptably high. This article examines the historical trends in fatal crash rates for male and female teen drivers as compared to adult drivers by both population and person-miles driven. The effect of motor-vehicle policies on teen driver crashes, characteristi...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,评审


    authors: Shope JT,Bingham CR

    更新日期:2008-09-01 00:00:00

  • Caring for the underserved: blending service learning and a web-based curriculum.

    abstract:BACKGROUND:Recognition of health disparities among underserved individuals, whose demographic, geographic, or economic characteristics impede access to health-related services, has led to calls for the development of medical school curricula that address care for the underserved, but reports of the development and eval...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Cox ED,Koscik RL,Olson CA,Behrmann AT,Hambrecht MA,McIntosh GC,Kokotailo PK

    更新日期:2006-10-01 00:00:00

  • The Healthy Lifestyle Change Program: a pilot of a community-based health promotion intervention for adults with developmental disabilities.

    abstract:BACKGROUND:Although adults with developmental disabilities are at high risk for obesity and its sequelae, few community-based lifestyle interventions targeting those with developmental disabilities exist. DESIGN:The study was a single group, community-based demonstration project with pre-post test evaluation conducted...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Bazzano AT,Zeldin AS,Diab IR,Garro NM,Allevato NA,Lehrer D,WRC Project Oversight Team.

    更新日期:2009-12-01 00:00:00

  • Finding Pete and Nikki: Defining the Target Audience for "The Real Cost" Campaign.

    abstract::Successfully reaching at-risk teens aged 12-17 years with smoking-prevention messages capable of changing their knowledge, attitudes, and beliefs about cigarette smoking requires a multifaceted approach to understand the target audience's unique demographic, environmental, behavioral, interpersonal, and intrapersonal ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Santiago S,Talbert EC,Benoza G

    更新日期:2019-02-01 00:00:00

  • Unintentional prescription drug overdose deaths in New Mexico, 1994-2003.

    abstract:BACKGROUND:New Mexico has the highest rate of drug-induced mortality in the United States. The contribution of prescription drugs to the total overdose death rate has not been adequately described. METHODS:A total of 1,906 unintentional drug overdose deaths occurring in 1994 to 2003 in New Mexico were analyzed. Uninte...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Mueller MR,Shah NG,Landen MG

    更新日期:2006-05-01 00:00:00

  • Religiosity and teen drug use reconsidered: a social capital perspective.

    abstract:BACKGROUND:Although religiosity has often been shown to have a deterrent effect on teen drug use, noteworthy theoretic gaps and contradictory findings have left important questions unanswered. METHODS:Conceptualizing religion as a measure of social capital and using cross-sectional data from Monitoring the Future (199...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Bartkowski JP,Xu X

    更新日期:2007-06-01 00:00:00

  • Measuring enjoyment of physical activity in adolescent girls.

    abstract:BACKGROUND:Enjoyment has been implicated as a determinant of physical activity among youth, but advances in understanding its importance have been limited by the use of measures that were not adequately validated. The present study examined: (1) the factorial validity of the Physical Activity Enjoyment Scale (PACES), a...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Motl RW,Dishman RK,Saunders R,Dowda M,Felton G,Pate RR

    更新日期:2001-08-01 00:00:00

  • Physician assessment of patient motivation: influence on disposition for follow-up care.

    abstract::This study of 3,318 outpatient visits evaluated the influence of the physician-assessed level of patient motivation on the level of physician involvement in follow-up care. Data collected included patient demographics, health risk factors, physician-assessed level of patient motivation, and the disposition for follow-...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: McArtor RE,Iverson DC,Benken DE,Gilchrist VJ,Dennis LK,Broome RA

    更新日期:1992-05-01 00:00:00

  • One- and two-year predictors of decline in physical activity among inner-city schoolchildren.

    abstract:BACKGROUND:Alarming secular declines in physical activity (PA) have been observed among youth over the last decade. A better understanding of the predictors of these declines is crucial to identifying those children most at risk and to developing interventions that target youth before the onset of decline. This report ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Barnett TA,O'Loughlin J,Paradis G

    更新日期:2002-08-01 00:00:00

  • Posttraumatic stress disorder and obesity: evidence for a risk association.

    abstract:BACKGROUND:There is evidence from cross-sectional studies that posttraumatic stress disorder (PTSD) may be associated with obesity. The aim of this study was to examine prospective longitudinal associations between PTSD and obesity in a community sample. METHODS:A prospective, longitudinal, epidemiologic study with a ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Perkonigg A,Owashi T,Stein MB,Kirschbaum C,Wittchen H-U

    更新日期:2009-01-01 00:00:00

  • A Randomized Trial of the Effect of E-cigarette TV Advertisements on Intentions to Use E-cigarettes.

    abstract:INTRODUCTION:Adolescents' use of electronic cigarettes (e-cigarettes) and exposure to e-cigarette TV advertising have increased in recent years, despite questions about their safety. The current study tests whether exposure to e-cigarette TV advertisements influences intentions to use e-cigarettes in the future and rel...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,随机对照试验


    authors: Farrelly MC,Duke JC,Crankshaw EC,Eggers ME,Lee YO,Nonnemaker JM,Kim AE,Porter L

    更新日期:2015-11-01 00:00:00

  • Child passenger safety practices in the U.S.: disparities in light of updated recommendations.

    abstract:BACKGROUND:Children are best protected in motor vehicle collisions when properly using the appropriate restraint and sitting in a rear row. Racial and ethnic disparities have been reported in injury statistics and use of any restraint; however, predictors of safety seat use, being unrestrained, and sitting in the front...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Macy ML,Freed GL

    更新日期:2012-09-01 00:00:00

  • Initiation of Electronic Cigarette Use by Age Among Youth in the U.S.

    abstract:INTRODUCTION:The rapid increase in electronic cigarette (e-cigarette) smoking among U.S. youth requires data regarding the age pattern of initiation risk for effective tobacco use prevention. METHODS:Data from the 2014 National Youth Tobacco Survey (N=20,680, aged 11-19 years, 50.6% male) were analyzed using survival ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Chen X,Yu B,Wang Y

    更新日期:2017-09-01 00:00:00

  • Novel Influenza A (H1N1) outbreak at the U.S. Air Force Academy: epidemiology and viral shedding duration.

    abstract:BACKGROUND:The U.S. Air Force Academy is an undergraduate institution that educates and trains cadets for military service. Following the arrival of 1376 basic cadet trainees in June 2009, surveillance revealed an increase in cadets presenting with respiratory illness. Specimens from ill cadets tested positive for nove...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Witkop CT,Duffy MR,Macias EA,Gibbons TF,Escobar JD,Burwell KN,Knight KK

    更新日期:2010-02-01 00:00:00

  • Telephone-based tobacco-cessation treatment: re-enrollment among diverse groups.

    abstract:BACKGROUND:Telephone quitlines are utilized by diverse individuals and represent an effective tobacco-cessation modality. Quitlines allow tobacco users to seek support for multiple quit attempts. Little is known about how frequently tobacco users take advantage of this opportunity. No studies have been conducted to det...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,随机对照试验


    authors: Carlini BH,Zbikowski SM,Javitz HS,Deprey TM,Cummins SE,Zhu SH

    更新日期:2008-07-01 00:00:00

  • Physical activity and mortality risk in the Japanese elderly: a cohort study.

    abstract:BACKGROUND:Physical activity recommendations for older adults with poor health needs to be understood. PURPOSE:This study aims to examine the association between the frequency of physical activity and mortality among a sample of elderly subjects, most of whom were under treatment for pre-existing disease. METHODS:Dat...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Ueshima K,Ishikawa-Takata K,Yorifuji T,Suzuki E,Kashima S,Takao S,Sugiyama M,Ohta T,Doi H

    更新日期:2010-04-01 00:00:00

  • Improving Sickle Cell Transitions of Care Through Health Information Technology.

    abstract:INTRODUCTION:Transitions between inpatient and outpatient care and pediatric to adult care are associated with increased mortality for sickle cell disease (SCD) patients. As accurate and timely sharing of health information is essential during transitions, a health information technology (HIT)-enabled tool holds promis...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Frost JR,Cherry RK,Oyeku SO,Faro EZ,Crosby LE,Britto M,Tuchman LK,Horn IB,Homer CJ,Jain A

    更新日期:2016-07-01 00:00:00

  • Family roles and smoking.

    abstract::This study analyzes the relationships of cigarette smoking and smoking histories to marital and parental status. Data from a large, representative sample of U.S. adults in 1985 were analyzed separately for white men, white women, black men, and black women, with controls for age, education, and marital status included...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Waldron I,Lye D

    更新日期:1989-05-01 00:00:00

  • Cost effectiveness of pertussis vaccination in adults.

    abstract:BACKGROUND:Prior economic analyses have reached disparate conclusions about whether vaccinating adults against pertussis would be cost effective. Newly available data on pertussis incidence were used to evaluate the cost effectiveness of one-time adult vaccination and adult vaccination with decennial boosters. METHODS...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Lee GM,Murphy TV,Lett S,Cortese MM,Kretsinger K,Schauer S,Lieu TA

    更新日期:2007-03-01 00:00:00

  • Healthcare Costs of Secondhand Smoke Exposure at Home for U.S. Children.

    abstract:INTRODUCTION:The purpose of this study is to estimate healthcare utilization and healthcare costs due to secondhand smoke exposure at home for children in the U.S. METHODS:Using data from the 2000, 2005, and 2010 U.S. National Health Interview Surveys, the authors analyzed the association between secondhand smoke expo...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Yao T,Sung HY,Wang Y,Lightwood J,Max W

    更新日期:2019-02-01 00:00:00

  • Uptake of pneumococcal conjugate vaccine among children in the 1998-2002 United States birth cohorts.

    abstract:BACKGROUND:Routine childhood immunization with pneumococcal conjugate vaccines (PCV7s) began in 2000 in the United States. Despite vaccine shortages, reductions in invasive pneumococcal disease occurred rapidly during 2000-2002. Age-appropriate PCV7 coverage was estimated and characteristics associated with undervaccin...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Nuorti JP,Martin SW,Smith PJ,Moran JS,Schwartz B

    更新日期:2008-01-01 00:00:00

  • Human Papillomavirus Vaccination Prevalence Among Adults Aged 19-45 Years: An Analysis of the 2017 National Health Interview Survey.

    abstract:INTRODUCTION:In 2018, the U.S. Food and Drug Administration extended the licensure for human papillomavirus vaccination to include everyone aged 27-45 years. In 2019, the Advisory Committee on Immunization Practices issued a recommendation that adults aged 27-45 years and their providers engage in shared clinical decis...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Kasting ML,Giuliano AR,Christy SM,Rouse CE,Robertson SE,Thompson EL

    更新日期:2020-12-01 00:00:00