Abstract:
BACKGROUND:Lifestyle factors have been associated mostly with individual chronic diseases. We investigated the relationship between lifestyle factors (individual and combined) and the co-occurrence of multiple chronic diseases. METHODS:Cross-sectional analysis of results from the Program of Research on the Evolution of a Cohort Investigating Health System Effects (PRECISE) in Quebec, Canada. Subjects aged 45 years and older. A randomly-selected cohort in the general population recruited by telephone. Multimorbidity (3 or more chronic diseases) was measured by a simple count of self-reported chronic diseases from a list of 14. Five lifestyle factors (LFs) were evaluated: 1) smoking habit, 2) alcohol consumption, 3) fruit and vegetable consumption, 4) physical activity, and 5) body mass index (BMI). Each LF was given a score of 1 (unhealthy) if recommended behavioural targets were not achieved and 0 otherwise. The combined effect of unhealthy LFs (ULFs) was evaluated using the total sum of scores. RESULTS:A total of 1,196 subjects were analyzed. Mean number of ULFs was 2.6 ± 1.1 SD. When ULFs were considered separately, there was an increased likelihood of multimorbidity with low or high BMI [Odd ratio (95% Confidence Interval): men, 1.96 (1.11-3.46); women, 2.57 (1.65-4.00)], and present or past smoker [men, 3.16 (1.74-5.73)]. When combined, in men, 4-5 ULFs increased the likelihood of multimorbidity [5.23 (1.70-16.1)]; in women, starting from a threshold of 2 ULFs [1.95 (1.05-3.62)], accumulating more ULFs progressively increased the likelihood of multimorbidity. CONCLUSIONS:The present study provides support to the association of lifestyle factors and multimorbidity.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Fortin M,Haggerty J,Almirall J,Bouhali T,Sasseville M,Lemieux Mdoi
10.1186/1471-2458-14-686subject
Has Abstractpub_date
2014-07-05 00:00:00pages
686issn
1471-2458pii
1471-2458-14-686journal_volume
14pub_type
杂志文章abstract:BACKGROUND:Severe wasting affects 16 million under 5's and carries an immediate risk of death. Prevalence remains unacceptably high in sub-Saharan Africa and early infancy is a high-risk period. We aimed to explore risk factors for severe wasting in rural Gambian infants. METHODS:We undertook a case-control study from...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4984-2
更新日期:2018-01-06 00:00:00
abstract:BACKGROUND:Malnutrition remains one of the most significant child health problems in developing countries with an estimated 53% of child deaths per year attributed to being underweight. The 2011 Uganda Demographic and Health Survey (UDHS) showed that 38 % of the children were stunted and 16% were underweight. While die...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2644-y
更新日期:2015-12-28 00:00:00
abstract:BACKGROUND:The triple epidemic of silicosis, tuberculosis and HIV infection among migrant miners from South Africa and neighbouring countries who have worked in the South African mining industry is currently the target of regional and international control efforts. These initiatives are hampered by a lack of informatio...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4640-x
更新日期:2017-08-03 00:00:00
abstract:BACKGROUND:To investigate whether religious service attendance and faith leaders' messages about HIV and same-sex relationships are associated with acceptance of HIV prevention strategies. METHODS:Multivariable Poisson regression assessed whether attending religious services, faith leaders' messages about HIV and same...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6301-0
更新日期:2018-12-19 00:00:00
abstract:BACKGROUND:Community mobilization (CM) interventions show promise in changing gender norms and preventing HIV, but few have been based on a defined mobilization model or rigorously evaluated. The purpose of this paper is to describe the intervention design and implementation and present baseline findings of a Cluster R...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-015-2048-z
更新日期:2015-08-06 00:00:00
abstract:BACKGROUND:The PROFRUVE study is a controlled intervention based on the Theory of Planned Behavior (TPB), which follows those behavioral theories that have proved to be the most effective at changing infant fruit and vegetable (FV) intake pattern. The main purpose of the study is to evaluate the effectiveness of an int...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-018-5748-3
更新日期:2018-07-04 00:00:00
abstract:BACKGROUND:An inequitable distribution of parks and other 'green spaces' could exacerbate health inequalities if people on lower incomes, who are already at greater risk of preventable diseases, have poorer access. METHODS:The availability of green space within 1 kilometre of a Statistical Area 1 (SA1) was linked to d...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-292
更新日期:2014-03-31 00:00:00
abstract:BACKGROUND:Intimate partner violence (IPV) is prevalent and is associated with a broad range of adverse consequences. In military organizations, IPV may have special implications, such as the potential of service-related mental disorders to trigger IPV. However, the Canadian Armed Forces (CAF) have limited data to guid...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-1019
更新日期:2013-10-28 00:00:00
abstract:BACKGROUND:In Sweden mental ill-health has increased among the young, especially among young women. Our aim was to investigate the association between experience of physical violence during the past year and self rated psychological health among young men and women. METHODS:The study population consisted of men (n = 2...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-29
更新日期:2014-01-11 00:00:00
abstract:BACKGROUND:General Practitioners (GPs) are well placed to care for patients with (chronic) substance use problems. This pilot was carried out to study the feasibility and usefulness of a continuous surveillance of substance use problems among general practice patients. The objectives were (i) to describe variables with...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3885-0
更新日期:2016-12-08 00:00:00
abstract:BACKGROUND:Physical activity reduces cardiovascular mortality and morbidity. The World Health Organisation (WHO) recommends children engage in 60 min daily moderate-to-vigorous physical activity (MVPA). The effect of compliance with this recommendation on childhood cardiovascular risk has not been empirically tested. T...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-2708-7
更新日期:2016-01-22 00:00:00
abstract:BACKGROUND:Hearing impairment negatively impacts students' development of academic, language and social skills. Even minimal unilateral hearing loss can hinder educational performance. We investigated the prevalence of ear diseases among secondary school students in the city of Xi'an, China in order to provide a founda...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-445
更新日期:2011-06-08 00:00:00
abstract:BACKGROUND:Childhood obesity is emerging as a major public health problem worldwide. To date, most studies of obesity and overweight in Peru are focused on adults, with few of them involving children, a population at a critical stage of development. The trend in overweight and obesity prevalence in Peruvian children un...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5259-2
更新日期:2018-03-14 00:00:00
abstract:BACKGROUND:A number of companies publish corporate social responsibility (CSR) reporting in booklets and other publicly available formats. The purpose of this paper is to clarify the nine-year (2004-2012) trend of occupational safety and health (OSH) activities as described in CSR reporting (by industry sector and comp...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4356-y
更新日期:2017-05-02 00:00:00
abstract:BACKGROUND:An earlier attempt to adapt the REALM (Rapid Estimate of Adult Literacy in Medicine) word recognition test to Dutch was not entirely successful due to ceiling effects. In contrast to REALM, the Short Assessment of Health Literacy (SAHL) assesses both word recognition and comprehension in the health domain. T...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-990
更新日期:2014-09-23 00:00:00
abstract:BACKGROUND:Nearly all California casinos currently allow smoking, which leads to potentially high patron exposure to secondhand tobacco smoke pollutants. Some argue that smoking restrictions or bans would result in a business drop, assuming > 50% of patrons smoke. Evidence in Nevada and responses from the 2008 Californ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-819
更新日期:2012-09-22 00:00:00
abstract:BACKGROUND:Government social assistance payments seek to alleviate poverty and address survival needs, but their monthly disbursement may cue increases in illicit drug use. This cue may be magnified when assistance is disbursed simultaneously across the population. Synchronized payments have been linked to escalations ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-016-3304-6
更新日期:2016-07-29 00:00:00
abstract:BACKGROUND:This study aimed to investigate prevalence and risk factors for prediabetes, undiagnosed diabetes mellitus, poorly and potentially sub-controlled diabetes in a rural-provincial general adult population in Denmark. METHODS:Using cross-sectional data from the Lolland-Falster Health Study, we examined a total ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09791-2
更新日期:2020-11-16 00:00:00
abstract:BACKGROUND:Self-rated health is a measure expressing the general condition of health of individuals. Self-rated health studies are common in developed countries and in some developing regions. Despite increasing proportion of adult and older population in sub-Saharan Africa and poor population health indicators, there ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3552-5
更新日期:2016-08-24 00:00:00
abstract:BACKGROUND:China has experienced an increase in the prevalence of childhood overweight/obesity over the last decades. The purpose of this study was to examine the prevalence of obesity and metabolic syndrome among Chinese school children and determine if there is a significant association between childhood obesity and ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-780
更新日期:2010-12-22 00:00:00
abstract:BACKGROUND:The overuse of antibiotics is becoming an increasing concern. Antibiotic resistance, which increases both the burden of disease, and the cost of health services, is perhaps the most profound impact of antibiotics overuse. Attempts have been made to develop instruments to measure the psychosocial constructs u...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-73
更新日期:2014-01-23 00:00:00
abstract:BACKGROUND:The 2003 heat wave had a high impact on mortality in Europe, which made necessary to develop heat health watch warning systems. In Spain this was carried-out by the Ministry of Health in 2004, being based on exceeding of city-specific simultaneous thresholds of minimum and maximum daily temperatures. The aim...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-133
更新日期:2012-02-17 00:00:00
abstract:BACKGROUND:China had 236 million internal migrants in 2012 and the majority of them migrated from rural to urban areas. The research based on medical and epidemical records found that the migrants had worse health than the urban residents, but the household and working place investigations reported better health status...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2074-x
更新日期:2015-07-28 00:00:00
abstract:BACKGROUND:To assess the association of socioeconomic position (SEP), measured by family financial situation and housing tenure in childhood and adulthood, with mental health conditions in adulthood. METHODS:Representative cross-sectional population data were collected using a risk factor surveillance system in South ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2022-9
更新日期:2015-07-17 00:00:00
abstract:BACKGROUND:Maternal morbidity and mortality continued to be major issues in many countries. Globally a total of 10.7 million women have died between 1990 and 2015 due to maternal causes where sub-Saharan Africa alone accounts for 66% of maternal death. Since most maternal deaths are avoidable; skilled attendance during...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7818-6
更新日期:2019-11-11 00:00:00
abstract:BACKGROUND:Though Ethiopia achieved the fourth Millennium Development Goal, commit to reducing under five child mortalities by the year 2015, but perinatal mortality has remained a major public health problem in Ethiopia, and the Tigray region is experiencing a high perinatal mortality rate. This study aimed to assess ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7642-z
更新日期:2019-10-16 00:00:00
abstract:BACKGROUND:Despite its well-known benefits for health and well-being physical activity levels are insufficient and declining with age in Germany. Physical activity promotion programs for older adults are often not successful, one reason is insufficient relevance of intervention measures for the study population. Commun...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-018-6124-z
更新日期:2018-10-23 00:00:00
abstract:BACKGROUND:The disclosure of widespread sexual abuse committed by professional educators and clergymen in institutions in Germany ignited a national political debate, in which special attention was paid to church-run institutions. We wanted to find out whether the nature of the abuse and its effect on victims differed ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-282
更新日期:2014-03-27 00:00:00
abstract:BACKGROUND:In recent decades, the Kingdom of Saudi Arabia has seen an exponentially growing antibiotic resistance, which is exacerbated by the use of antibiotics without a prescription and other various factors. However, no published data are available on factors influencing non-prescription use of antibiotics among th...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6088-z
更新日期:2018-10-16 00:00:00
abstract:BACKGROUND:Two devastating sequential hurricanes impacted Puerto Rico during September of 2017. The hurricanes were traumatic and created social and ecological upheaval throughout Puerto Rico, and subsequently in communities of Central Florida where affected Puerto Ricans migrated. The 2017 hurricane season exposed and...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09735-w
更新日期:2020-10-29 00:00:00