The Relationship between Hostility and Behavioral Risk Factors for Poor Health in Women Veterans
Abstract
Background While previous research has generally supported a relationship between hostility and health risk behaviors, the majority of this research has been conducted in predominately male, highly educated, Caucasian samples. The current study was designed to further examine the relationship between hostility and health risk behaviors in a sample of women. Methods Measures of health risk behavior and scores from the Cook-Medley hostility scale were obtained from 409 women veterans. Linear and logistic regression analyses were used to examine the relationship between hostility and health behaviors including tobacco smoking, alcohol use, body-mass index, caffeine use, and level of physical activity, after sociodemographic factors were accounted for. Results In a cohort of women veterans using VA health care, ages 35-81, hostility was significantly associated with tobacco smoking (OR = 2.10; 95% CI = 1.34 to 3.30), caffeine use (OR = 2.12; 95% CI = 1.16 to 3.85), and the number of alcoholic beverages consumed by women who drink alcohol. Hostility was not associated with body mass index (OR = 1.15; 95% CI = 0.77 to 1.72) or a lack of physical exercise (OR = 0.89; 95% CI = 0.55 to 1.43). Conclusions Results are generally consistent with previous research and support the relationship between hostility and health risk behaviors. Awareness that hostility contributes to risk behaviors and disease may help in the design of interventions aimed at risk reduction.
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Alcohol effects extend beyond physical aggression to anger, hostility, and indirect aggression such as gossip and social exclusion.
“the effects extend beyond physical aggression to include anger (an emotional state), hostility (a cognitive orientation), and indirect forms of aggression such as gossip and social exclusion (Schonwetter And Janisse 1991; Leibsohn et al. 1994; Calhoun et al. 2001; Sheehan et al. 2016)”
From Decoding the bidirectional links between alcohol misuse and aggression: toward a unified translational framework (2026) · cites this paper as Calhoun et al. 2001
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- Authors
- Calhoun, P. S., Bosworth, H. B., Siegler, I. C., & Bastian, L. A.
- Affiliations
- Durham VA Medical Center (US)
- Duke University (US)
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2001-12
- Volume
- 33
- Issue
- 6
- Pages
- 552-557
- ISSN
- 0091-7435 (ISSN-L)
- OpenAlex
- W2083958283
- Cited by
- 39
- References
- 54
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2022: 1 · 2020: 1 · 2018: 3 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 3 · 2012: 1
- FWCI
- 1.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Keywords
- hostility, health risk behaviors, women veterans, smoking, alcohol consumption, caffeine consumption, body mass index, physical activity, risk reduction interventions
- MeSH terms
- Adult, Aged, Analysis of Variance, Female, Hostility, Humans, Middle Aged, Surveys and Questionnaires, Risk Factors, United States, Veterans, Cohort Studies, Health Behavior, Linear Models
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