Clustering of risk behaviors with cigarette consumption: A population-based survey
Abstract
Objective This study assessed clustering of multiple risk behaviors (i.e., low leisure-time physical activity, low fruits/vegetables intake, and high alcohol consumption) with level of cigarette consumption.Methods Data from the 2002 Swiss Health Survey, a population-based cross-sectional telephone survey assessing health and self-reported risk behaviors, were used. 18,005 subjects (8052 men and 9953 women) aged 25 years old or more participated.Results Smokers more frequently had low leisure time physical activity, low fruits/vegetables intake, and high alcohol consumption than non- and ex-smokers. Frequency of each risk behavior increased steadily with cigarette consumption. Clustering of risk behaviors increased with cigarette consumption in both men and women. For men, the odds ratios of multiple (> or =2) risk behaviors other than smoking, adjusted for age, nationality, and educational level, were 1.14 (95% confidence interval: 0.97, 1.33) for ex-smokers, 1.24 (0.93, 1.64) for light smokers (1-9 cigarettes/day), 1.72 (1.36, 2.17) for moderate smokers (10-19 cigarettes/day), and 3.07 (2.59, 3.64) for heavy smokers (> or =20 cigarettes/day) versus non-smokers. Similar odds ratios were found for women for corresponding groups, i.e., 1.01 (0.86, 1.19), 1.26 (1.00, 1.58), 1.62 (1.33, 1.98), and 2.75 (2.30, 3.29).Conclusions Counseling and intervention with smokers should take into account the strong clustering of risk behaviors with level of cigarette consumption.
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Health-risk behaviors cluster within people and groups.
“these highly prevalent HRBs are known to cluster within individuals and populations.27–29”
From Early life adversity and health-risk behaviors: Proposed psychological and neural mechanisms (2018) · cites this paper as [28]
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- Authors
- Chiolero, A., Wietlisbach, V., Ruffieux, C., Paccaud, F., & Cornuz, J.
- Affiliations
- Institute of Social and Preventive Medicine (CH)
- ORCID
- Cornuz, Jacques
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2006-05
- Volume
- 42
- Issue
- 5
- Pages
- 348-353
- ISSN
- 0091-7435 (ISSN-L)
- OpenAlex
- W2130623185
- Cited by
- 310
- References
- 38
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 6 · 2023: 10 · 2022: 15 · 2021: 10 · 2020: 22 · 2019: 21 · 2018: 14 · 2017: 15 · 2016: 27 · 2015: 25 · 2014: 29 · 2013: 24 · 2012: 18
- FWCI
- 7.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Keywords
- smoking, cigarette consumption, leisure-time physical activity, fruit and vegetable intake, alcohol consumption, multiple risk behaviors, heavy smokers, former smokers, sex differences, smoking cessation counseling
- MeSH terms
- Adult, Aged, Alcohol Drinking, Data Collection, Diet, Educational Status, Female, Humans, Leisure Activities, Male, Middle Aged, Population Surveillance, Risk-Taking, Smoking, Switzerland, Cluster Analysis, Age Distribution, Sex Distribution
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