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Cited by 382Health and Lifestyle StudiesHealth and Wellbeing ResearchCardiovascular Health and Risk Factors

The DOI matches its Crossref record; 51 of the 52 references it cites were found in a registry or an index.

Patterns of health behavior in U.S. adults

Berrigan, David, Dodd, Kevin, Troiano, Richard P., Krebs-Smith, Susan M., Barbash, Rachel Ballard·2003·Preventive Medicine
DOI 10.1016/s0091-7435(02)00067-1
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Abstract

Background Associations between health-related behaviors are important for two reasons. First, disease prevention and health promotion depend on understanding both prevalence of health behaviors and associations among such behaviors. Second, behaviors may have synergistic effects on disease risk.Methods We document patterns of adherence to recommendations concerning five behaviors (physical activity, tobacco use, alcohol consumption, fruit and vegetable consumption, and dietary fat intake) in U.S. adults (n = 15,425) using data from the Third National Health and Nutrition Examination Survey. Division of individuals into categories associated with adherence or nonadherence to lifestyle recommendations results in 32 patterns of adherence/nonadherence.Results Proportions of U.S. adults with 21 of 32 behavior patterns characterized here deviated from proportions expected if health behaviors are independent of each other. The two extreme patterns, all adherence (5.9%) and all nonadherence (4.9%), were found in about double the proportion expected. Age, gender, race/ethnicity, education, and income were associated with a number of patterns, including the two extremes.Conclusions This analysis of behavior patterns highlights population subgroups of public health importance, provides a benchmark for studies of multivariate associations between health behaviors, and supports a multidimensional model of health behavior.

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Research works printed but not linked: 3

  1. Langlie, 1979, Interrelationships among preventive health behaviors, Public Health Rep, 94, 216
  2. Hahn, 1998, Cardiovascular disease risk factors and preventive practices among adults—United States, 1994, MMWR CDC Surveill Summ, 47, 35
  3. Ford, 2001, Achieving a healthy lifestyle among United States adults, Ethn Dis, 11, 224

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Metadata

Authors
Berrigan, D., Dodd, K., Troiano, R. P., Krebs-Smith, S. M., & Barbash, R. B.
Affiliations
National Institutes of Health (US)
Corresponding author
Berrigan, David
ORCID
Venue
Preventive Medicine
Publisher
Elsevier BV
Published
2003-05
Volume
36
Issue
5
Pages
615-623
ISSN
0091-7435 (ISSN-L)
DOI
10.1016/s0091-7435(02)00067-1
OpenAlex
W2026395256
Cited by
382
References
52
Citations by year
2026: 2 · 2025: 2 · 2024: 7 · 2023: 15 · 2022: 14 · 2021: 10 · 2020: 24 · 2019: 11 · 2018: 19 · 2017: 13 · 2016: 27 · 2015: 27 · 2014: 24 · 2013: 27 · 2012: 19
FWCI
34.70
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Cancer Institute
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Lifestyle Studies
  • Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Keywords
health behavior patterns, lifestyle adherence, physical activity, tobacco use, alcohol consumption, fruit and vegetable intake, dietary fat intake, disease prevention, health promotion, sociodemographic differences
MeSH terms
Smoking Prevention, Adult, Alcohol Drinking, Demography, Ethnicity, Female, Fruit, Health Surveys, Humans, Life Style, Male, Patient Compliance, United States, Vegetables, Health Behavior, Exercise, Diet, Fat-Restricted

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