Multiple health behaviours: overview and implications

Spring, B.; Moller, A. C.; Coons, M. J.

doi:10.1093/pubmed/fdr111

Cited by 408Behavioral Health and InterventionsHealth Promotion and Cardiovascular PreventionSmoking Behavior and Cessation

Multiple health behaviours: overview and implications

Open access

Spring, B., Moller, A. C., Coons, M. J.·2012·Journal of Public Health

DOI 10.1093/pubmed/fdr111PMC PMC3284863

Open this paper in CoChat — free account

Abstract

BACKGROUND: More remains unknown than known about how to optimize multiple health behaviour change. METHODS: After reviewing the prevalence and comorbidities among major chronic disease risk behaviours for adults and youth, we consider the origins and applicability of high-risk and population strategies to foster multiple health behaviour change. RESULTS: Findings indicate that health risk behaviours are prevalent, increase with age and co-occur as risk behaviour clusters or bundles. CONCLUSIONS: We conclude that both population and high-risk strategies for health behaviour intervention are warranted, potentially synergistic and need intervention design that accounts for substitute and complementary relationships among bundled health behaviours. To maximize positive public health impact, a pressing need exists for bodies of basic and translational science that explain health behaviour bundling. Also needed is applied science that elucidates the following: (1) the optimal number of behaviours to intervene upon; (2) how target behaviours are best selected (e.g. greatest health impact; patient preference or positive effect on bundled behaviours); (3) whether to increase healthy or decrease unhealthy behaviours; (4) whether to intervene on health behaviours simultaneously or sequentially and (5) how to achieve positive synergies across individual-, group- and population-level intervention approaches.

Integrity signals

Registry

Crossref · 10.1093/pubmed/fdr111

Cites

98 of 98 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Conjoint use of high-risk and population strategies is essential to optimize cardiovascular outcomes and healthcare costs.
“Conjoint use of high-risk and population strategies is essential to optimize cardiovascular outcomes and healthcare costs.5,32–34”
From Better Population Health Through Behavior Change in Adults: A Call to Action (2013) · cites this paper as [34]

Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin
(2002) · New England Journal of Medicine · doi:10.1056/nejmoa012512 · Cited by 19,011 · see citing works
Crossing the Quality Chasm: A New Health System for the 21st Century
Baker, A. (2001) · BMJ · doi:10.1136/bmj.323.7322.1192 · Cited by 10,754 · see citing works
‘Small Changes' to Diet and Physical Activity Behaviors for Weight Management
Hills, A. P., Byrne, N. M., Lindstrom, R. C., & Hill, J. O. (2013) · Obesity Facts · doi:10.1159/000345030 · Cited by 9,526 · see citing works
Closing the gap in a generation: health equity through action on the social determinants of health
Marmot, M. G., Friel, S., Bell, R., Houweling, T. A. J., & Taylor, S. A. J. (2008) · The Lancet · doi:10.1016/s0140-6736(08)61690-6 · Cited by 8,238 · see citing works
Physical Activity in the United States Measured by Accelerometer
TROIANO, R. P., BERRIGAN, D., DODD, K. W., MÂSSE, L. C., TILERT, T., & MCDOWELL, M. (2008) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31815a51b3 · Cited by 7,638 · see citing works
Genetics of Food Intake Self-Regulation in Childhood: Literature Review and Research Opportunities
Faith, M. S., Carnell, S., & Kral, T. V. E. (2013) · Human Heredity · doi:10.1159/000353879 · Cited by 7,628 · see citing works
Prevalence and Trends in Obesity Among US Adults, 1999-2008
Flegal, K. M. (2010) · JAMA · doi:10.1001/jama.2009.2014 · Cited by 7,580 · see citing works
Actual causes of death in the United States
McGinnis, J. M. (1993) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1993.03510180077038 · Cited by 5,480 · see citing works
Actual Causes of Death in the United States, 2000
Mokdad, A. H. (2004) · JAMA · doi:10.1001/jama.291.10.1238 · Cited by 5,211 · see citing works
Defining and Setting National Goals for Cardiovascular Health Promotion and Disease Reduction: The American Heart Association’s Strategic Impact Goal Through 2020 and Beyond
Lloyd-Jones, D. M., Hong, Y., Labarthe, D., Mozaffarian, D., Appel, L. J., Van Horn, L., Greenlund, K., Daniels, S., Nichol, G., Tomaselli, G. F., et al. (2010) · Circulation · doi:10.1161/circulationaha.109.192703 · Cited by 4,750 · see citing works
Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002.
Hedley, A. A., Ogden, C., Johnson, C. L., Carroll, M., Curtin, L. R., & Flegal, K. (2004) · Journal of the American Medical Association (JAMA) · doi:10.1001/jama.291.23.2847 · Cited by 4,670 · see citing works
Sick individuals and sick populations
Rose, G. (2001) · International Journal of Epidemiology · doi:10.1093/ije/30.3.427 · Cited by 3,736 · see citing works
Comparative quantification of health risks : global and regional burden of disease attributable to selected major risk factors
Ezzati, M., López, A. D., Rodgers, A., & Murray, C. J. L. (2004) · Cited by 3,319 · see citing works
The Preventable Causes of Death in the United States: Comparative Risk Assessment of Dietary, Lifestyle, and Metabolic Risk Factors
Danaei, G., Ding, E. L., Mozaffarian, D., Taylor, B., Rehm, J., Murray, C. J. L., & Ezzati, M. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000058 · Cited by 2,860 · see citing works
Explaining the decrease in U.S. deaths from coronary disease, 1980–2000
Ford, E. S., Ajani, U. A., Croft, J. B., Critchley, J. A., Labarthe, D. R., Kottke, T. E., Giles, W. H., & Capewell, S. (2007) · New England Journal of Medicine · doi:10.1056/nejmsa053935 · Cited by 2,757 · see citing works
Sick individuals and sick populations
ROSE, G. (1985) · International Journal of Epidemiology · doi:10.1093/ije/14.1.32 · Cited by 2,701 · see citing works
Physical Fitness and All-Cause Mortality: A Prospective Study of Healthy Men and Women
Blair, S. N. (1989) · JAMA · doi:10.1001/jama.1989.03430170057028 · Cited by 2,658 · see citing works
Medscape's response to the Institute of Medicine Report: Crossing the quality chasm: a new health system for the 21st century.
Leavitt, M. (2001) · PubMed · Cited by 1,835 · see citing works
Sexually Transmitted Diseases Among American Youth: Incidence and Prevalence Estimates, 2000
Weinstock, H., Berman, S. M., & Cates, W. (2004) · Perspectives on Sexual and Reproductive Health · doi:10.1363/3600604 · Cited by 1,556 · see citing works
Medication Adherence: Its Importance in Cardiovascular Outcomes
Ho, P. M., Bryson, C. L., & Rumsfeld, J. S. (2009) · Circulation · doi:10.1161/circulationaha.108.768986 · Cited by 1,488 · see citing works
Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses—United States, 1997–2001
Tanoue, L. T. (2007) · Yearbook of Medicine · doi:10.1016/s0084-3873(08)70176-7 · Cited by 1,413 · see citing works
A Clinical Practice Guideline for Treating Tobacco Use and Dependence: 2008 Update
(2008) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2008.04.009 · Cited by 1,410 · see citing works
Self-regulation, ego depletion, and motivation
Baumeister, R. F., & Vohs, K. D. (2007) · Social and Personality Psychology Compass · doi:10.1111/j.1751-9004.2007.00001.x · Cited by 1,402 · see citing works
A Systematic Review of the Evidence Supporting a Causal Link Between Dietary Factors and Coronary Heart Disease
Mente, A., de Koning, L., Shannon, H. S., & Anand, S. S. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.38 · Cited by 1,267 · see citing works
Epidemiologic evidence of the protective effect of fruit and vegetables on cancer risk
Ríboli, E., & Norat, T. (2003) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/78.3.559s · Cited by 1,173 · see citing works
Sexually Transmitted Diseases Among American Youth: Incidence and Prevalence Estimates, 2000
Weinstock, H., Berman, S. M., & Cates, W. (2004) · Perspectives on Sexual and Reproductive Health · doi:10.1111/j.1931-2393.2004.tb00002.x · Cited by 1,153 · see citing works
Adherence with statin therapy in elderly patients with and without acute coronary syndromes
Jackevicius, C. A. (2002) · JAMA · doi:10.1001/jama.288.4.462 · Cited by 1,077 · see citing works
[Actual causes of death].
Lignac, G. O. E. (1951) · PubMed · Cited by 1,013 · see citing works
The Institute of Medicine
Bulger, R. E. (1992) · Kennedy Institute of Ethics journal · doi:10.1353/ken.0.0102 · Cited by 993 · see citing works
Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses—United States, 2000-2004
(2009) · JAMA · doi:10.1001/jama.301.6.593 · Cited by 946 · see citing works
Physical Fitness and All-Cause Mortality
Macintyre, J. (1995) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-199510000-00015 · Cited by 899 · see citing works
Television Viewing and Risk of Type 2 Diabetes, Cardiovascular Disease, and All-Cause Mortality: A Meta-analysis
Grøntved, A. (2011) · JAMA · doi:10.1001/jama.2011.812 · Cited by 873 · see citing works
Overview of the Health Benefits of Fruit and Vegetable Consumption for the Dietetics Professional
Duyn, M. A. V., & Pivonka, E. (2000) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(00)00420-x · Cited by 814 · see citing works
Substance use and risky sexual behavior for exposure to HIV. Issues in methodology, interpretation, and prevention.
Leigh, B., & Stall, R. (1993) · American Psychologist · doi:10.1037//0003-066x.48.10.1035 · Cited by 720 · see citing works
Community Prevalence of Ideal Cardiovascular Health, by the American Heart Association Definition, and Relationship With Cardiovascular Disease Incidence
Folsom, A. R., Yatsuya, H., Nettleton, J. A., Lutsey, P. L., Cushman, M., & Rosamond, W. D. (2011) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2010.11.041 · Cited by 713 · see citing works
Sexually transmitted diseases among American youth: incidence and prevalence estimates, 2000.
Weinstock, H., Berman, S., & Cates, W. (2004) · PubMed · doi:10.1363/psrh.36.6.04 · Cited by 592 · see citing works
Substance use and risky sexual behavior for exposure to HIV: Issues in methodology, interpretation, and prevention.
Leigh, B. C., & Stall, R. (1993) · American Psychologist · doi:10.1037/0003-066x.48.10.1035 · Cited by 589 · see citing works
Tracking global funding for the prevention and control of noncommunicable diseases.
Banerjee, A. (2012) · Bulletin of the World Health Organization · doi:10.2471/blt.12.108795 · Cited by 563 · see citing works
The prevalence and clustering of four major lifestyle risk factors in an English adult population
Poortinga, W. (2006) · Preventive Medicine · doi:10.1016/j.ypmed.2006.10.006 · Cited by 550 · see citing works
Value of Primordial and Primary Prevention for Cardiovascular Disease: A Policy Statement From the American Heart Association
Weintraub, W. S., Daniels, S. R., Burke, L. E., Franklin, B. A., Goff, D. C., Hayman, L. L., Lloyd-Jones, D., Pandey, D. K., Sanchez, E. J., Schram, A. P., et al. (2011) · Circulation · doi:10.1161/cir.0b013e3182285a81 · Cited by 541 · see citing works
Physical activity, fitness and fatness: relations to mortality, morbidity and disease risk factors. A systematic review
Fogelholm, M. (2010) · Obesity Reviews · doi:10.1111/j.1467-789x.2009.00653.x · Cited by 517 · see citing works
National Health Survey
Linder, F. E. (1958) · Science · doi:10.1126/science.127.3309.1275 · Cited by 511 · see citing works
The significance of compliance and persistence in the treatment of diabetes, hypertension and dyslipidaemia: a review
Cramer, J. A., Benedict, Á., Muszbek, N., Keskinaslan, A., & Khan, Z. (2007) · International Journal of Clinical Practice · doi:10.1111/j.1742-1241.2007.01630.x · Cited by 488 · see citing works
Disease and Mortality in Sub-Saharan Africa
Good, C. M., Feachem, R. G., & Jamison, D. T. (1993) · African Studies Review · doi:10.2307/524757 · Cited by 476 · see citing works
The Relationship Between Early Age of Onset of Initial Substance Use and Engaging in Multiple Health Risk Behaviors Among Young Adolescents
DuRant, R. H., Smith, J. A., Kreiter, S. R., & Krowchuk, D. P. (1999) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.153.3.286 · Cited by 458 · see citing works
Treatment adherence in chronic disease
Dunbar‐Jacob, J. M., & Mortimer-Stephens, M. (2001) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(01)00457-7 · Cited by 440 · see citing works
Prevalence of multiple chronic disease risk factors
Fine, L. J., Philogene, G. S., Gramling, R., Coups, E. J., & Sinha, S. (2004) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2004.04.017 · Cited by 434 · see citing works
Influence of Individual and Combined Health Behaviors on Total and Cause-Specific Mortality in Men and Women
Kvaavik, E. (2010) · Archives of Internal Medicine · doi:10.1001/archinternmed.2010.76 · Cited by 423 · see citing works
Meeting recommendations for multiple healthy lifestyle factors
Pronk, N. P., Anderson, L. H., Crain, A. L., Martinson, B. C., O’Connor, P. J., Sherwood, N. E., & Whitebird, R. R. (2004) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2004.04.022 · Cited by 398 · see citing works
Impact of inactivity and exercise on the vasculature in humans
Thijssen, D., Maiorana, A., O'Driscoll, G., Cable, N. T., Hopman, M., & Green, D. (2009) · European Journal of Applied Physiology · doi:10.1007/s00421-009-1260-x · Cited by 344 · see citing works
Physical activity and diabetes prevention
LaMonte, M. J., Blair, S. N., & Church, T. S. (2005) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00193.2005 · Cited by 340 · see citing works
Trends in Intake of Energy and Macronutrients—United States, 1971-2000
(2004) · JAMA · doi:10.1001/jama.291.10.1193 · Cited by 321 · see citing works
Cost-Effectiveness of Interventions to Promote Physical Activity: A Modelling Study
Cobiac, L. J., Vos, T., & Barendregt, J. J. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000110 · Cited by 308 · see citing works
Irregular Heavy Drinking Occasions and Risk of Ischemic Heart Disease: A Systematic Review and Meta-Analysis
Roerecke, M., & Rehm, J. (2010) · American Journal of Epidemiology · doi:10.1093/aje/kwp451 · Cited by 307 · see citing works
Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men
Johnson, W. D., Díaz, R. M., Flanders, W. D., Goodman, M. G., Hill, A. N., Holtgräve, D. R., Malow, R. M., & McClellan, W. M. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001230.pub2 · Cited by 306 · see citing works
Alcohol Consumption and Mortality in Patients With Cardiovascular Disease
Costanzo, S., Castelnuovo, A. F. D., Donati, M. B., Iacoviello, L., & de Gaetano, G. (2010) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2010.01.006 · Cited by 290 · see citing works
Following Cancer Prevention Guidelines Reduces Risk of Cancer, Cardiovascular Disease, and All-Cause Mortality
McCullough, M. L., Patel, A. V., Kushi, L. H., Patel, R., Willett, W. C., Doyle, C., Thun, M. J., & Gapstur, S. M. (2011) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-10-1173 · Cited by 258 · see citing works
Overweight, Obesity, Youth, and Health-Risk Behaviors
Farhat, T., Iannotti, R. J., & Simons‐Morton, B. G. (2010) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2009.10.038 · Cited by 247 · see citing works
Alcohol consumption and type 2 diabetes: Meta-analysis of epidemiological studies indicates a U-shaped relationship
Carlsson, S., Hammar, N., & Grill, V. (2005) · Diabetologia · doi:10.1007/s00125-005-1768-5 · Cited by 239 · see citing works
Evaluating the impact of population and high-risk strategies for the primary prevention of cardiovascular disease
Emberson, J. (2004) · European Heart Journal · doi:10.1016/j.ehj.2003.11.012 · Cited by 236 · see citing works
Human Immunodeficiency Virus (HIV) Risk, Prevention, and Testing Behaviors--United States, National HIV Behavioral Surveillance System: Men Who Have Sex with Men, November 2003-April 2005
Sanchez, T., Finlayson, T., Drake, A. J., Behel, S. K., Cribbin, M., DiNenno, E. A., Hall, T., Kramer, S., & Lansky, A. (2006) · PsycEXTRA Dataset · doi:10.1037/e614442007-001 · Cited by 235 · see citing works
Impact of adherence to antihypertensive agents on clinical outcomes and hospitalization costs
Dragomir, A., Côté, R., Roy, L., Blais, L., Lalonde, L., Bérard, A., & Perreault, S. (2010) · Medical Care · doi:10.1097/mlr.0b013e3181d567bd · Cited by 221 · see citing works
Co-occurrence of health-risk behaviors among adolescents in the United States
Brener, N. D., & Collins, J. L. (1998) · Journal of Adolescent Health · doi:10.1016/s1054-139x(97)00161-4 · Cited by 216 · see citing works
Medication compliance feedback and monitoring in a clinical trial: predictors and outcomes
Cramer, J., Rosenheck, R., Kirk, G., Krol, W., & Krystal, J. (2003) · Value in Health · doi:10.1046/j.1524-4733.2003.65269.x · Cited by 212 · see citing works
Multiple health risk behaviors in German first year university students
Keller, S., Maddock, J. E., Hannöver, W., Thyrian, J. R., & Basler, H.-D. (2007) · Preventive Medicine · doi:10.1016/j.ypmed.2007.09.008 · Cited by 202 · see citing works
Patterns and Correlates of Physical Activity and Nutrition Behaviors in Adolescents
Sánchez, Á., Norman, G. J., Sallis, J. F., Calfas, K. J., Cella, J. A., & Patrick, K. (2006) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2006.10.012 · Cited by 198 · see citing works
Reflections on Cardiovascular Diseases
Strasser, T. (1978) · Interdisciplinary Science Reviews · doi:10.1179/030801878791925921 · Cited by 191 · see citing works
Critical Psychology: What It Is and What It Is Not
Parker, I. (2007) · Social and Personality Psychology Compass · doi:10.1111/j.1751-9004.2007.00008.x · Cited by 172 · see citing works
Does drinking pattern modify the effect of alcohol on the risk of coronary heart disease? Evidence from a meta-analysis
Bagnardi, V, Zatonski, W., Scotti, L., La Vecchia, C., & Corrao, G. (2008) · Journal of Epidemiology and Community Health · doi:10.1136/jech.2007.065607 · Cited by 165 · see citing works
Population-based interventions for reducing sexually transmitted infections, including HIV infection
Sangani, P., Rutherford, G. W., & Kennedy, G. (2004) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001220.pub2 · Cited by 152 · see citing works
Physician screening for multiple behavioral health risk factors
Coups, E. J., Gaba, A., & Orleans, C. T. (2004) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2004.04.021 · Cited by 136 · see citing works
Resilience and patterns of health risk behaviors in California adolescents
Mistry, R., McCarthy, W. J., Yancey, A. K., Lu, Y., & Patel, M. R. (2008) · Preventive Medicine · doi:10.1016/j.ypmed.2008.12.013 · Cited by 130 · see citing works
Alcohol consumption and heart failure: A systematic review
Djoussé, L., & Gaziano, J. M. (2008) · Current Atherosclerosis Reports · doi:10.1007/s11883-008-0017-z · Cited by 129 · see citing works
Does physical activity modify the risk of obesity for type 2 diabetes: a review of epidemiological data
Li, Q., Knol, M. J., Corpeleijn, E., & Stolk, R. P. (2009) · European Journal of Epidemiology · doi:10.1007/s10654-009-9395-y · Cited by 128 · see citing works
Heart Disease and Rehabilitation
Pollock, M. L., & Schmidt, D. H. (1995) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199509000-00019 · Cited by 126 · see citing works
Randomized Controlled Trial for Behavioral Smoking and Weight Control Treatment: Effect of Concurrent Versus Sequential Intervention.
Spring, B. J., Doran, N., Pagoto, S., Schneider, K. L., Pingitore, R., & Hedeker, D. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.5.785 · Cited by 125 · see citing works
Self-citation
Mortality and cause of death among 1705 illicit drug users: A 37 year follow up
Stenbacka, M., Leifman, A., & Romelsjö, A. (2010) · Drug and Alcohol Review · doi:10.1111/j.1465-3362.2009.00075.x · Cited by 122 · see citing works
Summary health statistics for U.S. adults: National Health Interview Survey, 2007.
Pleis, J. R., & Lucas, J. W. (2009) · PubMed · Cited by 121 · see citing works
Healthy lifestyle and preventable death: Findings from the Japan Collaborative Cohort (JACC) Study
Tamakoshi, A., Tamakoshi, K., Lin, Y., Yagyu, K., & Kikuchi, S. (2009) · Preventive Medicine · doi:10.1016/j.ypmed.2009.02.017 · Cited by 115 · see citing works
Arterial Consequences of Recreational Drug Use
Coughlin, P. A., & Mavor, A. I. D. (2006) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2006.03.003 · Cited by 113 · see citing works
Depressive symptoms in adolescence: the association with multiple health risk behaviors
Katon, W., Richardson, L., Russo, J., McCarty, C. A., Rockhill, C., McCauley, E., Richards, J., & Grossman, D. C. (2010) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2010.01.008 · Cited by 111 · see citing works
Potential Health Benefits and Medical Cost Savings from Calorie, Sodium, and Saturated Fat Reductions in the American Diet
Dall, T. M., Fulgoni, V. L. I., Zhang, Y., Reimers, K. J., Packard, P. T., & Astwood, J. D. (2009) · American Journal of Health Promotion · doi:10.4278/ajhp.080930-quan-226 · Cited by 105 · see citing works
Weight gain and withdrawal symptoms after smoking cessation: A preventive intervention using d-fenfluramine.
Spring, B. J., Wurtman, J. J., Gleason, R. E., Wurtman, R. J., & al, E. (1991) · Health Psychology · doi:10.1037//0278-6133.10.3.216 · Cited by 98 · see citing works
Self-citation
Structure of health risk behavior among high school students.
Basen-Engquist, K. M., Edmundson, E. W., & Parcel, G. S. (1996) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.64.4.764 · Cited by 87 · see citing works
Application of lower sodium intake recommendations to adults - United States, 1999-2006.
Ayala, C., Kuklina, E. V., Peralez, J., Keenan, N. L., & Labarthe, D. R. (2009) · MMWR Morbidity and Mortality Weekly Report · Cited by 85 · see citing works
Relationship of Blood Pressure Control and Hospitalization Risk to Medication Adherence Among Patients With Hypertension in Taiwan
Wu, P.-H., Yang, C., Yao, Z.-L., Lin, W.-Z., Wu, L., & Chang, C.-C. (2009) · American Journal of Hypertension · doi:10.1038/ajh.2009.210 · Cited by 84 · see citing works
Weight gain and withdrawal symptoms after smoking cessation: A preventive intervention using d-fenfluramine.
Spring, B. J., Wurtman, J. J., Gleason, R. E., et al. (1991) · Health Psychology · doi:10.1037/0278-6133.10.3.216 · Cited by 76 · see citing works
Self-citation
Concurrent multiple health risk behaviors among adolescents in Luangnamtha province, Lao PDR
Sychareun, V., Thomsen, S. C., & Faxelid, E. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-36 · Cited by 73 · see citing works
Structure of health risk behavior among high school students.
Basen-Engquist, K. M., Edmundson, E. W., & Parcel, G. S. (1996) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.64.4.764 · Cited by 73 · see citing works
Efficacies of dexfenfluramine and fluoxetine in preventing weight gain after smoking cessation
Spring, B. J., Wurtman, J. J., Wurtman, R. J., El-Khoury, A. E., Goldberg, H., Mcdermott, J., & Pingitore, R. (1995) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/62.6.1181 · Cited by 58 · see citing works
Self-citation
Altered reward value of carbohydrate snacks for female smokers withdrawn from nicotine
Spring, B. J. (2003) · Pharmacology Biochemistry and Behavior · doi:10.1016/j.pbb.2003.08.008 · Cited by 56 · see citing works
Self-citation
Application of lower sodium intake recommendations to adults--United States, 1999-2006.
(2009) · PubMed · Cited by 48 · see citing works
Exploring Scenarios to Dramatically Reduce Smoking Prevalence: A Simulation Model of the Three-Part Cessation Process
Levy, D. T., Mabry, P. L., Graham, A. L., Orleans, C. T., & Abrams, D. B. (2010) · American Journal of Public Health · doi:10.2105/ajph.2009.166785 · Cited by 43 · see citing works
Make Better Choices (MBC): Study design of a randomized controlled trial testing optimal technology-supported change in multiple diet and physical activity risk behaviors
Spring, B. J., Schneider, K., McFadden, H. G., Vaughn, J., Kozak, A. T., Smith, M., Moller, A. C., Epstein, L. H., Russell, S. W., DeMott, A., et al. (2010) · BMC Public Health · doi:10.1186/1471-2458-10-586 · Cited by 39 · see citing works
Self-citation
Correlates of Multiple Chronic Disease Behavioral Risk Factors in Canadian Children and Adolescents
Alamian, A., & Paradis, G. (2009) · American Journal of Epidemiology · doi:10.1093/aje/kwp284 · Cited by 36 · see citing works
Diet and Primordial Prevention of Cardiovascular Disease in Children and Adolescents
Daniels, S. R. (2007) · Circulation · doi:10.1161/circulationaha.107.723817 · Cited by 27 · see citing works
Longitudinal Effect of Smoking Cessation on Physical and Laboratory Findings
Suwazono, Y., Dochi, M., Oishi, M., Tanaka, K., Morimoto, H., & Sakata, K. (2010) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2009.09.040 · Cited by 17 · see citing works
Renal manifestations of sexually transmitted diseases: sexually transmitted diseases and the kidney
Abitbol, C. L. (2005) · Adolescent Medicine Clinics · doi:10.1016/j.admecli.2004.09.011 · Cited by 9 · see citing works

Flagged first, then by citations

Sorted by citations

Effectiveness of school-based eHealth interventions to prevent multiple lifestyle risk behaviours among adolescents: a systematic review and meta-analysis
Champion, K. E., Parmenter, B., McGowan, C., Spring, B., Wafford, Q. E., Gardner, L. A., Thornton, L., McBride, N., Barrett, E. L., Teesson, M., et al. (2019) · The Lancet Digital Health · doi:10.1016/s2589-7500(19)30088-3 · Cited by 197 · see citing works
Self-citation
Better Population Health Through Behavior Change in Adults: A Call to Action
Spring, B., Ockene, J. K., Gidding, S. S., Mozaffarian, D., Moore, S., Rosal, M. C., Brown, M. D., Vafiadis, D. K., Cohen, D. L., Burke, L. E., et al. (2013) · Circulation · doi:10.1161/01.cir.0000435173.25936.e1 · Cited by 195 · see citing works
Self-citation
How Healthy Lifestyle Factors at Midlife Relate to Healthy Aging
Atallah, N., Adjibade, M., Lelong, H., Hercberg, S., Galan, P., Assmann, K. E., & Kesse-Guyot, E. (2018) · Nutrients · doi:10.3390/nu10070854 · Cited by 80 · see citing works
Exploring patient attitudes to behaviour change before surgery to reduce peri‐operative risk: preferences for short‐ vs. long‐term behaviour change
McDonald, S., Yates, D., Durrand, J. W., Kothmann, E., Sniehotta, F. F., Habgood, A., Colling, K., Hollingsworth, A., & Danjoux, G. (2019) · Anaesthesia · doi:10.1111/anae.14826 · Cited by 68 · see citing works
Multimorbidity: Implications and directions for health psychology and behavioral medicine.
Suls, J., Green, P. A., & Boyd, C. M. (2019) · Health Psychology · doi:10.1037/hea0000762 · Cited by 52 · see citing works
Examining the role of ChatGPT in promoting health behaviors and lifestyle changes among cancer patients
Alanezi, F. (2025) · Nutrition and Health · doi:10.1177/02601060241244563 · Cited by 24 · see citing works
Longitudinal associations of physical activity and pubertal development with academic achievement in adolescents
Haapala, E. A., Haapala, H. L., Syväoja, H., Tammelin, T. H., Finni, T., & Kiuru, N. (2020) · Journal of Sport and Health Science · doi:10.1016/j.jshs.2019.07.003 · Cited by 24 · see citing works

Authors: Spring, B., Moller, A. C., & Coons, M. J.
Affiliations: Northwestern University (US)
Corresponding author: Spring, B.
ORCID: Spring, B.
Moller, A. C.
Coons, M. J.
Venue: Journal of Public Health
Publisher: Oxford University Press (OUP)
Published: 2012-02-23
Volume: 34
Issue: suppl 1
Pages: i3-i10
ISSN: 0943-1853 (ISSN-L)
1741-3842
1741-3850
DOI: 10.1093/pubmed/fdr111
PMC: PMC3284863
OpenAlex: W2126048069
Cited by: 408
References: 98
Citations by year: 2026: 34 · 2025: 34 · 2024: 41 · 2023: 23 · 2022: 29 · 2021: 27 · 2020: 49 · 2019: 37 · 2018: 25 · 2017: 21 · 2016: 40 · 2015: 16 · 2014: 14 · 2013: 14 · 2012: 4
FWCI: 21.51
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Public Health (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Heart, Lung, and Blood Institute (R01HL075451)
National Cancer Institute (P30CA060553)
National Institute of Diabetes and Digestive and Kidney Diseases (RC1DK087126)
Topics: Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Keywords: health risk behaviors, high-risk strategy, population strategy, health behavior interventions, intervention design, comorbidities, adults
MeSH terms: Adolescent, Adult, Age Factors, Child, Chronic Disease, Feeding Behavior, Female, Humans, Male, Primary Prevention, Risk-Taking, Global Health, Health Behavior, Substance-Related Disorders, Unsafe Sex, Young Adult, Sedentary Behavior

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Multiple health behaviours: overview and implications

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks