Living with a Smoker and Multiple Health-Risk Behaviors

Holahan, Charles J.; Lim, Sangdon; Powers, Daniel A.

doi:10.1093/abm/kaaa059

Cited by 5 publications

(6 citation statements)

References 41 publications

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“…This study revealed that people who smoked or consumed alcohol were more likely to be physically inactive and have an unhealthy diet. Previous studies have shown that cigarette smoking and alcohol consumption were associated with NCDS and could result in negative and serious health consequences [ 15 , 32 ]. This study adds further evidence to the literature that people with health-risk behaviors, especially those who regularly smoked, consumed alcohol and had multiple health-risk behaviors had a greater likelihood of having NCDs.…”

Section: Discussionmentioning

confidence: 99%

A Descriptive Study on Multiple Health-Risk Behaviors among Chinese Adults in Hong Kong

Chung

Cheung

et al. 2022

IJERPH

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This study investigated the prevalence and clustering patterns of multiple health-risk behaviors and their associations with non-communicable diseases among Chinese adults in Hong Kong. A large sample survey was conducted in all 18 districts of Hong Kong between 21 June and 31 August 2021. A total of 5737 adults completed the survey. Overall, 4605 (80.3%) had at least one health-risk behavior and 2696 (47.0%) had two or more health-risk behaviors. Multiple health-risk behaviors were more prevalent among men. The prevalence of smoking and alcohol consumption among Hong Kong Chinese women was considerably lower than in most Western countries. In contrast to previous findings, this study revealed that a high proportion of adults with high educational attainment or household income had multiple health-risk behaviors. In addition, this study revealed that the health-risk behaviors in Chinese adults co-occurred in clusters, with smoking and alcohol consumption co-occurring with other health-risk behaviors. Those who smoked or consumed alcohol had the highest proportion of multiple health-risk behaviors and the highest proportion of non-communicable diseases. The findings of this study add further evidence that health-risk behaviors co-occur in clusters and can contribute to non-communicable diseases.

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Section: Discussionmentioning

confidence: 99%

A Descriptive Study on Multiple Health-Risk Behaviors among Chinese Adults in Hong Kong

Chung

Cheung

et al. 2022

IJERPH

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“…The use of brief interventions to address multiple health behaviour change has been a largely understudied research area. Although many individuals engage in multiple interconnected health risk behaviours with the potential for negative health consequences, most health promotion research has addressed risk factors as categorically separate entities, and little is known about how to promote multiple health behaviour change [ 44 , 45 ]. There is increasing interest in understanding mechanisms shared across health behaviours that promote the co-occurrence of multiple health behaviours [ 45 , 46 ].…”

Section: Introductionmentioning

confidence: 99%

“…Although many individuals engage in multiple interconnected health risk behaviours with the potential for negative health consequences, most health promotion research has addressed risk factors as categorically separate entities, and little is known about how to promote multiple health behaviour change [ 44 , 45 ]. There is increasing interest in understanding mechanisms shared across health behaviours that promote the co-occurrence of multiple health behaviours [ 45 , 46 ]. For example, recent research on cognitive connectionism supports the need to address patterns of associations between cognitive constructs and clusters of interrelated health behaviours [ 47 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the B.strong Queensland Indigenous Health Worker Brief Intervention Training Program for Multiple Health Risk Behaviours

Cunningham

Murphy

Ward

et al. 2021

IJERPH

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Queensland’s B.strong brief intervention training program was a complex intervention developed for Aboriginal and Torres Strait Islander health workers to assist clients address multiple health risks of smoking, poor nutrition and physical inactivity. This study evaluates program effectiveness by applying the Kirkpatrick four-level evaluation model: (1) Reaction, participants’ satisfaction; (2) Learning, changes in participants’ knowledge, confidence, attitudes, skills and usual practice; (3) Behaviour, application of learning to practice; and (4) Results, outcomes resulting from training. A retrospective analysis was conducted on data for respondents completing pre-training, post-workshop and follow-up surveys. Changes in domains such as training participant knowledge, confidence, attitudes, and practices between survey times were assessed using paired-samples t-tests. From 2017–2019, B.strong trained 1150 health professionals, reaching targets for workshop and online training. Findings showed statistically significant improvements from baseline to follow-up in: participants’ knowledge, confidence, and some attitudes to conducting brief interventions in each domain of smoking cessation, nutrition and physical activity; and in the frequency of participants providing client brief interventions in each of the three domains. There was a statistically significant improvement in frequency of participants providing brief interventions for multiple health behaviours at the same time from pre-workshop to follow-up. Indigenous Queenslander telephone counselling referrals for smoking cessation increased during the program period. B.strong improved practitioners’ capacity to deliver brief interventions addressing multiple health risks with Indigenous clients.

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“…The study revealed that people who smoked or consumed alcohol were more likely to have other health-risk behaviours, and this group had the highest proportion of having multiple health-risk behaviours and NCDs. Given that cigarette smoking and alcohol consumption can result in negative and serious health consequences [15,30], more resources and effort should be allocated to help this vulnerable group to lead a healthier life.…”

Section: Discussionmentioning

confidence: 99%

Exploratory study on multiple health-risk behaviours among Chinese adults in Hong Kong

Chung

Cheung

et al. 2022

Preprint

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Background: The World Health Organization has identified four major behavioural risk factors—tobacco use, excessive alcohol consumption, an unhealthy diet and physical inactivity—that substantially contribute to non-communicable diseases and can increase the risk of death. A literature review revealed that clustering patterns of multiple health-risk behaviours among the Chinese population have been underexplored. This study investigated the prevalence and clustering patterns of multiple health-risk behaviours and their associations with non-communicable diseases among Chinese adults in Hong Kong.Methods: A large sample survey was conducted in all 18 districts of Hong Kong between 21 June and 31 August 2021. A behavioural health-risk factor survey was used to collect demographic data and information regarding smoking, alcohol consumption, physical inactivity and an unhealthy diet.Results: A total of 5,737 adults completed the survey. Overall, 4,605 (80.3%) had at least one health-risk behaviour, and 2,696 (47.0%) had two or more health-risk behaviours. Multiple health-risk behaviours were more prevalent among men. The prevalence of smoking and alcohol consumption among Hong Kong Chinese women was considerably lower than in most Western countries. In contrast to previous findings, this study revealed that a high proportion of adults with high educational attainment or household income had multiple health-risk behaviours. In addition, this study revealed that the health-risk behaviours in Chinese adults co-occurred in clusters, with smoking and alcohol consumption co-occurring with other health-risk behaviours. Those who smoked or consumed alcohol had the highest proportion of multiple health-risk behaviours and the highest proportion of non-communicable diseases.Conclusion: This study addressed the gaps in the literature by examining the clustering patterns of multiple health-risk behaviours among Hong Kong Chinese adults. The findings add further evidence that health-risk behaviours co-occur in clusters and can contribute to non-communicable diseases.Trial registration: Registered at clinicaltrials.org (NCT04961073) on 14/07/2021.

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Living with a Smoker and Multiple Health-Risk Behaviors

Cited by 5 publications

References 41 publications

A Descriptive Study on Multiple Health-Risk Behaviors among Chinese Adults in Hong Kong

A Descriptive Study on Multiple Health-Risk Behaviors among Chinese Adults in Hong Kong

Evaluation of the B.strong Queensland Indigenous Health Worker Brief Intervention Training Program for Multiple Health Risk Behaviours

Exploratory study on multiple health-risk behaviours among Chinese adults in Hong Kong

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