Prevalence of multiple chronic disease risk factors: 2001 National Health Interview Survey

Lawrence J. Fine, G. Stephane Philogene, Robert Gramling, Elliot Coups, Sarbajit Sinha

Research output: Contribution to journalArticle

319 Citations (Scopus)

Abstract

Background Four common factors - cigarette smoking, risky drinking of alcoholic beverages, physical inactivity, and overweight - contribute substantially to chronic disease prevalence. Methods We used data from the 2001 National Health Interview Survey to provide an up-to-date picture of multiple risk factor prevalence and clustering in the U.S. population. We conducted a multinomial logit analysis to examine the independent association between each covariate and the dependent ordinal risk factor variable with three levels (none or one risk factor, two risk factors, and three or four risk factors). Results Seventeen percent of the sample of 29,183 subjects had three or more risk factors. For the entire sample, the mean number of risk factors was 1.68 (95% confidence interval [CI]=1.66-1.70). Many demographic and health factors were significantly associated with the mean number of risk factors including gender, age, ethnic/racial categories, education, martial status, presence of chronic diseases, level of mental distress, country of birth, and presence and type of health insurance. Using the risk factor score as the ordinal dependent variable, adjusted odds for having a risk score of three or four versus zero or one were as follows: men aged <65, 2.49 (95% CI=2.29-2.72); education attainment of high school graduate or less, 3.24 (95% CI=2.86-3.67); and individuals with high levels of mental distress, 2.06 (95% CI=1.65-2.58). Conclusions Our analyses confirm earlier reports of the high prevalence of multiple, clustered behavioral risk factors and underline the challenge this presents for primary care and public health systems.

Original languageEnglish (US)
Pages (from-to)18-24
Number of pages7
JournalAmerican Journal of Preventive Medicine
Volume27
Issue numberSUPPL.
DOIs
StatePublished - Jan 1 2004

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Health Surveys
Interviews
Confidence Intervals
Chronic Disease
Multiple Chronic Conditions
Education
Alcoholic Beverages
Health Insurance
Drinking
Cluster Analysis
Primary Health Care
Public Health
Smoking
Demography
Parturition
Health

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Fine, Lawrence J. ; Philogene, G. Stephane ; Gramling, Robert ; Coups, Elliot ; Sinha, Sarbajit. / Prevalence of multiple chronic disease risk factors : 2001 National Health Interview Survey. In: American Journal of Preventive Medicine. 2004 ; Vol. 27, No. SUPPL. pp. 18-24.
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abstract = "Background Four common factors - cigarette smoking, risky drinking of alcoholic beverages, physical inactivity, and overweight - contribute substantially to chronic disease prevalence. Methods We used data from the 2001 National Health Interview Survey to provide an up-to-date picture of multiple risk factor prevalence and clustering in the U.S. population. We conducted a multinomial logit analysis to examine the independent association between each covariate and the dependent ordinal risk factor variable with three levels (none or one risk factor, two risk factors, and three or four risk factors). Results Seventeen percent of the sample of 29,183 subjects had three or more risk factors. For the entire sample, the mean number of risk factors was 1.68 (95{\%} confidence interval [CI]=1.66-1.70). Many demographic and health factors were significantly associated with the mean number of risk factors including gender, age, ethnic/racial categories, education, martial status, presence of chronic diseases, level of mental distress, country of birth, and presence and type of health insurance. Using the risk factor score as the ordinal dependent variable, adjusted odds for having a risk score of three or four versus zero or one were as follows: men aged <65, 2.49 (95{\%} CI=2.29-2.72); education attainment of high school graduate or less, 3.24 (95{\%} CI=2.86-3.67); and individuals with high levels of mental distress, 2.06 (95{\%} CI=1.65-2.58). Conclusions Our analyses confirm earlier reports of the high prevalence of multiple, clustered behavioral risk factors and underline the challenge this presents for primary care and public health systems.",
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Prevalence of multiple chronic disease risk factors : 2001 National Health Interview Survey. / Fine, Lawrence J.; Philogene, G. Stephane; Gramling, Robert; Coups, Elliot; Sinha, Sarbajit.

In: American Journal of Preventive Medicine, Vol. 27, No. SUPPL., 01.01.2004, p. 18-24.

Research output: Contribution to journalArticle

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N2 - Background Four common factors - cigarette smoking, risky drinking of alcoholic beverages, physical inactivity, and overweight - contribute substantially to chronic disease prevalence. Methods We used data from the 2001 National Health Interview Survey to provide an up-to-date picture of multiple risk factor prevalence and clustering in the U.S. population. We conducted a multinomial logit analysis to examine the independent association between each covariate and the dependent ordinal risk factor variable with three levels (none or one risk factor, two risk factors, and three or four risk factors). Results Seventeen percent of the sample of 29,183 subjects had three or more risk factors. For the entire sample, the mean number of risk factors was 1.68 (95% confidence interval [CI]=1.66-1.70). Many demographic and health factors were significantly associated with the mean number of risk factors including gender, age, ethnic/racial categories, education, martial status, presence of chronic diseases, level of mental distress, country of birth, and presence and type of health insurance. Using the risk factor score as the ordinal dependent variable, adjusted odds for having a risk score of three or four versus zero or one were as follows: men aged <65, 2.49 (95% CI=2.29-2.72); education attainment of high school graduate or less, 3.24 (95% CI=2.86-3.67); and individuals with high levels of mental distress, 2.06 (95% CI=1.65-2.58). Conclusions Our analyses confirm earlier reports of the high prevalence of multiple, clustered behavioral risk factors and underline the challenge this presents for primary care and public health systems.

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