Age Group and Health Status Effects on Health Behavior Change

Zanjani, Faika; Schaie, Warner; Willis, Sherry L.

doi:10.3200/bmed.32.2.36-46

Cited by 39 publications

(42 citation statements)

References 6 publications

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“…Other studies have reported temporary reductions in smoking, drinking and body weight [9, 11, 36], paired with rising leisure physical activity during economic contractions. Given that the age around the transition from school to work is a critical period for initiation or cessation of behaviors such as smoking [37-39], recessions around this period may not only have temporary effects, but also delay or prevent initiation of these behaviors altogether [5]. In addition, leaving school during a period of high unemployment may also delay entrance into the labor market [36], reducing the likelihood of entering jobs with hazardous working conditions at young age, particularly for lower-educated men.…”

Section: Discussionmentioning

confidence: 99%

Are economic recessions at the time of leaving school associated with worse physical functioning in later life?

Hessel

Avendaño

2013

Annals of Epidemiology

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Purpose This paper examines whether economic conditions at the time of leaving school or college are associated with physical functioning at old age among cohorts in 11 European countries. Methods Data came from 10,338 participants in the Survey of Health, Ageing and Retirement in Europe (SHARE) aged 50-74 who left school or college between 1956 and 1986. Data on functional limitations, as well as employment, marriage and fertility retrospective histories were linked to national unemployment rates during the year individuals left school. Models included country-fixed effects and controls for early-life circumstances. Results Higher unemployment rates during the school-leaving year were associated with fewer functional limitations at ages 50-74 among men (RR[Rate ratio]=0.63, 95%CI=0.47-0.83), but more physical functioning limitations among women (RR=1.30, 95%CI=1.13-1.50), particularly with (post-)secondary education. Economic conditions at the age of leaving school were associated with several labor market, marriage, fertility and health behavior outcomes, but controlling for these factors did not attenuate associations. Results were similar in models that controlled for selection into higher education due to measured covariates. Conclusions Worse economic conditions during the school-leaving year predicted better health at old age among men but worse health among women. Both selection and causation mechanisms may explain this association.

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Section: Discussionmentioning

confidence: 99%

Are economic recessions at the time of leaving school associated with worse physical functioning in later life?

Hessel

Avendaño

2013

Annals of Epidemiology

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“…Participants defi ned as "consistently healthy" were those who reported no health care professional diagnoses of heart disease, cancer, stroke, or diabetes for the fi rst two cycles (Figure 1). These conditions were chosen because they may lead to changes in health behavior, such as reduced alcohol use (Chiuve et al, 2006;Khaw et al, 2008;Morley and Flaherty, 2002;Zanjani et al, 2006). In addition, consistently healthy participants had to report being in good to excellent health in the fi rst two cycles (response options for self-rated health were excellent, very good, good, fair, or poor).…”

Section: Methodsmentioning

confidence: 99%

Alcohol Use Patterns and Trajectories of Health-Related Quality of Life in Middle-Aged and Older Adults: A 14- Year Population-Based Study

Kaplan

Huguet

Feeny

et al. 2012

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: A 14-year multiwave panel design was used to examine relationships between longitudinal alcohol-consumption patterns, especially persistent moderate use, and change in health-related quality of life among middle-aged and older adults. Method: A nationally representative sample of 5,404 community-dwelling Canadians ages 50 and older at baseline (1994/1995) was obtained from the longitudinal National Population Health Survey. Alcohol-consumption patterns were developed based on the quantity and frequency of use in the 12 months before the interview. Health-related quality of life was assessed with the Health Utilities Index Mark 3 (HUI3). Latent growth curve modeling was used to estimate the change in HUI3 for each alcohol pattern after adjusting for covariates measured at baseline. Results: Most participants showed stable alcohol-consumption patterns over 6 years. Persistent nonusers, persistent former users, those decreasing their consumption levels, and those with unstable patterns (i.e., U shaped and inverted U shaped) had lower HUI3 scores at baseline compared with persistent moderate drinkers. A more rapid decline in HUI3 scores than that observed for persistent moderate users was seen only in those with decreasing consumption (p < .001). In a subgroup identifi ed as consistently healthy before follow-up, longitudinal drinking patterns were associated with initial HUI3 scores but not rates of change. Conclusions: Persistent moderate drinkers had higher initial levels of health-related quality of life than persistent nonusers, persistent former users, decreasing users, U-shaped users, and inverted U-shaped users. However, rates of decline over time were similar for all groups except those decreasing their consumption, who had a greater decline in their level of health-related quality of life than persistent moderate users. (J. Stud. Alcohol Drugs, 73, 581-590, 2012)

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“…These studies, however, were limited in that they failed to address how changes in lifestyle-related factors are associated with the incidence of proteinuria. Lifestyles change throughout life, even in the elderly stages (12). …”

Section: Introductionmentioning

confidence: 99%

Association between Overall Lifestyle Changes and the Incidence of Proteinuria: A Population-based, Cohort Study

Wakasugi

Kazama

Narita³

et al. 2017

Intern. Med.

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Objective This study aimed to examine the association between the changes in an overall healthy lifestyle, as quantified by the number of unhealthy lifestyle factors and obesity status, and the incidence of proteinuria in the general Japanese population. Methods A retrospective cohort study was conducted among 99,404 (men, 36.9%) participants aged from 40-74 years of age who underwent two health check-ups with a 1-year interval in Japan between 2008 and 2009. Any participants with chronic kidney disease at baseline were excluded. The smoking status, body mass index, physical activity, alcohol consumption, and healthy eating habits were combined into a simple overall healthy lifestyle score ranging from 0 to 5. The changes in overall healthy lifestyle scores from baseline (range, -5 to +5) and the incidence of proteinuria, defined by a dipstick urinalysis (score ≥1+), were assessed at the second check-up. A logistic regression analysis was used to examine the association between the changes in overall healthy lifestyle scores and the incidence of proteinuria. Results After one year of follow-up, 3.9% of men and 2.4% of women developed proteinuria. Each increase (or decrease) in the changes in overall healthy lifestyle scores was associated with a reduced (or increased) risk of proteinuria in both men (odds ratio (OR) 0.87; 95% confidence interval (CI), 0.81-0.94) and women (OR 0.87; 95%CI, 0.80-0.94) after adjusting for age, baseline lifestyle scores, hypertension, diabetes mellitus, and hypercholesterolemia. Stratified analyses based on age, the presence or absence of hypertension, or diabetes mellitus revealed similar results. Conclusion Overall lifestyle changes, even within a year, were found to influence the incidence of proteinuria.

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Age Group and Health Status Effects on Health Behavior Change

Cited by 39 publications

References 6 publications

Are economic recessions at the time of leaving school associated with worse physical functioning in later life?

Are economic recessions at the time of leaving school associated with worse physical functioning in later life?

Alcohol Use Patterns and Trajectories of Health-Related Quality of Life in Middle-Aged and Older Adults: A 14- Year Population-Based Study

Association between Overall Lifestyle Changes and the Incidence of Proteinuria: A Population-based, Cohort Study

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