HEALTH RISK BEHAVIORS AFTER NATURAL DISASTER EXPOSURE AMONG OLDER ADULTS

AbstractObjectiveThe aim of this study was to examine the extent to which an exposure to disaster is associated with change in health behaviors.MethodsFederal disaster declarations were matched at the county-level to self-reported behaviors for participants in the Health and Retirement Study (HRS), 2000-2014. Multivariable logistic regression was used to evaluate the relationship between disaster and change in physical activity, body mass index (BMI), and cigarette smoking.ResultsThe sample included 20,671 individuals and 59,450 interviews; 1,451 unique disasters were declared in counties in which HRS respondents lived during the study period. Exposure to disaster was significantly associated with weight gain (unadjusted RRR=1.19; 95% CI, 1.11-1.27; adjusted RRR=1.21; 95% CI, 1.13-1.30). Vigorous physical activity was significantly lower among those who had experienced a disaster compared to those who had not (unadjusted OR=0.89; 95% CI, 0.84-0.95; adjusted OR=0.84; 95% CI, 0.79-0.89). No significant difference in cigarette smoking was found.ConclusionsThis study found an increase in weight gain and decrease in physical activity among older adults after disaster exposure. Adverse health behaviors such as these can contribute to functional decline among older adults.BellSA, ChoiH, LangaKM, IwashynaTJ. Health risk behaviors after disaster exposure among older adults. Prehosp Disaster Med. 2019;34(1):95–97.

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Socioeconomic status, social capital, health risk behaviors, and health-related quality of life among Chinese older adults

10.21203/rs.2.22442/v1 ◽

2020 ◽

Author(s):

Ying Yang ◽

Shizhen Wang ◽

Lei Chen ◽

Mi Luo ◽

Lina Xue ◽

...

Keyword(s):

Older Adults ◽

Social Capital ◽

Health Risk ◽

Risk Behaviors ◽

Physical Inactivity ◽

Health Risk Behaviors ◽

Chinese Older Adults ◽

Unhealthy Diet ◽

Overweight Or Obesity

Abstract Background: The present study described the occurrence of health risk behaviors among Chinese older adults, and developed a structural equation model (SEM) to assess the associations between socioeconomic status (SES), social capital, health risk behaviors, and health-related quality of life (HRQoL). Methods: We conducted this cross-sectional study in Hubei, Jiangxi, Guangdong, and Fujian provinces, etc., China between January and March 2018. Demographic characteristics (age, gender, marital status, place of residence), SES (education level, family income), and health risk behaviors (smoking, alcohol consumption, physical inactivity, unhealthy diet, overweight or obesity, and sleep insufficient or excessive) were investigated. Social capital and HRQoL were assessed by the 16-item Personal Social Capital Scale (PSCS-16) and WHOQOL-Old, respectively. Structural equation modeling was applied to assess the associations between variables. Results: A total of 5439 older adults were included in this study. The prevalence of smoking, alcohol consumption, physical inactivity, unhealthy diet, overweight or obesity, and sleep insufficient or excessive were 34.7%, 34.4%, 64.3%, 45.0%, 26.6%, and 40.1%, respectively. 75% of the participants reported ≥2 health risk behaviors. Elderly individuals with more co-occurrence number of health risk behaviors demonstrated significant poor HRQoL ( F = 52.99, p <0.01). Smoking, physical inactivity, and unhealthy diet exhibited significant negative associations with HRQoL. Social capital, SES, as well as overweight or obesity, and sleep insufficient or excessive showed positive associations with HRQoL. Higher level of social capital positively associated with the occurrence of alcohol consumption, sleep insufficient or excessive, and negatively associated with physical inactivity, unhealthy diet, and overweight or obesity. Conclusions: Chinese older adults demonstrated high prevalence of health risk behaviors, as well as the proportion of their co-occurrences. Socioeconomic status, social capital, and health risk behaviors were important predictors of the elderly’s quality of life. Increasing elderly’s social capital, so as to prevent and control the occurrence of health risk behaviors, which might be an effective approach to improve the elderly’s health.

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Stages of Change Across Ten Health Risk Behaviors for Older Adults

The Gerontologist ◽

10.1093/geront/39.4.473 ◽

1999 ◽

Vol 39 (4) ◽

pp. 473-482 ◽

Cited By ~ 146

Author(s):

C. R. Nigg ◽

P. M. Burbank ◽

C. Padula ◽

R. Dufresne ◽

J. S. Rossi ◽

...

Keyword(s):

Older Adults ◽

Health Risk ◽

Risk Behaviors ◽

Stages Of Change ◽

Health Risk Behaviors

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Health Literacy and Health Risk Behaviors Among Older Adults

American Journal of Preventive Medicine ◽

10.1016/j.amepre.2006.08.024 ◽

2007 ◽

Vol 32 (1) ◽

pp. 19-24 ◽

Cited By ~ 92

Author(s):

Michael S. Wolf ◽

Julie A. Gazmararian ◽

David W. Baker

Keyword(s):

Older Adults ◽

Health Literacy ◽

Health Risk ◽

Risk Behaviors ◽

Health Risk Behaviors

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Socioeconomic status, social capital, health risk behaviors, and health-related quality of life among Chinese older adults

10.21203/rs.2.22442/v4 ◽

2020 ◽

Author(s):

Ying Yang ◽

Shizhen Wang ◽

Lei Chen ◽

Mi Luo ◽

Lina Xue ◽

...

Keyword(s):

Older Adults ◽

Social Capital ◽

Health Risk ◽

Sleep Disorder ◽

Risk Behaviors ◽

Physical Inactivity ◽

Dietary Behavior ◽

Health Risk Behaviors ◽

Chinese Older Adults ◽

Related Quality

Abstract Background: There is limited knowledge on the mediating role of different health risk behavior on the relationship between social capital, socioeconomic status (SES), and health-related quality of life (HRQoL) in Chinese older adults. We conducted this study to (a) investigate the condition of health risk behaviors of the Chinese elderly, and (b) assess the relationship between SES, social capital, health risk behaviors, and HRQoL.Methods: A sample of 4,868 adults aged 60 years and older were included in this study, from the China’s Health-related Quality of Life Survey for Older Adults 2018. Participants’ demographic characteristics, SES (education level, family income), health risk behaviors (smoking, alcohol consumption, physical inactivity, unhealthy dietary behavior, unhealthy weight, and sleep disorder) were collected. Social capital and HRQoL were assessed by the 16-item Personal Social Capital Scale (PSCS-16) and WHOQOL-Old, respectively. Structural equation modeling (SEM) was applied to examine the associations between variables.Results: The proportion of smoking, alcohol consumption, physical inactivity, unhealthy dietary behavior, unhealthy weight, and sleep disorder were 32.1%, 36.3%, 62.5%, 45.7%, 31.8%, and 45.5%, respectively. Significant differences were observed in education level, family income, and social capital between elderly individuals with and without each of the six health risk behavior (all p-values < 0.05). Elderly individuals who reported smoking, physical inactivity, unhealthy dietary behavior, and sleep disorder had significantly lower HRQoL than those without these unhealthy behaviors (all p-values < 0.05). SEM analysis showed that SES and social capital positively associated with alcohol consumption. Social capital negatively associated with smoking, physical inactivity, unhealthy dietary behavior, and sleep disorder. SES negatively associated with smoking, physical inactivity, unhealthy dietary behavior, unhealthy weight, and sleep disorder. Smoking, physical inactivity, unhealthy dietary behavior, and sleep disorder correlated with poorer HRQoL.Conclusions: Chinese older adults demonstrated a high incidence of health risk behaviors, especially for physical inactivity (62.5%) and unhealthy dietary behavior (45.7%). Social capital and SES were correlated with the elderly’s HRQoL, as well as with the health risk behaviors. Health risk behaviors played potential mediating role on the relationship between social capital, SES, and HRQoL in Chinese older adults.

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Socioeconomic status, social capital, health risk behaviors, and health-related quality of life among Chinese older adults

10.21203/rs.2.22442/v3 ◽

2020 ◽

Author(s):

Ying Yang ◽

Shizhen Wang ◽

Lei Chen ◽

Mi Luo ◽

Lina Xue ◽

...

Keyword(s):

Older Adults ◽

Social Capital ◽

Health Risk ◽

Sleep Disorder ◽

Risk Behaviors ◽

Physical Inactivity ◽

Dietary Behavior ◽

Health Risk Behaviors ◽

Chinese Older Adults ◽

Related Quality

Abstract Background: There is limited knowledge on the mediating role of different health risk behavior on the relationship between social capital, socioeconomic status (SES), and health-related quality of life (HRQoL) in Chinese older adults. We conducted this study to (a) investigate the condition of health risk behaviors of the Chinese elderly, and (b) assess the relationship between SES, social capital, health risk behaviors, and HRQoL. Methods: A sample of 4,868 adults aged 60 years and older were included in this study, from the China's Health-related Quality of Life Survey for Older Adults 2018. Participants' demographic characteristics, SES (education level, family income), health risk behaviors (smoking, alcohol consumption, physical inactivity, unhealthy dietary behavior, unhealthy weight, and sleep disorder) were collected. Social capital and HRQoL were assessed by the 16-item Personal Social Capital Scale (PSCS-16) and WHOQOL-Old, respectively. Structural equation modeling (SEM) was applied to examine the associations between variables. Results: The proportion of smoking, alcohol consumption, physical inactivity, unhealthy dietary behavior, unhealthy weight, and sleep disorder were 32.1%, 36.3%, 62.5%, 45.7%, 31.8%, and 45.5%, respectively. Significant differences were observed in education level, family income, and social capital between elderly individuals with and without each of the six health risk behavior (all p-values < 0.05). Elderly individuals who reported smoking, physical inactivity, unhealthy dietary behavior, and sleep disorder had significantly lower HRQoL than those without these unhealthy behaviors (all p-values < 0.05). SEM analysis showed that SES and social capital positively associated with alcohol consumption. Social capital negatively associated with smoking, physical inactivity, unhealthy dietary behavior, and sleep disorder. SES negatively associated with smoking, physical inactivity, unhealthy dietary behavior, unhealthy weight, and sleep disorder. Smoking, physical inactivity, unhealthy dietary behavior, and sleep disorder correlated with poorer HRQoL. Conclusions: Chinese older adults demonstrated a high incidence of health risk behaviors, especially for physical inactivity (62.5%) and unhealthy dietary behavior (45.7%). Social capital and SES were correlated with the elderly's HRQoL, as well as with the health risk behaviors. Health risk behaviors played potential mediating role on the relationship between social capital, SES, and HRQoL in Chinese older adults.

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