scholarly journals Socioeconomic inequalities in health behaviors: exploring mediation pathways through material conditions and time orientation

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Andrea L. Mudd ◽  
Frank J. van Lenthe ◽  
Sanne E. Verra ◽  
Michèlle Bal ◽  
Carlijn B. M. Kamphuis
Keyword(s):  
Health Behavior ◽  
Health Behaviors ◽  
Educational Level ◽  
Sports Participation ◽  
Socioeconomic Inequalities ◽  
Time Orientation ◽  
Individual Factors ◽  
Inequalities In Health ◽  
Material Conditions ◽  
Self Assessed Health

Abstract Background Socioeconomic inequalities in health behaviors have been attributed to both structural and individual factors, but untangling the complex, dynamic pathways through which these factors influence inequalities requires more empirical research. This study examined whether and how two factors, material conditions and time orientation, sequentially impact socioeconomic inequalities in health behaviors. Methods Dutch adults 25 and older self-reported highest attained educational level, a measure of socioeconomic position (SEP); material conditions (financial strain, housing tenure, income); time orientation; health behaviors including smoking and sports participation; and health behavior-related outcomes including body mass index (BMI) and self-assessed health in three surveys (2004, 2011, 2014) of the longitudinal GLOBE (Dutch acronym for “Health and Living Conditions of the Population of Eindhoven and surroundings”) study. Two hypothesized pathways were investigated during a ten-year time period using sequential mediation analysis, an approach that enabled correct temporal ordering and control for confounders such as baseline health behavior. Results Educational level was negatively associated with BMI, positively associated with sports participation and self-assessed health, and not associated with smoking in the mediation models. For smoking, sports participation, and self-assessed health, a pathway from educational level to the outcome mediated by time orientation followed by material conditions was observed. Conclusions Time orientation followed by material conditions may play a role in determining socioeconomic inequalities in certain health behavior-related outcomes, providing empirical support for the interplay between structural and individual factors in socioeconomic inequalities in health behavior. Smoking may be determined by prior smoking behavior regardless of SEP, potentially due to its addictive nature. While intervening on time orientation in adulthood may be challenging, the results from this study suggest that policy interventions targeted at material conditions may be more effective in reducing socioeconomic inequalities in certain health behaviors when they account for time orientation.

Health Behaviors and Juvenile Delinquency

2017 ◽  
Vol 64 (11) ◽  
pp. 1394-1416 ◽  
Author(s):  
Daniel C. Semenza
Keyword(s):  
Juvenile Delinquency ◽  
Health Behavior ◽  
Health Behaviors ◽  
Physical Health ◽  
Healthy Lifestyle ◽  
Individual Factors ◽  
Prior Work ◽  
Multiple Forms ◽  
Monitoring The Future ◽  
The Relationship

This study draws upon Kaplan’s theory of self-attitude and deviant response to examine the relationship between health behavior and juvenile delinquency. The analysis, examining data from the Monitoring the Future 2013 study, shows that health behavior is associated with multiple forms of delinquency even after accounting for illness, as well as pertinent demographic and individual factors. The findings support the position that health behaviors have a distinct theoretical relationship with delinquency related to self-attitude, separate from the effects of illness. The article builds upon prior work regarding physical health and delinquency, demonstrating that a healthy lifestyle may decrease the likelihood of delinquency through an improvement in self-attitude.

scholarly journals The contribution of health behaviors to socioeconomic inequalities in health: A systematic review

2018 ◽  
Vol 113 ◽  
pp. 15-31 ◽  
Author(s):  
Dusan Petrovic ◽  
Carlos de Mestral ◽  
Murielle Bochud ◽  
Mel Bartley ◽  
Mika Kivimäki ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Behaviors ◽  
Socioeconomic Inequalities ◽  
Inequalities In Health

scholarly journals El adulto mayor y la universalidad de la salud: Análisis de desigualdad basado en una comparación entre los diferentes grupos de edad

2020 ◽  
Vol 32 (3) ◽  
pp. 1073
Author(s):  
Karla Hernández-Villafuerte
Keyword(s):  
Costa Rica ◽  
Latin American ◽  
Significant Contribution ◽  
Age Groups ◽  
Healthcare Systems ◽  
Socioeconomic Inequalities ◽  
Individual Factors ◽  
Socioeconomic Conditions ◽  
Inequalities In Health ◽  
The Rich

Costa Rica accounts for one of the best healthcare systems in Latin-American. However, the combination between the increase in socioeconomic inequalities and the ageing of the population raises some concerns about the possibility of an increase in healthcare inequalities. This is a consequence of the positive relationship between socioeconomic conditions and health status which has been demonstrated in previous studies. Therefore, the aim here is to examine the inequalities in health presented in Costa Rica, and to compare the differences between elderly (aged 60 or over) and other age groups. Health Inequalities are measured through the Erreygers Concentration Index. This index is broken down into individual factors that could make a significant contribution to the creation of inequalities in health. Significant socioeconomic inequalities in health have been found, with the proportion of healthy people higher among the rich than among the poor, with differences being particularly significant between 50 and 69 year olds.

scholarly journals Behavioral medicine challenges in the shadow of a global pandemic

2020 ◽  
Author(s):  
Alyssa T Brooks ◽  
Hannah K Allen ◽  
Louise Thornton ◽  
Tracy Trevorrow
Keyword(s):  
Environmental Factors ◽  
Health Behavior ◽  
Health Behaviors ◽  
Natural Experiment ◽  
Direct Effects ◽  
Global Pandemic ◽  
Wide Range ◽  
Future Data ◽  
Short And Long Term

Abstract Health behavior researchers should refocus and retool as it becomes increasingly clear that the challenges of the COVID-19 pandemic surpass the direct effects of COVID-19 and include unique, drastic, and ubiquitous consequences for health behavior. The circumstances of the pandemic have created a natural experiment, allowing researchers focusing on a wide range of health behaviors and populations with the opportunity to use previously collected and future data to study: (a) changes in health behavior prepandemic and postpandemic, (b) health behavior prevalence and needs amidst the pandemic, and (c) the effects of the pandemic on short- and long-term health behavior. Our field is particularly challenged as we attempt to consider biopsychosocial, political, and environmental factors that affect health and health behavior. These realities, while daunting, should call us to action to refocus and retool our research, prevention, and intervention efforts

scholarly journals Can Health-Promoting Schools Contribute to Better Health Behaviors? Physical Activity, Sedentary Behavior, and Dietary Habits among Israeli Adolescents

2021 ◽  
Vol 18 (3) ◽  
pp. 1183
Author(s):  
Hila Beck ◽  
Riki Tesler ◽  
Sharon Barak ◽  
Daniel Sender Moran ◽  
Adilson Marques ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Behavior ◽  
Confidence Interval ◽  
Health Behaviors ◽  
Sedentary Behavior ◽  
Dietary Habits ◽  
Group Differences ◽  
Time Behavior ◽  
Health Promoting ◽  
The Mean

Schools with health-promoting school (HPS) frameworks are actively committed to enhancing healthy lifestyles. This study explored the contribution of school participation in HPS on students’ health behaviors, namely, physical activity (PA), sedentary behavior, and dieting. Data from the 2018/2019 Health Behavior in School-aged Children study on Israeli adolescents aged 11–17 years were used. Schools were selected from a sample of HPSs and non-HPSs. Between-group differences and predictions of health behavior were analyzed. No between-group differences were observed in mean number of days/week with at least 60 min of PA (HPS: 3.84 ± 2.19 days/week, 95% confidence interval of the mean = 3.02–3.34; non-HPS: 3.93 ± 2.17 days/week, 95% confidence interval of the mean = 3.13–3.38). Most children engaged in screen time behavior for >2 h/day (HPS: 60.83%; non-HPS: 63.91%). The odds of being on a diet were higher among more active children (odds ratio [OR] = 1.20), higher socio-economic status (OR = 1.23), and female (OR = 2.29). HPS did not predict any health behavior. These findings suggest that HPSs did not contribute to health behaviors more than non-HPSs. Therefore, health-promoting activities in HPSs need to be improved in order to justify their recognition as members of the HPS network and to fulfill their mission.

scholarly journals Health literacy, health status and health behaviors of German students– study protocol for the “Healthy Habits” cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Martin Lange ◽  
Alexandra Löwe ◽  
Gerrit Stassen ◽  
Andrea Schaller
Keyword(s):  
Cohort Study ◽  
Health Status ◽  
Health Literacy ◽  
Health Behavior ◽  
Health Behaviors ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
The State ◽  
The Impact ◽  
Study Format

Abstract Background The emerging adulthood is traditionally viewed as a time of optimal health, but also as a critical life span, characterized by changing life circumstances and the establishment of an individual lifestyle. Especially university life seems to hold several challenges impeding the manifestation of a health supporting manner, as many students tend to show a poorer health behavior and a higher amount of health-related problems than comparable age groups. This, along with a steady growth of the higher education sector, brings increased attention to the university setting in the context of prevention. To date, there are few empirical longitudinal and coherent cross-sectional data on the status of students’ health literacy, health status, and health behaviors, and on the impact of the study format on students’ health. The aim of this prospective cohort study is to reduce this research gap. Methods Starting during winter semester 2020/21, the prospective cohort study collects data on health literacy, health status and health behavior on a semester-by-semester basis. All enrolled students of the IST University of Applied Sciences, regardless of study format and discipline, can participate in the study at the beginning of their first semester. The data are collected digitally via a specifically programmed app. A total of 103 items assess the subjectively perceived health status, life and study satisfaction, sleep quality, perceived stress, physical activity, diet, smoking, alcohol consumption, drug addiction and health literacy. Statistical analysis uses (1) multivariate methods to look at changes within the three health dimensions over time and (2) the association between the three health dimensions using multiple regression methods and correlations. Discussion This cohort study collects comprehensive health data from students on the course of study. It is assumed that gathered data will provide information on how the state of health develops over the study period. Also, different degrees of correlations of health behavior and health literacy will reveal different impacts on the state of students’ health. Furthermore, this study will contribute to empirically justified development of target group-specific interventions. Trial registration German Clinical Trials Register: DRKS00023397 (registered on October 26, 2020).

scholarly journals Utilizing Participatory Research to Engage Underserved Populations to Improve Health-Related Outcomes in Delaware

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2353
Author(s):  
Shannon M. Robson ◽  
Samantha M. Rex ◽  
Katie Greenawalt ◽  
P. Michael Peterson ◽  
Elizabeth Orsega-Smith
Keyword(s):  
Physical Activity ◽  
Health Behavior ◽  
Health Behaviors ◽  
Participatory Research ◽  
Cooperative Extension ◽  
Underserved Populations ◽  
Community Outreach ◽  
Outreach Program ◽  
Health Related ◽  
Improve Health

Cooperative Extension is a community outreach program. Despite its large reach, there is a need for the evaluation of changes in health-related outcomes for individuals engaged with Cooperative Extension. A team-based challenge was developed using community-engaged participatory research integrated with Cooperative Extension to encourage healthy eating and physical activity behaviors through Cooperative Extension programming. Thus, the primary purpose of this secondary analysis was to (1) evaluate changes in anthropometric outcomes and (2) evaluate changes in health behavior outcomes. Associations of anthropometric changes and health behavior changes with engagement in the three-month team-based challenge were explored. Anthropometrics were measured using standard procedures, and intake of fruits and vegetables and physical activity were self-reported. Of the 145 participants in the community-engaged participatory research portion of the study, 52.4% (n = 76) had complete anthropometrics before and after the team-based challenge and were included in this study. At 3 months, there was a significant reduction in body mass index (−0.3 kg/m2, p = 0.024) and no significant change in waist circumference (p = 0.781). Fruit and vegetable intake significantly increased (+0.44 servings/day, p = 0.018). Physical activity did not significantly change based on (1) the number of days 30 or more minutes of physical activity was conducted (p = 0.765) and (2) Godin Leisure-Time Exercise Questionnaire scores (p = 0.612). Changes in anthropometrics and health behaviors were not associated with engagement in the team-based challenge. Using community-engaged participatory research with community outreach programs, such as Cooperative Extension, can improve health-related outcomes in underserved populations. However, despite a participatory approach, changes in anthropometrics and health behaviors were not associated with engagement in the developed team-based challenge.

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