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Socio-demographic association of multiple modifiable lifestyle risk factors and their clustering in a representative urban population of adults: a cross-sectional study in Hangzhou, China.
Int J Behav Nutr Phys Act. 2011 May 15; 8:40.IJ

Abstract

BACKGROUND

To plan long-term prevention strategies and develop tailored intervention activities, it is important to understand the socio-demographic characteristics of the subpopulations at high risk of developing chronic diseases. This study aimed to examine the socio-demographic characteristics associated with multiple lifestyle risk factors and their clustering.

METHODS

We conducted a simple random sampling survey to assess lifestyle risk factors in three districts of Hangzhou, China between 2008 and 2009. A two-step cluster analysis was used to identify different health-related lifestyle clusters based on tobacco use, physical activity, fruit and vegetable consumption, and out-of-home eating. Multinomial logistic regression was used to model the association between socio-demographic factors and lifestyle clusters.

RESULTS

A total of 2016 eligible people (977 men and 1039 women, ages 18-64 years) completed the survey. Three distinct clusters were identified from the cluster analysis: an unhealthy (UH) group (25.7%), moderately healthy (MH) group (31.1%), and healthy (H) group (43.1%). UH group was characterised by a high prevalence of current daily smoking, a moderate or low level of PA, low FV consumption with regard to the frequency or servings, and more occurrences of eating out. H group was characterised by no current daily smoking, a moderate level of PA, high FV consumption, and the fewest times of eating out. MH group was characterised by no current daily smoking, a low or high level of PA, and an intermediate level of FV consumption and frequency of eating out. Men were more likely than women to have unhealthy lifestyles. Adults aged 50-64 years were more likely to live healthy lifestyles. Adults aged 40-49 years were more likely to be in the UH group. Adults whose highest level of education was junior high school or below were more likely to be in the UH group. Adults with a high asset index were more likely to be in the MH group.

CONCLUSIONS

This study suggests that Chinese urban people who are middle-aged, men, and less educated are most likely to be part of the cluster with a high-risk profile. Those groups will contribute the most to the future burden of major chronic disease and should be targeted for early prevention programs.

Authors+Show Affiliations

Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, 38 Xueyuan Road, Beijing 100191, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21569614

Citation

Lv, Jun, et al. "Socio-demographic Association of Multiple Modifiable Lifestyle Risk Factors and Their Clustering in a Representative Urban Population of Adults: a Cross-sectional Study in Hangzhou, China." The International Journal of Behavioral Nutrition and Physical Activity, vol. 8, 2011, p. 40.
Lv J, Liu Q, Ren Y, et al. Socio-demographic association of multiple modifiable lifestyle risk factors and their clustering in a representative urban population of adults: a cross-sectional study in Hangzhou, China. Int J Behav Nutr Phys Act. 2011;8:40.
Lv, J., Liu, Q., Ren, Y., Gong, T., Wang, S., & Li, L. (2011). Socio-demographic association of multiple modifiable lifestyle risk factors and their clustering in a representative urban population of adults: a cross-sectional study in Hangzhou, China. The International Journal of Behavioral Nutrition and Physical Activity, 8, 40. https://doi.org/10.1186/1479-5868-8-40
Lv J, et al. Socio-demographic Association of Multiple Modifiable Lifestyle Risk Factors and Their Clustering in a Representative Urban Population of Adults: a Cross-sectional Study in Hangzhou, China. Int J Behav Nutr Phys Act. 2011 May 15;8:40. PubMed PMID: 21569614.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Socio-demographic association of multiple modifiable lifestyle risk factors and their clustering in a representative urban population of adults: a cross-sectional study in Hangzhou, China. AU - Lv,Jun, AU - Liu,Qingmin, AU - Ren,Yanjun, AU - Gong,Ting, AU - Wang,Shengfeng, AU - Li,Liming, AU - ,, Y1 - 2011/05/15/ PY - 2010/12/20/received PY - 2011/05/15/accepted PY - 2011/5/17/entrez PY - 2011/5/17/pubmed PY - 2011/9/20/medline SP - 40 EP - 40 JF - The international journal of behavioral nutrition and physical activity JO - Int J Behav Nutr Phys Act VL - 8 N2 - BACKGROUND: To plan long-term prevention strategies and develop tailored intervention activities, it is important to understand the socio-demographic characteristics of the subpopulations at high risk of developing chronic diseases. This study aimed to examine the socio-demographic characteristics associated with multiple lifestyle risk factors and their clustering. METHODS: We conducted a simple random sampling survey to assess lifestyle risk factors in three districts of Hangzhou, China between 2008 and 2009. A two-step cluster analysis was used to identify different health-related lifestyle clusters based on tobacco use, physical activity, fruit and vegetable consumption, and out-of-home eating. Multinomial logistic regression was used to model the association between socio-demographic factors and lifestyle clusters. RESULTS: A total of 2016 eligible people (977 men and 1039 women, ages 18-64 years) completed the survey. Three distinct clusters were identified from the cluster analysis: an unhealthy (UH) group (25.7%), moderately healthy (MH) group (31.1%), and healthy (H) group (43.1%). UH group was characterised by a high prevalence of current daily smoking, a moderate or low level of PA, low FV consumption with regard to the frequency or servings, and more occurrences of eating out. H group was characterised by no current daily smoking, a moderate level of PA, high FV consumption, and the fewest times of eating out. MH group was characterised by no current daily smoking, a low or high level of PA, and an intermediate level of FV consumption and frequency of eating out. Men were more likely than women to have unhealthy lifestyles. Adults aged 50-64 years were more likely to live healthy lifestyles. Adults aged 40-49 years were more likely to be in the UH group. Adults whose highest level of education was junior high school or below were more likely to be in the UH group. Adults with a high asset index were more likely to be in the MH group. CONCLUSIONS: This study suggests that Chinese urban people who are middle-aged, men, and less educated are most likely to be part of the cluster with a high-risk profile. Those groups will contribute the most to the future burden of major chronic disease and should be targeted for early prevention programs. SN - 1479-5868 UR - https://www.unboundmedicine.com/medline/citation/21569614/Socio_demographic_association_of_multiple_modifiable_lifestyle_risk_factors_and_their_clustering_in_a_representative_urban_population_of_adults:_a_cross_sectional_study_in_Hangzhou_China_ L2 - https://ijbnpa.biomedcentral.com/articles/10.1186/1479-5868-8-40 DB - PRIME DP - Unbound Medicine ER -