Prevalence and co-occurrence of health risk behaviors among high-risk drinkers in a primary care population
Department of Medicine, Division of Preventive and Behavioral Medicine
Adult; Age Distribution; Aged; Alcohol Drinking; Diet; Educational Status; Exercise; Female; *Health Behavior; Health Knowledge, Attitudes, Practice; Humans; *Life Style; Male; Massachusetts; Middle Aged; *Primary Health Care; Questionnaires; *Risk-Taking; Smoking
Life Sciences | Medicine and Health Sciences | Women's Studies
BACKGROUND: Approximately 10% of patients seen in the primary care setting meet criteria for high-risk (HR) drinking. Little data are available about the co-occurrence of other risk behaviors (RBs) in this population. This study examines the co-occurrence of smoking, poor diet, and sedentariness, and several change-related variables, among 479 HR drinkers participating in Project Health, a NIAAA-funded study testing the effectiveness of a provider-delivered intervention to reduce HR drinking.
METHOD: Data were collected at study entry via standardized interview and questionnaire.
RESULTS: The prevalence of additional RBs among HR drinkers was smoking, 35%; poor diet, 28%; and sedentariness, 44%. In addition to HR drinking, 67% of participants had at least one RB, and 61% reported smoking, sedentariness, or both. Perception of drinking as a problem was generally low (20%), as was intention to change drinking. Seventy-two percent of participants with multiple RBs perceived at least one of these RBs as a problem. Younger, unmarried, less-educated, blue-collar, and non-working participants were more likely to have multiple RBs than white-collar workers.
CONCLUSION: Additional RBs are common among HR drinkers and may increase their already elevated health risks. Implications of these findings for interventions integrating multiple RBs into primary care settings are discussed.
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Citation: Prev Med. 2000 Aug;31(2 Pt 1):140-7. Link to article on publisher's site
Rosal, Milagros C.; Ockene, Judith K.; Hurley, Thomas G.; and Reiff, Sarah, "Prevalence and co-occurrence of health risk behaviors among high-risk drinkers in a primary care population" (2000). Women’s Health Research Faculty Publications. 390.