Clustering of Risk Behaviours among African American Adults

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Bibliographic Details
Title: Clustering of Risk Behaviours among African American Adults
Language: English
Authors: Baruth, M., Addy, C. L., Wilcox, S., Dowda, M.
Source: Health Education Journal. Sep 2012 71(5):565-575.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Peer Reviewed: Y
Page Count: 11
Publication Date: 2012
Document Type: Journal Articles
Reports - Research
Descriptors: Physical Activity Level, Physical Activities, Smoking, Incidence, Leisure Time, African Americans, Health Behavior, Food, Churches, Eating Habits, Case Studies, Risk, Behavior Change, Intervention
Geographic Terms: South Carolina
DOI: 10.1177/0017896911411761
ISSN: 0017-8969
Abstract: Objectives: Individuals may engage in more than one risk behaviour at any given time. The extent to which risk behaviours cluster among African American adults has been largely unexplored. This study examined the prevalence and clustering of three risk behaviours among African American church members: smoking; low moderate-to-vigorous intensity leisure time physical activity (leisure MVPA); and low fruit and vegetable consumption. Design: Cross-sectional study. Setting: African Methodist Episcopal churches in South Carolina. Method: Participants self-reported leisure MVPA, fruit and vegetable consumption and smoking. The prevalence of single and multiple risk behaviours was computed. To examine whether risk behaviours clustered, a series of hierarchical log-linear models (SAS CATMOD) were fitted to the observed counts. Results: Of the 1123 participants, 7.0% smoked, 56.0% engaged in less than 150 minutes/week of leisure MVPA and 76.8% consumed less than 5 servings/day of fruit and vegetables; 11.8% of the sample had no risk behaviours, 39.5% had one, 45.7% had two and 2.9% had all three. The most common risk behaviour cluster was low leisure MVPA and low fruit and vegetable consumption (42.1%). Results from the log-linear models showed dependence among low fruit and vegetable consumption and low leisure MVPA, independent of smoking status. Conclusions: Church members who engaged in low levels of leisure MVPA were more likely to have low fruit and vegetable consumption, regardless of smoking status. These findings suggest that these two behaviours should not be considered in isolation from one another when developing behaviour change interventions; interventions targeting both behaviours may be more effective. (Contains 4 tables.)
Abstractor: As Provided
Number of References: 40
Entry Date: 2013
Accession Number: EJ988960
Database: ERIC
Description
Abstract:Objectives: Individuals may engage in more than one risk behaviour at any given time. The extent to which risk behaviours cluster among African American adults has been largely unexplored. This study examined the prevalence and clustering of three risk behaviours among African American church members: smoking; low moderate-to-vigorous intensity leisure time physical activity (leisure MVPA); and low fruit and vegetable consumption. Design: Cross-sectional study. Setting: African Methodist Episcopal churches in South Carolina. Method: Participants self-reported leisure MVPA, fruit and vegetable consumption and smoking. The prevalence of single and multiple risk behaviours was computed. To examine whether risk behaviours clustered, a series of hierarchical log-linear models (SAS CATMOD) were fitted to the observed counts. Results: Of the 1123 participants, 7.0% smoked, 56.0% engaged in less than 150 minutes/week of leisure MVPA and 76.8% consumed less than 5 servings/day of fruit and vegetables; 11.8% of the sample had no risk behaviours, 39.5% had one, 45.7% had two and 2.9% had all three. The most common risk behaviour cluster was low leisure MVPA and low fruit and vegetable consumption (42.1%). Results from the log-linear models showed dependence among low fruit and vegetable consumption and low leisure MVPA, independent of smoking status. Conclusions: Church members who engaged in low levels of leisure MVPA were more likely to have low fruit and vegetable consumption, regardless of smoking status. These findings suggest that these two behaviours should not be considered in isolation from one another when developing behaviour change interventions; interventions targeting both behaviours may be more effective. (Contains 4 tables.)
ISSN:0017-8969
DOI:10.1177/0017896911411761