Top

International Journal of Public Health

Published in:

01-02-2013 | Original Article

Joint trajectories of multiple health-related behaviors among the elderly

Authors: Hui-Chuan Hsu, Dih-Ling Luh, Wen-Chiung Chang, Ling-Yen Pan

Published in: International Journal of Public Health | Issue 1/2013

Abstract

Objectives

The main goal of this study was to identify the multiple trajectories of the following four health behaviors among the elderly by gender: smoking, drinking alcohol, getting regular exercise, and having a health checkup

Methods

Data were from a longitudinal survey conducted among the elderly from 1996 to 2007 in Taiwan. In total, 5,880 respondents were included in the analysis

Results

The trajectories of health-related behaviors differed between males and females. Five groups of male elderly were identified: smoking, inactive, healthy lifestyle, smoking and drinking, and quitting. Three groups of female elderly were identified: smoking and drinking, inactive, and healthy lifestyle. Age, education, self-rated health, depressive symptoms, and economic satisfaction at baseline were associated with the health behavior trajectories

Conclusion

The nature of healthy behaviors and risky behaviors may differ. Thus, multiple trajectories can exhibit patterns that differ from those of single behavior trajectories. Strategies designed to promote health need to consider both gender and behavior patterns which may change over time.

Ammon L, Bond J, Matzger H, Weisner C (2008) Gender differences in the relationship of community services and informal support to seven-year drinking trajectories of alcohol-dependent and problem drinkers. J Stud Alcohol Drugs 69:140–150PubMed

Ashe MC, Miller WC, Eng JJ, Noreau L (2009) Physical Activity and Chronic Conditions Research Team. Older adults, chronic disease and leisure-time physical activity. Gerontology 55:64–72. doi:10.1159/000141518 PubMedCrossRef

Barnett TA, Gauvin L, Craig CL, Katzmarzyk PT (2008) Distinct trajectories of leisure time physical activity and predictors of trajectory class membership: a 22-year cohort study. Int J Behav Nutr Phys Act 5:57–64. doi:10.1186/1479-5868-5-57 PubMedCrossRef

Benjamins MR (2007) Predictors of preventive health care use among middle-aged and older adults in Mexico: the role of religion. J Cross Cult Gerontol 22:221–234. doi:10.1007/s10823-007-9036-4 PubMedCrossRef

Bobo JK, Greek AA, Klepinger DH, Herting JR (2010) Alcohol use trajectories in two cohorts of US women aged 50 to 65 at baseline. J Am Geriatr Soc 58:2375–2380. doi:10.1111/j.1532-5415.2010.03180.x PubMedCrossRef

Breitling LP, Müller H, Raum E, Rothenbacher D, Brenner H (2010) Low-to-moderate alcohol consumption and smoking cessation rates: retrospective analysis of 4576 elderly ever-smokers. Drug Alcohol Depend 108:122–129. doi:10.1016/j.drugalcdep.2009.12.005 PubMedCrossRef

Caetano R, Baruah J, Ramisetty-Mikler S, Ebama MS (2010) Sociodemographic predictors of pattern and volume of alcohol consumption across Hispanics, Blacks, and Whites: 10-year trend (1992–2002). Alcohol Clin Exp Res 34:1782–1792. doi:10.1111/j.1530-0277.2010.01265.x PubMedCrossRef

Cerda M, Vlahov D, Tracy M, Galea S (2008) Alcohol use trajectories among adults in an urban area after a disaster: evidence from a population-based cohort study. Addiction 103:1296–1307. doi:10.1111/j.1360-0443.2008.02247.x PubMedCrossRef

Chang WC, Lan TH, Ho WC, Lan TY (2010) Factors affecting the use of health examinations by the elderly in Taiwan. Arch Gerontol Geriatr 50:S11–S16. doi:10.1016/S0167-4943(10)70005-4 PubMedCrossRef

Cohen-Mansfield J, Kivity Y (2011) The relationships among health behaviors in older persons. J Aging Health 23:822–842. doi:10.1177/0898264311398130 PubMedCrossRef

Conklin CA, Perkins KA, Sheidow AJ, Jones BL, Levine MD, Marcus MD (2005) The return to smoking: 1-year relapse trajectories among female smokers. Nicotine Tob Res 7:533–540PubMedCrossRef

Culberson JW (2006) Alcohol use in the elderly: beyond the CAGE. Part 1 of 2: prevalence and patterns of problem drinking. Geriatrics 61:23–27PubMed

Eigenbrodt ML, Mosley TH Jr, Hutchinson RG, Watson RL, Chambless LE, Szklo M (2001) Alcohol consumption with age: a cross-sectional and longitudinal study of the Atherosclerosis risk in communities (ARIC) study, 1987–1995. Am J Epidemiol 153:1102–1111. doi:10.1093/aje/153.11.1102 PubMedCrossRef

Fenton JJ, Elmore JG, Buist DS, Reid RJ, Tancredi DJ, Baldwin LM (2010) Longitudinal adherence with fecal occult blood test screening in community practice. Ann Fam Med 8:397–401. doi:10.1370/afm.1133 PubMedCrossRef

Ferreira MP, Weems MK (2008) Alcohol consumption by aging adults in the United States: health benefits and detriments. J Am Diet Assoc 108:1668–1676. doi:10.1016/j.jada.2008.07.011 PubMedCrossRef

Frosch ZA, Dierker LC, Rose JS, Waldinger RJ (2009) Smoking trajectories, health, and mortality across the adult lifespan. Addict Behav 34:701–704. doi:10.1016/j.addbeh.2009.04.007 PubMedCrossRef

Hajat S, Haines A, Bulpitt C, Fletcher A (2004) Patterns and determinants of alcohol consumption in people aged 75 years and older: results from the MRC trial of assessment and management of older people in the community. Age Ageing 33:170–177. doi:10.1093/ageing/afh046 PubMedCrossRef

Hammond WP, Matthews D, Corbie-Smith G (2010) Psychosocial factors associated with routine health examination scheduling and receipt among African American men. J Natl Med Assoc 102:276–289PubMed

Ilomäki J, Korhonen MJ, Lavikainen P, Lipton R, Enlund H, Kauhanen J (2009) Changes in alcohol consumption and drinking patterns during 11 years of follow-up among ageing men: the FinDrink study. Eur J Public Health 20:133–138. doi:10.1093/eurpub/ckp079 PubMedCrossRef

Jones BL, Nagin DS (2007) Advances in group-based trajectory modeling and an SAS procedure for estimating them. Sociol Methods Res 35:542–571CrossRef

Jones BL, Nagin DS, Roeder K (2001) A SAS procedure based on mixture models for estimating developmental trajectories. Sociol Methods Res 29:374–393CrossRef

Kahler CW, Borland R, Hyland A, McKee SA, O’Connor RJ, Fong GT, Cummings KM (2010) Quitting smoking and change in alcohol consumption in the International Tobacco Control (ITC) four country survey. Drug Alcohol Depend 110:101–107. doi:10.1016/j.drugalcdep2010.02.008 PubMedCrossRef

Kaholokula JK, Braun KL, Kana’iaupuni S, Grandinetti A, Chang HK (2006) Ethnic-by-gender differences in cigarette smoking among Asian and Pacific Islanders. Nicotine Tob Res 8:275–286PubMedCrossRef

Karlamangla A, Zhou K, Reuben D, Greendale G, Moore A (2006) Longitudinal trajectories of heavy drinking in adults in the United States of America. Addiction 101:91–99. doi:10.1111/j.1360-0443.2005.01299.x PubMedCrossRef

Kohout FJ, Berkman LF, Evans DA, Cornoni-Huntley J (1993) Two shorter forms of the CES-D Depression Symptom Index. J Aging Health 5:179–193PubMedCrossRef

McAuley E, Hall KS, Motl RW, White SM, Wójcicki TR, Hu L, Doerksen SE (2009) Trajectory of declines in physical activity in community-dwelling older women: social cognitive influences. J Gerontol B Psychol Sci Soc Sci 64B:543–550. doi:10.1093/geronb/gbp049 CrossRef

Mokdad AH, Giles WH, Bowman BA, Mensah GA, Ford ES, Smith SM, Marks JS (2004) Changes in health behaviors among older Americans, 1990 to 2000. Public Health Rep 119:356–361. doi:10.1016/j.phr.2004.04.015 PubMedCrossRef

Nagin DS (2005) Group-based modeling of development. Harvard University Press, Cambridge

Neumark YD, Lopez-Quintero C, Grinshpoon A, Levinson D (2007) Alcohol drinking patterns and prevalence of alcohol-abuse and dependence in the Israel National Health Survey. Isr J Psychiatry Relat Sci 44:126–135PubMed

Patterson RE, Haines PS, Popkin BM (1994) Health lifestyle patterns of US adults. Prev Med 23:453–460. doi:10.1006/pmed.1994.1062 PubMedCrossRef

Platt A, Sloan FA, Costanzo P (2010) Alcohol-consumption trajectories and associated characteristics among adults older than age 50. J Stud Alcohol Drugs 71:169–179PubMed

Qian J, Cai M, Gao J, Tang S, Xu L, Critchley JA (2010) Trends in smoking and quitting in China from 1993 to 2003: National Health Service Survey data. Bull World Health Organ 88:769–776. doi:10.2471/BLT.09.064709 PubMedCrossRef

Schneider S, Huy C, Schuessler M, Diehl K, Schwarz S (2009) Optimising lifestyle interventions: identification of health behaviour patterns by cluster analysis in a German 50+ survey. Eur J Public Health 19:271–277. doi:10.1093/eurpub/ckn144 PubMedCrossRef

Scott-Sheldon LA, Carey MP, Senn TE, Vanable PA (2010) Smoking behavior among low-income black adults: patterns and correlates of smoking trajectories. Nicotine Tob Res 12:1019–1028. doi:10.1093/ntr/ntq142 PubMedCrossRef

Shaw BA, Spokane LS (2008) Examining the association between education level and physical activity changes during early old age. J Aging Health 20:767–787. doi:10.1177/0898264308321081 PubMedCrossRef

Shaw BA, Liang J, Krause N, Gallant M, McGeever K (2010) Age differences and social stratification in the long-term trajectories of leisure-time physical activity. J Gerontol B Psychol Sci Soc Sci 65:756–766. doi:10.1093/geronb/gbq073 PubMedCrossRef

Shimada H, Lord SR, Yoshida H, Kim H, Suzuki T (2007) Predictors of cessation of regular leisure-time physical activity in community-dwelling elderly people. Gerontology 53:293–297PubMedCrossRef

Slingerland AS, van Lenthe FJ, Jukema JW, Kamphuis CB, Looman C, Giskes K, Huisman M, Narayan KM, Mackenbach JP, Brug J (2007) Aging, retirement, and changes in physical activity: prospective cohort findings from the GLOBE study. Am J Epidemiol 165:1356–1363. doi:10.1093/aje/kwm053 PubMedCrossRef

Tsai YW, Tsai TI, Yang CL, Kuo KN (2008) Gender differences in smoking behaviors in an Asian population. J Womens Health (Larchmt) 17:971–978. doi:10.1089/jwh.2007.0621 CrossRef

Zimmermann E, Ekholm O, Grønbaek M, Curtis T (2008) Predictors of changes in physical activity in a prospective cohort study of the Danish adult population. Scand J Public Health 36:235–241PubMedCrossRef

Title: Joint trajectories of multiple health-related behaviors among the elderly
Authors: Hui-Chuan Hsu
Dih-Ling Luh
Wen-Chiung Chang
Ling-Yen Pan
Publication date: 01-02-2013
Publisher: SP Birkhäuser Verlag Basel
Published in: International Journal of Public Health / Issue 1/2013
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-012-0358-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Joint trajectories of multiple health-related behaviors among the elderly

Abstract

Objectives

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2013

The age-dependent influence of self-reported health and job characteristics on retirement

The Norwegian Family Based Life Course (NFLC) study: data structure and potential for public health research

The embodiment of adverse childhood experiences and cancer development: potential biological mechanisms and pathways across the life course

Education and physical health trajectories in old age. Evidence from the Survey of Health, Ageing and Retirement in Europe (SHARE)

Economic recession and first births in Europe: recession-induced postponement and recuperation of fertility in 14 European countries between 1970 and 2005

Linear, nonlinear or categorical: how to treat complex associations? Splines and nonparametric approaches