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Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Research article

A latent profile analysis of the link between sociocultural factors and health-related risk-taking among U.S. adults

Authors: Jessica K. Perrotte, Eric C. Shattuck, Colton L. Daniels, Xiaohe Xu, Thankam Sunil

Published in: BMC Public Health | Issue 1/2021

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Abstract

Background

Research suggests that health/safety behaviors (e.g., drinking heavily) and medical behaviors (e.g., donating blood) may be perceived as inherently risky, and further suggests there is substantial variation in the likelihood of engaging in a particular health-related risk behavior across people. Research examining demographic and sociocultural factors related to both health/safety and medical risk-taking is highly limited. Importantly, with very few exceptions the literature examining health risks characterized by potentially hazardous health behaviors (e.g, heavy alcohol use, driving without a seatbelt) is kept separate from the literature examining health risks characterized by potentially beneficial medical behaviors (e.g., donating blood, taking medication). In the interest of health promotion, it is critical for researchers to identify – and describe – individuals who are less inclined to engage in health-harming behaviors while at the same time being more inclined to engage in health-benefiting behaviors. Identifying such a subtype of individuals was the guiding aim for this study.

Method

A national sample of adults in the United States responded to a survey on sociocultural and demographic correlates of health behaviors. Health-related risk-taking indicators were measured using the items from the health/safety and medical subscales of the DOSPERT-M. Subtypes of risk-takers were identified using latent profile analysis (LPA). Follow-up analyses to describe subtype demographic characteristics were conducted.

Results

LPA identified four subtypes of risk-takers, including a subtype (n = 565, 45% of the sample; labeled “divergent”) that was comprised of individuals who highly endorsed medical risk-taking (e.g., taking medicine, giving blood) and minimally endorsed health/safety risk-taking (e.g., drinking heavily, unprotected sex). Subsequent analyses suggested that, among other findings, divergent profile members were likely to be married, endorse familial interdependence, and orient toward masculinity rather than femininity.

Conclusion

By examining potentially modifiable factors related to individuals’ inclinations to engage in health protective behaviors, this study is an important step toward improving current health behavior interventions among U.S. adults.
Literature
5.
go back to reference Triandis HC. Collectivism v. individualism: a reconceptualization of a basic concept in cross-cultural social psychology. In: Verma GK, Bagley C. Bagley, editors. Cross-cultural studies of personality, attitudes, and cognition. MacMillan Press; 1988. Triandis HC. Collectivism v. individualism: a reconceptualization of a basic concept in cross-cultural social psychology. In: Verma GK, Bagley C. Bagley, editors. Cross-cultural studies of personality, attitudes, and cognition. MacMillan Press; 1988.
7.
go back to reference Weber EU, Johnson EJ. Decisions under uncertainty: psychological, economic, and neuroeconomic explanations of risk preference. In Glimcher PW, Camerer CF, Fehr E, Poldrack RA, editors. Neuroeconomics: Decision Making and the Brain. Elsevier; 2009. Weber EU, Johnson EJ. Decisions under uncertainty: psychological, economic, and neuroeconomic explanations of risk preference. In Glimcher PW, Camerer CF, Fehr E, Poldrack RA, editors. Neuroeconomics: Decision Making and the Brain. Elsevier; 2009.
9.
go back to reference Onge JM, Krueger PM. Health lifestyle behaviors among U.S. adults. 2017. SSM Pop Health; 3:89–98. Onge JM, Krueger PM. Health lifestyle behaviors among U.S. adults. 2017. SSM Pop Health; 3:89–98.
12.
go back to reference Gast J, Peak T. “It used to be that if it weren’t broken and bleeding profusely, I would never go to the doctor”: men, masculinity, and health. Am J Mens Health. 2010;5:318–31.CrossRef Gast J, Peak T. “It used to be that if it weren’t broken and bleeding profusely, I would never go to the doctor”: men, masculinity, and health. Am J Mens Health. 2010;5:318–31.CrossRef
18.
go back to reference Triandis HC. Individualism & Collectivism. 2018. Routledge Taylor & Francis Group. Triandis HC. Individualism & Collectivism. 2018. Routledge Taylor & Francis Group.
19.
go back to reference Shenga N, Pal R, Sengupta S, Pal S. Correlates of voluntary blood donation among people in a hill capital in India. Int J Green Pharm. 2009;3:167–74.CrossRef Shenga N, Pal R, Sengupta S, Pal S. Correlates of voluntary blood donation among people in a hill capital in India. Int J Green Pharm. 2009;3:167–74.CrossRef
26.
go back to reference Wallston KA, Malcarne VL, Flores L, Handottir I, Smith CA, Stein MJ, Weisman MH, Clements PJ. Does god determine your health? The God Locus Health Control Scale. 1999;23:131–42. Wallston KA, Malcarne VL, Flores L, Handottir I, Smith CA, Stein MJ, Weisman MH, Clements PJ. Does god determine your health? The God Locus Health Control Scale. 1999;23:131–42.
27.
go back to reference Debnam KJ, Holt CL, Clark EM, Roth DL, Foushee HR, Crowther M, Fouad M, Southward PL. Spiritual health locus of control and health behaviors in African Americans. Amer J Health Behav. 2012;36:360–72.CrossRef Debnam KJ, Holt CL, Clark EM, Roth DL, Foushee HR, Crowther M, Fouad M, Southward PL. Spiritual health locus of control and health behaviors in African Americans. Amer J Health Behav. 2012;36:360–72.CrossRef
29.
go back to reference Saint Onge JM, Krueger PM. Health lifestyle behaviors among U.S. adults. 2017. SSM – Pop Health; 3:89–98. Saint Onge JM, Krueger PM. Health lifestyle behaviors among U.S. adults. 2017. SSM – Pop Health; 3:89–98.
32.
go back to reference Kachen S, Steffens MC, Niedlich C. Traditional masculinity and femininity: Validation of a new scale assessing gender roles. 2016. Front Psychol; 7:956. Kachen S, Steffens MC, Niedlich C. Traditional masculinity and femininity: Validation of a new scale assessing gender roles. 2016. Front Psychol; 7:956.
38.
go back to reference Gilles C, Soromenho G. An entropy criterion for assessing number of classes in a mixture model. J Classif. 1996;13:195–212.CrossRef Gilles C, Soromenho G. An entropy criterion for assessing number of classes in a mixture model. J Classif. 1996;13:195–212.CrossRef
42.
go back to reference Wood RG, Goesling B, Avellar S. The effects of marriage on health: A synthesis of recent research evidence. 2007. Policy Res, Inc. Wood RG, Goesling B, Avellar S. The effects of marriage on health: A synthesis of recent research evidence. 2007. Policy Res, Inc.
45.
go back to reference Jacobs P, Rapoport J. The economics of health and medical care. Fifth edition. 2002. Jones and Bartlett Publishers. Jacobs P, Rapoport J. The economics of health and medical care. Fifth edition. 2002. Jones and Bartlett Publishers.
48.
go back to reference Finucane ML, Slovic P, Mertz CK, Flynn J, Satterfield TA. Gender, race, and perceived risk: The ‘white male’ effect. Health Risk Soc. 2000;2:159–72.CrossRef Finucane ML, Slovic P, Mertz CK, Flynn J, Satterfield TA. Gender, race, and perceived risk: The ‘white male’ effect. Health Risk Soc. 2000;2:159–72.CrossRef
50.
go back to reference Perrotte JK, Martin JL, Piña-Watson B. Traditional feminine gender roles, alcohol use, and protective behavioral strategies among Latina college students. 2020. J Amer Coll Health; 1–9. Perrotte JK, Martin JL, Piña-Watson B. Traditional feminine gender roles, alcohol use, and protective behavioral strategies among Latina college students. 2020. J Amer Coll Health; 1–9.
57.
go back to reference Sayegh P, Knight BG. The effects of familism and cultural justification on the mental and physical health of family caregivers. J Geront Psychol Sci. 2010;66B:3–14.CrossRef Sayegh P, Knight BG. The effects of familism and cultural justification on the mental and physical health of family caregivers. J Geront Psychol Sci. 2010;66B:3–14.CrossRef
59.
go back to reference Frijling BD, Lobo CM, Keus IM., Jenks KM, Akkermans RP, Hulscher ME, … Grol, R. P. Perceptions of cardiovascular risk among patients with hypertension or diabetes. 2004. Patient Educ Couns; 52:47–53. Frijling BD, Lobo CM, Keus IM., Jenks KM, Akkermans RP, Hulscher ME, … Grol, R. P. Perceptions of cardiovascular risk among patients with hypertension or diabetes. 2004. Patient Educ Couns; 52:47–53.
61.
go back to reference Turner RB. The common cold. In: Bennet JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennet’s Principles and Practice of Infectious Diseases. 8th edition. W.B. Saunders; 2014:748–752. Turner RB. The common cold. In: Bennet JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennet’s Principles and Practice of Infectious Diseases. 8th edition. W.B. Saunders; 2014:748–752.
63.
go back to reference Szrek H, Chao L, Ramlagan S, Peltzer K. Predicting (un) healthy behavior: a comparison of risk-taking propensity measures. Judgm Decis Mak. 2012;7(6):716–27.PubMedPubMedCentral Szrek H, Chao L, Ramlagan S, Peltzer K. Predicting (un) healthy behavior: a comparison of risk-taking propensity measures. Judgm Decis Mak. 2012;7(6):716–27.PubMedPubMedCentral
64.
go back to reference Butler S, Rosman A, Seleski S, Garcia M, Lee S, Barnes J, Schwartz A. A medical risk attitude subscale for DOSPERT. Judgm Decis Mak. 2012;7:189–95. Butler S, Rosman A, Seleski S, Garcia M, Lee S, Barnes J, Schwartz A. A medical risk attitude subscale for DOSPERT. Judgm Decis Mak. 2012;7:189–95.
Metadata
Title
A latent profile analysis of the link between sociocultural factors and health-related risk-taking among U.S. adults
Authors
Jessica K. Perrotte
Eric C. Shattuck
Colton L. Daniels
Xiaohe Xu
Thankam Sunil
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-10608-z

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