IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0033881.html
   My bibliography  Save this article

Co-variations and Clustering of Chronic Disease Behavioral Risk Factors in China: China Chronic Disease and Risk Factor Surveillance, 2007

Author

Listed:
  • Yichong Li
  • Mei Zhang
  • Yong Jiang
  • Fan Wu

Abstract

Background: Chronic diseases have become the leading causes of mortality in China and related behavioral risk factors (BRFs) changed dramatically in past decades. We aimed to examine the prevalence, co-variations, clustering and the independent correlates of five BRFs at the national level. Methodology/Principal Findings: We used data from the 2007 China Chronic Disease and Risk Factor Surveillance, in which multistage clustering sampling was adopted to collect a nationally representative sample of 49,247 Chinese aged 15 to 69 years. We estimated the prevalence and clustering (mean number of BRFs) of five BRFs: tobacco use, excessive alcohol drinking, insufficient intake of vegetable and fruit, physical inactivity, and overweight or obesity. We conducted binary logistic regression models to examine the co-variations among five BRFs with adjustment of demographic and socioeconomic factors, chronic conditions and other BRFs. Ordinal logistic regression was constructed to investigate the independent associations between each covariate and the clustering of BRFs within individuals. Overall, 57.0% of Chinese population had at least two BRFs and the mean number of BRFs is 1.80 (95% confidence interval: 1.78–1.83). Eight of the ten pairs of bivariate associations between the five BRFs were found statistically significant. Chinese with older age, being a male, living in rural areas, having lower education level and lower yearly household income experienced increased likelihood of having more BRFs. Conclusions/Significance: Current BRFs place the majority of Chinese aged 15 to 69 years at risk for the future development of chronic disease, which calls for urgent public health programs to reduce these risk factors. Prominent correlations between BRFs imply that a combined package of interventions targeting multiple BRFs might be appropriate. These interventions should target elder population, men, and rural residents, especially those with lower SES.

Suggested Citation

  • Yichong Li & Mei Zhang & Yong Jiang & Fan Wu, 2012. "Co-variations and Clustering of Chronic Disease Behavioral Risk Factors in China: China Chronic Disease and Risk Factor Surveillance, 2007," PLOS ONE, Public Library of Science, vol. 7(3), pages 1-8, March.
    • Handle: RePEc:plo:pone00:0033881
    DOI: 10.1371/journal.pone.0033881
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0033881
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0033881&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0033881?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Nutbeam, Don & Aar, Leif & Catford, John, 1989. "Understanding childrens' health behaviour: The implications for health promotion for young people," Social Science & Medicine, Elsevier, vol. 29(3), pages 317-325, January.
    2. Alan D. Lopez & Colin D. Mathers & Majid Ezzati & Dean T. Jamison & Christopher J. L. Murray, 2006. "Global Burden of Disease and Risk Factors," World Bank Publications - Books, The World Bank Group, number 7039.
    3. Kelder, S.H. & Perry, C.L. & Klepp, K.-I. & Lytle, L.L., 1994. "Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors," American Journal of Public Health, American Public Health Association, vol. 84(7), pages 1121-1126.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Wei-Hua Tian & Joseph J. Tien, 2020. "Health Behaviors and Health Status among Middle-Aged and Older Adults with Chronic Diseases in Taiwan," IJERPH, MDPI, vol. 17(19), pages 1-15, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Anderson, Soren T. & Laxminarayan, Ramanan & Salant, Stephen W., 2012. "Diversify or focus? Spending to combat infectious diseases when budgets are tight," Journal of Health Economics, Elsevier, vol. 31(4), pages 658-675.
    2. John Gibson & Steven Stillman & David McKenzie & Halahingano Rohorua, 2013. "Natural Experiment Evidence On The Effect Of Migration On Blood Pressure And Hypertension," Health Economics, John Wiley & Sons, Ltd., vol. 22(6), pages 655-672, June.
    3. Eva Deuchert, 2011. "The Virgin HIV Puzzle: Can Misreporting Account for the High Proportion of HIV Cases in Self-reported Virgins?," Journal of African Economies, Centre for the Study of African Economies, vol. 20(1), pages 60-89, January.
    4. Peter J. Rothe & Linda J. Carroll, 2009. "Hazards Faced by Young Designated Drivers: In-Car Risks of Driving Drunken Passengers," IJERPH, MDPI, vol. 6(6), pages 1-18, June.
    5. Fernando Abad-Franch & Gonçalo Ferraz & Ciro Campos & Francisco S Palomeque & Mario J Grijalva & H Marcelo Aguilar & Michael A Miles, 2010. "Modeling Disease Vector Occurrence when Detection Is Imperfect: Infestation of Amazonian Palm Trees by Triatomine Bugs at Three Spatial Scales," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 4(3), pages 1-11, March.
    6. Elizabeth Kristjansson & Damian K Francis & Selma Liberato & Marik Benkhalti Jandu & Vivian Welch & Malek Batal & Trish Greenhalgh & Tamara Rader & Eamonn Noonan & Beverley Shea & Laura Janzen & Georg, 2013. "PROTOCOL: Feeding Interventions for Improving the Physical and Psychosocial Health of Disadvantaged Children Aged Three Months to Five Years: Protocol for a Systematic Review," Campbell Systematic Reviews, John Wiley & Sons, vol. 9(1), pages 1-41.
    7. Pinna Pintor, Matteo & Fumagalli, Elena & Suhrcke, Marc, 2024. "The impact of health on labour market outcomes: A rapid systematic review," Health Policy, Elsevier, vol. 143(C).
    8. Debra A. Hoffmann & Jenna M. Marx & Jacob M. Burmeister & Dara R. Musher-Eizenman, 2018. "Friday Night Is Pizza Night: A Comparison of Children’s Dietary Intake and Maternal Perceptions and Feeding Goals on Weekdays and Weekends," IJERPH, MDPI, vol. 15(4), pages 1-12, April.
    9. La Torre, Davide & Liuzzi, Danilo & Marsiglio, Simone, 2021. "Epidemics and macroeconomic outcomes: Social distancing intensity and duration," Journal of Mathematical Economics, Elsevier, vol. 93(C).
    10. Belot, Michèle & James, Jonathan & Nolen, Patrick, 2016. "Incentives and children's dietary choices: A field experiment in primary schools," Journal of Health Economics, Elsevier, vol. 50(C), pages 213-229.
    11. George Ploubidis & Wanjiku Mathenge & Bianca Stavola & Emily Grundy & Allen Foster & Hannah Kuper, 2013. "Socioeconomic position and later life prevalence of hypertension, diabetes and visual impairment in Nakuru, Kenya," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(1), pages 133-141, February.
    12. Moana S. Simas & Laura Golsteijn & Mark A. J. Huijbregts & Richard Wood & Edgar G. Hertwich, 2014. "The “Bad Labor” Footprint: Quantifying the Social Impacts of Globalization," Sustainability, MDPI, vol. 6(11), pages 1-27, October.
    13. Brajer, Victor & Mead, Robert W. & Xiao, Feng, 2008. "Health benefits of tunneling through the Chinese environmental Kuznets curve (EKC)," Ecological Economics, Elsevier, vol. 66(4), pages 674-686, July.
    14. Daniela Weible, 2013. "Gender-Driven Food Choice: Explaining School Milk Consumption of Boys and Girls," Journal of Consumer Policy, Springer, vol. 36(4), pages 403-423, December.
    15. Burton, Suzan & Clark, Lindie & Heuler, Stefanie & Bollerup, Jette & Jackson, Kristina, 2011. "Retail tobacco distribution in Australia: Evidence for policy development," Australasian marketing journal, Elsevier, vol. 19(3), pages 168-173.
    16. Shuxia Guo & Hongrui Pang & Heng Guo & Mei Zhang & Jia He & Yizhong Yan & Qiang Niu & Muratbek & Dongsheng Rui & Shugang Li & Rulin Ma & Jingyu Zhang & Jiaming Liu & Yusong Ding, 2015. "Ethnic Differences in the Prevalence of High Homocysteine Levels Among Low-Income Rural Kazakh and Uyghur Adults in Far Western China and Its Implications for Preventive Public Health," IJERPH, MDPI, vol. 12(5), pages 1-13, May.
    17. Céline Azémar & Rodolphe Desbordes, 2009. "Public Governance, Health and Foreign Direct Investment in Sub-Saharan Africa," Journal of African Economies, Centre for the Study of African Economies, vol. 18(4), pages 667-709, August.
    18. Per Kragh Andersen & Vladimir Canudas-Romo & Niels Keiding, 2013. "Cause-specific measures of life years lost," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 29(41), pages 1127-1152.
    19. Asirvatham, Jebaraj & Nayga, Rodolfo M. Jr. & Thomsen, Michael R., 2013. "Peer-Effects on Childhood Obesity," 2013 Annual Meeting, August 4-6, 2013, Washington, D.C. 150417, Agricultural and Applied Economics Association.
    20. Meera Kotagal & Kiran J Agarwal-Harding & Charles Mock & Robert Quansah & Carlos Arreola-Risa & John G Meara, 2014. "Health and Economic Benefits of Improved Injury Prevention and Trauma Care Worldwide," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-7, March.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0033881. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.