Prevalence Of Behavioral Risk Factors Research Articles

Women behind bars: health needs of inmates in a county jail.

This study was performed to assess the prevalence of behavioral risk factors and correlates of poor self-reported health among incarcerated women in a county jail in Oregon. The authors collected self-reported data from recently incarcerated women at a county jail, focusing on prevalence of high-risk health behaviors, history of health care use, history of physical and sexual abuse, and health care coverage. The authors assessed factors associated with poor self-reported health using logistic regression techniques. More than half of the participants reported a history of intravenous drug use, 67% reported a history of sexual abuse, 79% reported a history of physical abuse, and 43% stated that they had a history of trading sex for money or drugs. Two factors were associated with poor self-reported health: history of physical assault (odds ratio [OR] = 2.7; 95% confidence interval [CI] 1.4, 5.2) and use of heroin during the month prior to arrest (OR = 2.9; 95% CI 1.3, 6.6). The high prevalence of health risk behaviors among the inmates suggests a number of areas for intervention. These findings may also be used to guide topics addressed during intake interviews of new inmates, and to help identify inmates that require additional medical or social services.

Prevalence of Selected Risk Factors for Chronic Disease and Injury Among American Indians and Alaska Natives--United States, 1995-1998

Since the 1950s, morbidity and mortality attributable to infectious diseases among American Indians and Alaska Natives (AIs/ANs) have declined and chronic diseases, especially diabetes, and injury have remained important determinants of poor health (1). Knowledge of the prevalence of behavioral risk factors for chronic disease and injury can be used to form policies and programs to improve the health of AIs/ANs. Based on data obtained from the Behavioral Risk Factor Surveillance System (BRFSS) from 1993 through 1996, CDC published regional estimates of the prevalence of 10 behavioral risk factors for AIs/ANs (2). This report updates data from the earlier report and focuses on three of the 10 risk factors for chronic disease and injury among AIs/ANs.

HIV-Related Sexual Behaviors of College Students

A follow-up study explored the prevalence of behavioral risk factors for HIV infection in a population of college students. Two hundred forty-three single students ranging in age from 17 to 24 years who identified themselves as heterosexual completed questionnaires related to planned and unplanned sexual intercourse and such other factors as alcohol and nonprescription drug use that might increase the risk of HIV infection. Forty-seven percent of the men and 57% of the women stated that they had had sexual intercourse from 1 to 5 times primarily because they were intoxicated, a phenomenon that increased with age until only 19% of those over 21 had never had sex because of intoxication. Seventeen percent of the sexually active men and 21% of the women said that they had used condoms. Nineteen percent of the men and 33% of the women acknowledged consenting to sexual intercourse because they felt awkward in refusing. The dangerous interaction between alcohol use and high-risk sexual activities suggested that college HIV prevention efforts should make the connection between the two risk factors explicit.

Prevalence of Behavioral Risk Factors in Two American Indian Populations in Montana

Despite great improvements in recent decades, the health status of American Indians continues to lag behind that of other Americans. Continued health improvement will depend largely on changes in individual behavior. However, few data exist on health risk behaviors among American Indians. We used face-to-face interviews to estimate the prevalence of some of these behaviors among American Indians 15-49 years of age in two Montana locations: on the Blackfeet Reservation and in Great Falls. The prevalence of several important health risk behaviors was higher in these populations than in adult Montana residents in general. Tobacco use was very prevalent. Fifty percent of on-reservation women, 62% of off-reservation women, 34% of on-reservation men, and 63% of off-reservation men were smokers at the time of the survey. Thirty-three percent of reservation men used smokeless tobacco. Other risk behaviors of high prevalence included acute heavy drinking (26% to 42% of men); overweight (29% to 41% of females); sedentary lifestyle (46% to 62% of all respondents); and nonuse of seat belts (64% to 79% of all respondents). Tribal leaders and the Indian Health Service are using the survey results to reduce the prevalence of behaviors harming the health of Indian people. In addition to providing valuable information about the surveyed populations, the survey served as a pilot for subsequent surveys of other American Indian groups.

Behavioural Risk Factors among Young Adults in Small Areas with High Mortality versus those in Low-Mortality Areas

A community-based cross-sectional survey of behavioural risk factors for premature mortality was carried out on a group of 354 adults aged 25-44 from previously identified high-mortality 'black-spots' in Dublin who were compared with 333 others from low-mortality areas. In the black-spot areas, 50.9% of respondents were current smokers versus 28.5% in low-mortality areas and 14.6% took 'sufficient' exercise versus 31.4% in low-mortality areas. People living in black spots were also less likely to make 'healthy' dietary choices than those in low-mortality areas. There is a higher prevalence of behavioural risk factors for premature mortality among young adults living in electoral wards/district electoral divisions (DEDs) with high standardized mortality ratios (SMRs) from all causes than among those in areas with low SMRs. A health promotion programme aimed at increasing exercise levels, reducing smoking and encouraging healthy eating should be aimed at young adults in DEDs with high SMRs.

A Prevalence Survey of Behavioural Risk Factors in Taipei City, Taiwan

In 1986, we conducted a telephone survey of 2514 residents of Taipei City, Taiwan, to establish baseline prevalence estimates of behavioural risk factors associated with the leading causes of death among adults. Estimates from this survey revealed a high prevalence of sedentary lifestyle (85.6%), seatbelt non-use (67.5%) and motorcycle helmet non-use (31.3%). The smoking rate (26.1%) was similar to that in the US, however, there was almost a tenfold difference between smoking rates in men and women (48.0% versus 5.1%, respectively). Behaviours related to alcohol misuse (binge drinking, chronic heavy drinking and driving and drinking) were also much more prevalent among men than women. This survey demonstrated the feasibility of using the telephone to collect data on the prevalence of behavioural risk factors in a newly industrialized country like Taiwan.

The Behavioral Risk Factor Surveys: II. Design, Methods, and Estimates from Combined State Data

Behavioral risk factor (BRF) telephone surveys were conducted by 28 states and the District of Columbia from April 1981 through October 1983 to obtain baseline prevalence estimates for risk factors associated with the leading causes of death among adults. A supplemental survey was conducted to cover the remaining states (except Hawaii) in order to provide individual states with national-level data for comparison purposes. The complex sampling designs and variable sampling rates among state surveys required the computation of sample weights before estimates on a national level could be made. Estimates from the combined individual surveys are similar to those obtained from more expensive in-person interviews. The BRF national prevalence estimate of chronic heavier drinking is 8.7 percent, equivalent to the 1979 National Institute on Alcoholism and Alcohol Abuse (NIAAA) estimate of 9 percent. The BRF estimate of 31.5 percent for current smokers compares closely with the 32.6 percent estimated by the 1980 Health Interview Survey. Despite recognized technical limitations, this type of telephone survey can be a practical and affordable source of information both for initially gathering prevalence data and for monitoring trends in the prevalence of behavioral risk factors of public health concern.