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The Clustering of Health Behaviours in Ireland and their Relationship with Mental Health, Self-Rated Health and Quality of Life.

机译:爱尔兰健康行为的聚类及其与心理健康,自我评价的健康和生活质量的关系。

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摘要

ABSTRACT: BACKGROUND: Health behaviours do not occur in isolation. Rather they cluster together. It is important to examine patterns of health behaviours to inform a more holistic approach to health in both health promotion and illness prevention strategies. Examination of patterns is also important because of the increased risk of mortality, morbidity and synergistic effects of health behaviours. This study examines the clustering of health behaviours in a nationally representative sample of Irish adults and explores the association of these clusters with mental health, self-rated health and quality of life. METHODS: TwoStep Cluster analysis using SPSS was carried out on the SLAN 2007 data (national Survey of Lifestyle, Attitudes and Nutrition, n=10,364; response rate =62%; food frequency n=9,223; cluster analysis n=7,350). Patterns of smoking, drinking alcohol, physical activity and diet were considered. Associations with positive and negative mental health, quality of life and self-rated health were assessed. RESULTS: Six health behaviour clusters were identified: Former Smokers, 21.3% (n=1,564), Temperate, 14.6% (n=1,075), Physically Inactive, 17.8% (n=1,310), Healthy Lifestyle, 9.3% (n=681), Multiple Risk Factor, 17% (n=1248), and Mixed Lifestyle, 20% (n=1,472). Cluster profiles varied with men aged 18-29 years, in the lower social classes most likely to adopt unhealthy behaviour patterns. In contrast, women from the higher social classes and aged 65 years and over were most likely to be in the Healthy Lifestyle cluster. Having healthier patterns of behaviour was associated with positive lower levels of psychological distress and higher levels of energy vitality. CONCLUSION: The current study identifies discernible patterns of lifestyle behaviours in the Irish population which are similar to those of our European counterparts. Healthier clusters (Former Smokers, Temperate and Healthy Lifestyle) reported higher levels of energy vitality, lower levels of psychological distress, better self-rated health and better quality of life. In contrast, those in the Multiple Risk Factor cluster had the lowest levels of energy and vitality and the highest levels of psychological distress. Identification of these discernible patterns because of their relationship with mortality, morbidity and longevity is important for identifying national and international health behaviour patterns.
机译:摘要:背景:健康行为不是孤立发生的。而是它们聚集在一起。重要的是要检查健康行为的模式,以在健康促进和疾病预防策略中提供更全面的健康方法。模式检查也很重要,因为其增加的死亡率,发病率和健康行为的协同效应的风险增加。这项研究检查了爱尔兰成年人的全国代表性样本中健康行为的聚类,并探讨了这些聚类与心理健康,自我评估的健康和生活质量的关系。方法:在SLAN 2007数据上进行了使用SPSS的两步聚类分析(全国生活方式,态度和营养调查,n = 10,364;回应率= 62%;食物频率:n = 9,223;聚类分析,n = 7,350)。考虑了吸烟,饮酒,体育锻炼和饮食的方式。评估与正面和负面心理健康,生活质量和自我评估的健康之间的关联。结果:确定了六个健康行为群:前吸烟者,21.3%(n = 1,564),温和的,14.6%(n = 1,075),身体不活跃的,17.8%(n = 1,310),健康的生活方式,9.3%(n = 681) ),多重风险因素(17%(n = 1248))和混合生活方式(20%(n = 1472))。在18-29岁的男性人群中,群体特征各不相同,在较低的社会阶层中,男性最有可能采取不健康的行为方式。相反,来自较高社会阶层,65岁及以上年龄段的女性最有可能属于“健康生活方式”群体。拥有更健康的行为方式与较低的心理困扰和较高的活力水平有关。结论:本研究确定了爱尔兰人群中与欧洲人群相似的可识别生活方式。更健康的人群(以前的吸烟者,节制和健康的生活方式)报告了更高水平的能量活力,更低的心理困扰,更好的自我评估健康和更好的生活质量。相比之下,多重危险因素集群中的人精力和活力水平最低,而心理困扰最大。由于这些可识别的模式与死亡率,发病率和寿命的关系而被识别,对于识别国家和国际健康行为模式很重要。

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