The effects of gender and age on health related behaviors

Amanda Deeks1, Catherine Lombard1, Janet Michelmore1, Helena Teede1
1The Jean Hailes Foundation for Women's Health Research Unit, Monash Institute of Health Services Research, Clayton, Australia

Tóm tắt

Lifestyle-related diseases, including diabetes, cardiovascular disease, and some cancers represent the greatest global health threat. Greater insight into health needs and beliefs, using broad community samples, is vital to reduce the burden of chronic disease. This study aimed to investigate gender, age, screening practices, health beliefs, and perceived future health needs for healthy ageing. Random probability sampling using self-completion surveys in 1456 adults residing in Australia. Screening behaviors were associated with gender and age. Men and women >51 years were more likely (27%) to have screening health checks than those <50 years (2%). Factors nominated to influence health were lifestyle (92%), relationships (82%), and environment (80%). Women were more likely to nominate preparedness to have an annual health check, willingness to seek advice from their medical practitioner and to attend education sessions. Numerous health fears were associated with ageing, however participants were more likely to have a financial (72%) rather than a health plan (42%). More women and participants >51 years wanted information regarding illness prevention than men or those aged <30 years. Age and gender are associated with health related behaviors. Optimal health is perceived as a priority, yet often this perception is not translated into preventative action. These findings will inform future research and policy makers as we strive towards a healthier ageing society and the prevention of chronic disease.

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Tài liệu tham khảo

Campbell NR, Burgess E, Choi BC, Taylor G, Wilson E, Cleroux J, Fodor JG, Leiter LA, Spence D: Lifestyle modification to prevent and control hypertension – Methods and an overview of the Canadian recommendations. CMAJ. 1999, 160: S1-S6.

Davey Smith G, Shipley MJ, Batty GD, Morris JN, Marmot M: Physical activity and cause-specific mortality in the Whitehall study. Public Health. 2000, 114: 308-315. 10.1038/sj.ph.1900675.

Murphy TK, Calle EE, Rodriguez C, Kahn HS, Thun MJ: Body mass index and colon cancer mortality in a large prospective study. Am J Epidemiol. 2000, 152: 847-854. 10.1093/aje/152.9.847.

Norat T, Bingham S, Ferrari P, Slimani N, Jenab M, Mazuir M, Overvad K, Olsen A, Tjønneland A, Clavel F, Boutron-Ruault MC, Kesse E, Boeing H, Bergmann MM, Nieters A, Linseisen J, Trichopoulou A, Trichopoulos D, Tountas Y, Berrino F, Palli D, Panico S, Tumino R, Vineis P, Bueno-de-Mesquita HB, Peeters PHM, Engeset D, Lund E, Skeie G, Ardanaz E, González C, Navarro C, Ramón Quirós J, Sanchez MJ, Berglund G, Mattisson I, Hallmans G, Palmqvist R, Day NE, Khaw KT, Key TJ, San Joaquin M, Hémon B, Saracci R, Kaaks R, Riboli E: Meat, fish and colorectal cancer risk: the European prospective investigation into cancer and nutrition. J Natl Cancer Inst. 2005, 97: 906-916.

Doyle VC: Nutrition and colorectal cancer risk: a literature review. Gatroenterol Nurs. 2007, 30: 178-182. 10.1097/01.SGA.0000278165.05435.c0.

Adams KF, Leitzmann MF, Albanes D, Kipnis V, Mouw T, Hollenbeck A, Schatzkin A: Body mass and colorectal cancer risk in the NIH-AARP cohort. Am J Epidemiol. 2007, 166: 36-45. 10.1093/aje/kwm049.

Matthews CE, Jurj AL, Shu XO, Li HL, Yang G, Li Q, Gao YT, Zheng W: Influence of exercise, walking, cycling and overall nonexercise physical activity on mortality in Chinese women. Am J Epidemiol. 2007, 165: 1343-1350. 10.1093/aje/kwm088.

Twigg SM, Kamp MC, Davis TM, Neylon EK, Flack JR, Australian Diabetes Society, Australian Diabetes Educators Association: Prediabetes: a position statement from the Australian Diabetes Society and Australian Diabetes Educators Association. Med J Aust. 2007, 186: 461-465.

Steven ID, Thomas SA, Eckerman E, Browning C, Dickens E: The provision of preventive care by general practitioners measure by patient completed questionnaires. J Qual Clin Pract. 1999, 19: 195-201. 10.1046/j.1440-1762.1999.00332.x.

Davidson D, Freudenburg W: Gender and environmental risk concerns: a review and analysis of available research. Environ Behav. 1996, 28: 302-339. 10.1177/0013916596283003.

Siahpush M, Singh GK: Sociodemographic predictors of pap test receipt, currency and knowledge among Australian women. Prev Med. 2002, 35: 362-368. 10.1006/pmed.2002.1086.

Siegrist M, Keller C, Kiers HA: A new look at the psychometric paradigm of perception of hazards. Risk Anal. 2005, 25: 211-222. 10.1111/j.0272-4332.2005.00580.x.

Speedy S, Hase S: Health beliefs and perceptions of women presenting or not presenting for mammographic screening in a rural health setting. Aust J Rural Health. 2000, 8: 208-213. 10.1046/j.1440-1584.2000.00273.x.

Achat H, Close G, Taylor R: Who has regular mammograms? Effects of knowledge, beliefs, socioeconomic status, and health related factors. Prev Med. 2005, 41: 312-320. 10.1016/j.ypmed.2004.11.016.

Steven ID, Dickens E, Thomas SA, Browning C, Eckerman E: Preventive care and continuity of attendance. Is there a risk?. Aust Fam Physician. 1998, 27 Suppl 1: S44-S46.

Halabi S, Skinner CS, Samsa GP, Strigo TS, Crawford YS, Rimer BK: Factors associated with repeat mammography screening. J Fam Pract. 2000, 49: 1104-1112.

Taylor R, Ivanov O, Page A, Brotherton J, Achat H, Close G: Predictors of non-attendance from BreastScreen NSW in women who report current mammography screening. Aust N Z J Public Health. 2003, 27: 581-587. 10.1111/j.1467-842X.2003.tb00603.x.

Levy-Storms L, Bastani R, Reuben DB: Predictors of varying levels of nonadherence to mammography screening in older women. J Am Geriatr Soc. 2004, 52: 768-773. 10.1111/j.1532-5415.2004.52216.x.

Australian Institute of Health and Welfare (AIHW): Cervical Cytology registry data. [http://www.aihw.gov.au/publications/can/csa04-05/csa04-05-c07.pdf]

Wang SS, Sherman ME, Hildesheim A, Lacey JV, Devesa S: Cervical adenocarcinoma and squamous cell carcinoma incidence trends among white women and black women in the United States for 1976–2000. Cancer. 2004, 100: 1035-1044. 10.1002/cncr.20064.

Herbert A, Holdsworth G, Kubba AA: Cervical screening: why young women should be encouraged to be screened. J Fam Plann Reprod Health Care. 2008, 34 (1): 21-25.

Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ: Weight loss in obese infertile women results in improvement in reproductive outcome for all forms of fertility treatment. Hum Reprod. 1998, 13: 1502-5. 10.1093/humrep/13.6.1502.

Heart, stroke and vascular diseases – Australian facts 2004. [http://www.aihw.gov.au/publications/index.cfm/title/10005]

Mosca L, Ferris A, Fabunmi R, Robertson RM: Tracking women's awareness of heart disease: An American Heart Association national study. Circulation. 2004, 109: 573-579. 10.1161/01.CIR.0000115222.69428.C9.

Deeks A, Zoungas S, Teede H: Risk perception in women: A focus on menopause. Menopause. 2008, 15: 304-309. 10.1097/gme.0b013e31812f7b65.

Perez IR, Pinar IM, Hernandez-Aguado I: Associated factors to psychiatric morbidity in postmenopausal phases. Maturitas. 1997, 28: 107-115. 10.1016/S0378-5122(97)00075-3.

Stress and coronary heart disease; psychosocial risk factors. Med J Aust. 2003, 178 (6): 272-276.

Prochaska JO: Strong and weak principles for progressing from precontemplation to action on the basis of twelve problem behaviors. Health Psychol. 2005, 13: 47-51. 10.1037/0278-6133.13.1.47.

The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/9/213/prepub