Living with a smoker, health risk behaviors, and adiposity: an analysis with middle-aged and older women

被引:2
作者
Holahan, Charles J. [1 ]
Holahan, Carole K. [2 ]
Lim, Sangdon [3 ]
Powers, Daniel A. [4 ]
机构
[1] Univ Texas Austin, Dept Psychol, 108 E Dean Keeton St, Austin, TX 78712 USA
[2] Univ Texas Austin, Dept Kinesiol & Hlth Educ, 2109 San Jacinto Blvd, Austin, TX 78712 USA
[3] Univ Texas Austin, Dept Educ Psychol, 1912 Speeedway St, Austin, TX 78712 USA
[4] Univ Texas Austin, Dept Sociol, 305 E 23rd St, Austin, TX 78712 USA
关键词
Living with a smoker; Second-hand smoke; Obesity; Waist circumference; Physical activity; Diet; Women's health; RANDOMIZED CONTROLLED-TRIAL; PHYSICAL-ACTIVITY; SMOKING; EXPOSURE; WEIGHT; ADULTS; DIETARY; NUTRITION;
D O I
10.1007/s10865-019-00098-1
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study investigated: (a) the association between living with a smoker and weight-related health risk behaviors, and (b) the role of these behaviors in indirectly linking living with a smoker to general and central adiposity. Participants were 83,492 women (ageM = 63.5,SD = 7.36) from the Women's Health Initiative Observational Study. In logistic regression analyses at baseline, living with a smoker was associated with increased odds of no exercise (29%), no walking (33%), high dietary fat (62%), and low fruit and vegetable consumption (43%). Using structural equation modeling, bootstrap confidence intervals confirmed a significant indirect effect from living with a smoker to adiposity through health risk behaviors at baseline and prospectively across 3 and 8 years. Health risk behaviors fully explained the living with a smoker-adiposity relationship. These findings integrate clustering and contagion theoretical perspectives on health behaviors and contribute to understanding a novel pathway to adiposity.
引用
收藏
页码:850 / 858
页数:9
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