Rosal, Milagros COckene, Judith K.Ma, YunshengHebert, James R.Merriam, Philip A.Matthews, Charles E.Ockene, Ira S.2022-08-232022-08-232001-12-012008-01-15Prev Med. 2001 Dec;33(6):586-94. <a href="http://dx.doi.org/10.1006/pmed.2001.0929">Link to article on publisher's site</a>0091-7435 (Print)10.1006/pmed.2001.092911716654https://hdl.handle.net/20.500.14038/44924BACKGROUND: Co-occurrence of risk behaviors (RBs) substantially increases the risk of disease. This study examines the co-occurrence of four health risk behaviors (i.e., smoking, high-fat diet, sedentariness, and high-risk drinking) and demographic and psychosocial variables associated with number of RBs in a sample of members of a health maintenance organization who participated in the Seasonal Variation in Cholesterol (Seasons) study. METHODS: Seasons study baseline data were used. Subjects completed a self-administered questionnaire packet containing questions on demographics, smoking history, and leisure-time physical activity, a 7-day dietary recall instrument, and various psychosocial measures. Results presented here are based on 496 subjects with complete data on all RBs. RESULTS: Forty-three percent of participants had > or = two RBs. The most prevalent RB combination was high-fat diet/sedentariness, with 30% of subjects reporting both RBs. Associations between RBs were observed. A greater number of RBs were observed among younger and less-educated subjects, those with higher depression scores, and subjects who perceived their health as poor. CONCLUSIONS: Findings highlight the importance of designing and evaluating primary care-based screening programs and interventions for multiple RBs.en-USAdultAgedAlcohol DrinkingBody Mass IndexCholesterolDietary FatsExerciseFemale*Health BehaviorHealth Maintenance Organizations*Health StatusHumansMaleMassachusettsMiddle AgedQuestionnairesRisk FactorsSmokingBehavioral Disciplines and ActivitiesCommunity Health and Preventive MedicineHealth Services ResearchPreventive MedicineJournal Articlehttps://escholarship.umassmed.edu/prevbeh_pp/37413373prevbeh_pp/37