The relationship of stage of change for smoking cessation to stage of change for fruit and vegetable consumption and physical activity in a health plan population.
OBJECTIVE
The purpose of this study was to examine the relationship between stage of change for smoking cessation and stage of change for (1) fruit and vegetable consumption and (2) physical activity.


METHODS
The data come from a cross-sectional telephone survey administered to a stratified random sample of health plan members (n = 9675).


METHODS
This study was conducted at a mixed-model health plan with approximately 1 million adult members.


METHODS
Respondents were adults age 18 and older, who were randomly selected from five health plan product groups: commercial fully insured, commercial self-insured, two publicly subsidized plans, and Medicare supplemental insurance. Response rates ranged from 74.7% to 90.1% across these groups.


METHODS
The assessment included demographics and stage of change for smoking cessation, physical activity, and fruit and vegetable intake. Bivariate relationships among variables were analyzed with the use of contingency tables. Ordered logistic regression was used to examine the effects of stage of change for fruit and vegetable consumption and physical activity on stage of change for smoking while controlling for other factors.


RESULTS
Stage of change for smoking is more clearly related to stage of change for fruit and vegetable consumption (chi2 = 161.3, p < .001; Cramer's V = .11, p < .001) than to stage of change for physical activity (chi2 = 89. 7, p < .001; Cramer's V = .08, p < .001). However, stage of change for fruit and vegetable consumption and physical activity are not strong predictors of stage of change for smoking.


CONCLUSIONS
This study indicates that stage of change for both fruit and vegetable consumption and physical activity are independent constructs from stage of change for smoking cessation.
Garrett
Nancy A
NA
Health Services Analysis and Reporting at HealthPartners in Minneapolis, Minnesota 54410-1309, USA. Nancy.A.Garrett@HealthPartners.com
Alesci
Nina L
NL
Schultz
Monica M
MM
Foldes
Steven S
SS
Magnan
Sanne J
SJ
Manley
Marc W
MW
D000293:Adolescent; D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D004032:Diet; D015444:Exercise / Q000523:psychology*; D005260:Female; D005638:Fruit; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D008962:Models, Theoretical; D016540:Smoking Cessation / Q000523:psychology*; D014675:Vegetables