title: Health behaviors and all-cause mortality in African American men.
abstract: Because of the excess burden of preventable chronic diseases and premature death among African American men, identifying health behaviors to enhance longevity is needed. We used data from the Third National Health and Nutrition Examination Survey 1988-1994 (NHANES III) and the NHANES III Linked Mortality Public-use File to determine the association between health behaviors and all-cause mortality and if these behaviors varied by age in 2029 African American men. Health behaviors included smoking, drinking, physical inactivity, obesity, and a healthy eating index score. Age was categorized as 25-44 years (n = 1,045), 45-64 years (n = 544), and 65 years and older (n = 440). Cox regression analyses were used to estimate the relationship between health behaviors and mortality within each age-group. All models were adjusted for marital status, education, poverty-to-income ratio, insurance status, and number of health conditions. Being a current smoker was associated with an increased risk of mortality in the 25- to 44-year age-group, whereas being physically inactive was associated with an increased risk of mortality in the 45- to 64-year age-group. For the 65 years and older age-group, being overweight or obese was associated with decreased mortality risk. Efforts to improve longevity should focus on developing age-tailored health promoting strategies and interventions aimed at smoking cessation and increasing physical activity in young and middle-aged African American men.
authors: Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
authors: Roland J
authors: RJ
authors: Thorpe
authors: Shondelle M
authors: SM
authors: Wilson-Frederick
authors: Janice V
authors: JV
authors: Bowie
authors: Kisha
authors: K
authors: Coa
authors: Olivio J
authors: OJ
authors: Clay
authors: Thomas A
authors: TA
authors: LaVeist
authors: Keith E
authors: KE
authors: Whitfield
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000367:Age Factors; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology; D002423:Cause of Death; D016001:Confidence Intervals; D016208:Databases, Factual; D015438:Health Behavior / Q000208:ethnology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000639:trends*; D009765:Obesity / Q000453:epidemiology; D016017:Odds Ratio; D011203:Poverty; D012189:Retrospective Studies; D018570:Risk Assessment; D012907:Smoking / Q000453:epidemiology; D013315:Stress, Psychological; D014481:United States
keywords: African Americans; health behaviors; health disparities; men; men’s health; mortality
references: Natl Vital Stat Rep. 2011 Dec 29;60(3):1-116
references: 24974587
references: Cultur Divers Ethnic Minor Psychol. 2002 Feb;8(1):30-40
references: 12092427
references: Arch Intern Med. 2001 May 14;161(9):1194-203
references: 11343442
references: PLoS Med. 2009 Apr 28;6(4):e1000058
references: 19399161
references: Am J Mens Health. 2013 May;7(3):220-7
references: 23184335
references: Soc Sci Med. 2008 Nov;67(10):1604-11
references: 18701200
references: JAMA. 2004 Mar 10;291(10):1238-45
references: 15010446
references: Health Aff (Millwood). 2011 Oct;30(10):1880-7
references: 21976330
references: Am J Epidemiol. 1996 May 1;143(9):870-80
references: 8610700
references: Am J Public Health. 2010 May;100(5):933-9
references: 19846689
references: Am J Public Health. 2005 Feb;95(2):224-32
references: 15671454
references: Am J Public Health. 2008 May;98(5):889-96
references: 18382003
references: Am J Public Health. 2012 May;102 Suppl 2:S187-94
references: 22401519
references: J Am Geriatr Soc. 2013 Apr;61(4):512-8
references: 23452127
references: Obes Rev. 2007 Jan;8(1):41-59
references: 17212795
references: Circulation. 2008 Jul 22;118(4):428-64
references: 18591433
references: Prev Med. 1994 May;23(3):369-76
references: 8078859
references: Am J Public Health. 2000 Jan;90(1):103-8
references: 10630145
references: Obesity (Silver Spring). 2007 Dec;15(12):3122-32
references: 18198323
references: Health Educ Behav. 2011 Oct;38(5):482-91
references: 21632436
references: Soc Sci Med. 2000 May;50(10):1385-401
references: 10741575
references: Ethn Dis. 1996 Winter-Spring;6(1-2):132-47
references: 8882842
references: J Gerontol B Psychol Sci Soc Sci. 2008 Sep;63(5):P301-8
references: 18818445
references: Milbank Q. 1993;71(1):41-64
references: 8450822
references: Prev Med. 2010 Sep-Oct;51(3-4):307-12
references: 20609433
references: J Natl Black Nurses Assoc. 2003 Jun;14(1):45-51
references: 15259998
references: Ethn Dis. 1992 Summer;2(3):207-21
references: 1467758
references: J Am Diet Assoc. 2005 Nov;105(11):1723-34
references: 16256756
references: Natl Vital Stat Rep. 2006 Apr 19;54(14):1-40
references: 16681183
references: JAMA. 1993 Nov 10;270(18):2207-12
references: 8411605
references: Health Serv Res. 2003 Dec;38(6 Pt 2):1719-33
references: 14727794
references: Alcohol Clin Exp Res. 1995 Oct;19(5):1156-61
references: 8561285
references: Am J Public Health. 2003 May;93(5):724-31
references: 12721133
references: Am J Epidemiol. 1999 Apr 1;149(7):645-53
references: 10192312
references: Alcohol Clin Exp Res. 2005 May;29(5):902-8
references: 15897737
references: Public Health. 2011 Jul;125(7):417-23
references: 21724208
references: J Am Diet Assoc. 1995 Oct;95(10):1103-8
references: 7560680
references: Health Care Financ Rev. 2000 Summer;21(4):9-21
references: 11481747
references: J Health Soc Behav. 2006 Sep;47(3):209-26
references: 17066773
references: Med Sci Sports Exerc. 1996 Oct;28(10):1282-91
references: 8897386
references: Am J Health Promot. 2009 Jul-Aug;23(6):S33-56
references: 19601486
references: J Clin Epidemiol. 1996 Dec;49(12):1407-17
references: 8970491
references: Am J Public Health. 2005 Feb;95(2):238-40
references: 15671457
references: Am J Public Health. 2006 May;96(5):826-33
references: 16380565
references: MMWR Recomm Rep. 1998 Oct 9;47(RR-18):v-xv, 1-16
references: 9784089
references: Public Health Rep. 2001 Sep-Oct;116(5):404-16
references: 12042604
references: Addict Behav. 2007 Oct;32(10):1989-2002
references: 17307303
references: Soc Sci Med. 2010 May;70(10):1558-66
references: 20226579
references: Vital Health Stat 1. 1994 Jul;(32):1-407
references: 7975354
references: Arch Intern Med. 2008 Feb 11;168(3):284-90
references: 18268169
references: J Natl Med Assoc. 2006 Apr;98(4):544-50
references: 16623067
references: J Ambul Care Manage. 2005 Apr-Jun;28(2):102-10
references: 15923944
references: Annu Rev Sociol. 2010 Aug;36:349-370
references: 21909182
references: J Aging Health. 2012 Sep;24(6):1018-43
references: 22451527