Abstract
Mortality data on the leading causes of death conceal the relationship to underlying risk factors; if we classified deaths according to risk factors, annually there might be an estimated 350,000 smoking-related deaths, 200,000 alcohol-related deaths and 135,000 nutrition-related cancer deaths. Similarly, five causes of death—heart disease, lung cancer, cirrhosis of the liver, suicide and motor vehicle accidents—contribute most to the risk of dying in the next ten years for a 40-year-old white man. Review of protective factors shows that adopting and maintaining a healthful life-style can contribute to reducing risk. Practicing physicians can assume both direct and indirect roles in promoting personal health maintenance.
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Selected References
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- Dismuke S. E., Miller S. T. Why not share the secrets of good health? JAMA. 1983 Jun 17;249(23):3181–3183. [PubMed] [Google Scholar]
- Green L. W. Evaluation and measurement: some dilemmas for health education. Am J Public Health. 1977 Feb;67(2):155–161. doi: 10.2105/ajph.67.2.155. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hubert H. B., Feinleib M., McNamara P. M., Castelli W. P. Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham Heart Study. Circulation. 1983 May;67(5):968–977. doi: 10.1161/01.cir.67.5.968. [DOI] [PubMed] [Google Scholar]
- Knowles John H. The responsibility of the individual. Daedalus. 1977 Winter;106(1):57–80. [PubMed] [Google Scholar]
- Morisky D. E., Levine D. M., Green L. W., Shapiro S., Russell R. P., Smith C. R. Five-year blood pressure control and mortality following health education for hypertensive patients. Am J Public Health. 1983 Feb;73(2):153–162. doi: 10.2105/ajph.73.2.153. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nelson E. C., Simmons J. J. Health promotion--the second public health revolution: promise or threat? Fam Community Health. 1983 Feb;5(4):1–15. [PubMed] [Google Scholar]
- Paffenbarger R. S., Jr, Hyde R. T., Wing A. L., Steinmetz C. H. A natural history of athleticism and cardiovascular health. JAMA. 1984 Jul 27;252(4):491–495. [PubMed] [Google Scholar]
- Russell M. A., Wilson C., Taylor C., Baker C. D. Effect of general practitioners' advice against smoking. Br Med J. 1979 Jul 28;2(6184):231–235. doi: 10.1136/bmj.2.6184.231. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sexton M., Hebel J. R. A clinical trial of change in maternal smoking and its effect on birth weight. JAMA. 1984 Feb 17;251(7):911–915. [PubMed] [Google Scholar]
- Walker W. J. Changing U. S. life style and declining vascular mortality--a retrospective. N Engl J Med. 1983 Mar 17;308(11):649–651. doi: 10.1056/NEJM198303173081109. [DOI] [PubMed] [Google Scholar]
- Warner K. E., Murt H. A. Premature deaths avoided by the antismoking campaign. Am J Public Health. 1983 Jun;73(6):672–677. doi: 10.2105/ajph.73.6.672. [DOI] [PMC free article] [PubMed] [Google Scholar]