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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 1999 Mar 1;90(2):85–89. doi: 10.1007/BF03404107

Predictors of Health Risk Behaviours Among Young Adults: Analysis of the National Population Health Survey

Kenneth R Allison 14,✉, Edward M Adlaf 14,24, Anca Ialomiteanu 24, Jürgen Rehm 14,34
PMCID: PMC6980135  PMID: 10349212

Abstract

This paper examines the individual and social determinants of physical inactivity, daily smoking, heavy drinking, and overall risk behaviour among 1,395 Canadians aged 20–24 in the 1994 National Population Health Survey. Logistic regression was used to estimate models of risk behaviour using the following variables: sex, mastery, self-esteem, sense of coherence, chronic stress, psychological distress, social support, income adequacy, education, and main activity (working, looking for work, attending school, other). Results of the analysis indicate that the most consistent predictors were chronic stress and main activity. Thus, social context appears to be an important influence on risk-related behaviour, and should be taken into account in approaches designed to promote health behaviours.

Footnotes

This research was funded by the Canadian Fitness and Lifestyle Research Institute (Grant #96R027). Dr. Allison is supported by a Career Scientist award from the Ontario Ministry of Health.

References

  • 1.Stephens T, Fowler-Graham D. Canada’s Health Promotion Survey 1990: Technical Report. Ottawa: Minister of Supply and Services; 1993. [Google Scholar]
  • 2.Stephens T, Craig C. The Well-Being of Canadians: Highlights of the 1988 Campbell’s Survey. Ottawa: Canadian Fitness and Lifestyle Research Institute; 1990. [Google Scholar]
  • 3.Adlaf E. Alcohol and other drug use. In: Stephens T, Fowler-Graham D, editors. Canada’s Health Promotion Survey 1990: Technical Report. Ottawa: Minister of Supply and Services; 1993. [Google Scholar]
  • 4.Adlaf E, Ivis F, Smart R, Walsh G. The Ontario Student Drug Use Survey, 1977–1995. Toronto: Addiction Research Foundation; 1995. [Google Scholar]
  • 5.Heath G, Pratt M, Warren C, Kann L. Physical activity patterns in American high school students. Arch Pediatr Adolesc Med. 1994;148:1131–36. doi: 10.1001/archpedi.1994.02170110017003. [DOI] [PubMed] [Google Scholar]
  • 6.Johnston L, O’Malley P, Bachman J. National Survey Results on Drug Use from the Monitoring the Future Study, 1975–1993. Rockville: National Institute on Drug Abuse; 1994. [Google Scholar]
  • 7.American School Health Association. The National Adolescent Student Health Survey: A Report on the Health of America’s Youth. Oakland: Third Party Publishing; 1989. [Google Scholar]
  • 8.Norman R. The Nature and Correlates of Health Behaviour. Ottawa: Health and Welfare Canada; 1986. [Google Scholar]
  • 9.Zimmerman R, Vernberg D. Models of preventive health behavior: Comparison, critique, and meta-analysis. In: Albrecht G, editor. Adv Med Sociol, Volume 4 - A Reconsideration of Health Behavior Change Models. Greenwich, CN: JAI Press; 1994. pp. 45–67. [Google Scholar]
  • 10.Fishbein M, Ajzen I. Belief, Attitude, Intention and Behavior: An Introduction to Theory and Research. Boston: Addison-Wesley; 1975. [Google Scholar]
  • 11.Langlie J. Social networks, health beliefs, and preventive health behavior. J Health Soc Behav. 1977;18:244–60. [PubMed] [Google Scholar]
  • 12.Strecher V, DeVellis B, Becker M, Rosenstock I. The role of self-efficacy in achieving health behavior change. Health Educ Q. 1986;13:73–91. doi: 10.1177/109019818601300108. [DOI] [PubMed] [Google Scholar]
  • 13.Wallston K, Wallston B. Health locus of control scales. Research with the Locus of Control Construct. 1981;1:189–243. [Google Scholar]
  • 14.Allison K. Theoretical issues concerning the relationship between perceived control and preventive health behaviour. Health Educ Res. 1991;6(2):141–51. [Google Scholar]
  • 15.Perry C, Baranowski T, Parcel G. How individuals, environments, and health behavior interact: Social cognitive theory. In: Glanz K, Lewis F, Rimer B, editors. Health Behavior and Health Education: Theory, Research, and Practice. 2nd. San Francisco: Jossey-Bass Publishers; 1997. pp. 153–78. [Google Scholar]
  • 16.Prochaska J, DiClemente C. Stages and processes of self-change of smoking: Toward an integrative model of change. J Consult Clin Psychol. 1983;51:983–90. doi: 10.1037//0022-006x.51.3.390. [DOI] [PubMed] [Google Scholar]
  • 17.Hofstetter C, Hovell M, Sallis J. Social learning correlates of exercise self-efficacy: Early experiences with physical activity. Soc Sci Med. 1990;31(10):1169–76. doi: 10.1016/0277-9536(90)90238-n. [DOI] [PubMed] [Google Scholar]
  • 18.Reynolds K, Killen J, Bryson M, et al. Psychosocial predictors of physical activity in adolescents. Prev Med. 1990;195:541–51. doi: 10.1016/0091-7435(90)90052-l. [DOI] [PubMed] [Google Scholar]
  • 19.Godin G, Shephard R. Use of attitude-behaviour models in exercise promotion. Sports Med. 1990;10(2):103–21. doi: 10.2165/00007256-199010020-00004. [DOI] [PubMed] [Google Scholar]
  • 20.Boyle M, Szatmari P, Offord D, Merikangus K. Substance use among adolescents and young adults: Prevalence, socio-demographic correlates, associated problems and familial aggregation. Toronto: Ontario Ministry of Health and Premiers Council on Health, Well-Being and Social Justice; 1993. [Google Scholar]
  • 21.Vingilis E, Adlaf E. The structure of problem behaviour among Ontario high school students: A confirmatory factor analysis. Health Educ Res. 1990;5:151–60. [Google Scholar]
  • 22.Allison K. Academic stream and tobacco, alcohol, and cannabis use by Ontario high school students. Int J Addict. 1992;27(5):559–68. doi: 10.3109/10826089209063468. [DOI] [PubMed] [Google Scholar]
  • 23.Vaucher S, Rehm J, Benvenuti J, Müller R. Young teenagers and access to alcohol in a Swiss canton: Evidence from observational testing and from a telephone survey. Addict. 1995;90:1619–25. doi: 10.1046/j.1360-0443.1995.901216194.x. [DOI] [PubMed] [Google Scholar]
  • 24.Dishman R, Dunn A. Exercise Adherence: Its Impact on Public Health. Champaign, IL: Human Kinetics Publishers; 1988. Exercise adherence in children and youth: Implications for adulthood; pp. 155–200. [Google Scholar]
  • 25.Gore S, Aseltine R, Colton M. Social structure, life stress and depressive symptoms in a high school-aged population. J Health Soc Behav. 1992;33:97–113. [PubMed] [Google Scholar]
  • 26.Federal, ProvincialTerritorial Advisory Committee on Population Health. Strategies for Population Health: Investing in the Health of Canadians. Ottawa: Minister of Supply and Services Canada; 1994. [Google Scholar]
  • 27.Peirce R, Frone M, Russell M, Cooper M. Relationship of financial strain and psychosocial resources to alcohol use and abuse: The mediating role of negative affect and drinking motives. J Health Soc Behav. 1994;35:291–308. [PubMed] [Google Scholar]
  • 28.Thoits P. J Health Soc Behav. 1995. Stress, coping, and social support processes: Where are we? What next? pp. 53–79. [PubMed] [Google Scholar]
  • 29.Pearlin L, Lieberman M, Menaghan E, Mullan J. The stress process. J Health Soc Behav. 1981;22:337–56. [PubMed] [Google Scholar]
  • 30.Aneshensel C, Rutter C, Lachenbruch P. Social structure, stress, and mental health: Competing conceptual and analytic models. Am Sociol Rev. 1991;56:166–78. [Google Scholar]
  • 31.Wheaton B. Life transitions, role histories, and mental health. Am Sociol Rev. 1990;55:209–23. [Google Scholar]
  • 32.Hansell S, White H. Adolescent drug use, psychological distress, and physical symptoms. J Health Soc Behav. 1991;32:288–301. [PubMed] [Google Scholar]
  • 33.Oetting E, Beauvis F. Common elements in youth drug abuse: Peer clusters and other psychosocial factors. J Drug Iss. 1987;17:133–51. [Google Scholar]
  • 34.Allison K, Adlaf E, Mates D. Life strain, coping, and substance use among high school students. Addict Res. 1997;5(3):251–72. [Google Scholar]
  • 35.Allison K, Mates D. Student stress, coping, and drug use. Public Health Epidemiol Rep Ont. 1990;1(6):82–89. [Google Scholar]
  • 36.Lefcourt H. Internal versus external control of reinforcement: A review. Psychol Bull. 1966;65:206–20. doi: 10.1037/h0023116. [DOI] [PubMed] [Google Scholar]
  • 37.Rosenberg M. Society and the Adolescent Self-Image. Princeton: Princeton University Press; 1965. [Google Scholar]
  • 38.Antonovsky A. Health, Stress, and Coping. San Francisco: Jossey-Bass; 1979. [Google Scholar]
  • 39.Statistics Canada. NPHS Public Use Microdata Documentation. 1995. [Google Scholar]
  • 40.Statistics Canada. Questionnaire. 1995. [Google Scholar]
  • 41.Statistics Canada. Derived Variables. 1995. [Google Scholar]
  • 42.Pearlin L, Schooler C. The structure of coping. J Health Soc Behav. 1978;19:2–21. [PubMed] [Google Scholar]
  • 43.Wheaton B. Chronic stress: Models and measurement; 1991. [Google Scholar]
  • 44.Kessler R, Mroczek D. Written communication. 1994. [Google Scholar]
  • 45.Graetz B. Health consequences of employment and unemployment: Longitudinal evidence for young men and women. Soc Sci Med. 1993;6:715–24. doi: 10.1016/0277-9536(93)90032-y. [DOI] [PubMed] [Google Scholar]
  • 46.Allison K, Adlaf E. Predictors of inactivity: An analysis of the Ontario Health Survey. Can J Public Health. 1996;87(5):354–58. [PubMed] [Google Scholar]
  • 47.McDonough P, Rootman I, Corey P, Ferrence R. Interrelations Among Health Behaviours. Toronto: Ontario Ministry of Health and Premiers Council on Health, Well-Being and Social Justice; 1993. [Google Scholar]
  • 48.Hays R, Stacy A, DiMatteo M. Covariation among health-related behaviors. Addict Behav. 1984;9(3):315–18. doi: 10.1016/0306-4603(84)90028-5. [DOI] [PubMed] [Google Scholar]
  • 49.Allison K, Dwyer J, Makin S. Self-efficacy and participation in vigorous physical activity by high school students. Health Educ Behav. 1999;26(1):10–22. doi: 10.1177/109019819902600103. [DOI] [PubMed] [Google Scholar]

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