Clustering of behavioural risk factors for health in UK adults in 2016: a cross-sectional survey

J Public Health (Oxf). 2019 Sep 30;41(3):e226-e236. doi: 10.1093/pubmed/fdy144.

Abstract

Background: Foods high in fat, sugar and salt (HFSS) are known to contribute to overweight and obesity. In addition to overweight and obesity, smoking, alcohol consumption and physical inactivity are known risk factors for non-communicable diseases, including several cancers and cardiovascular disease.

Methods: Secondary analysis of UK-representative cross-sectional survey data of 3293 adults aged 18+. Regression analyses were undertaken to understand the relationship between consumption of HFSS food and soft drinks, alcohol and tobacco and socio-demographics. Clustering analysis identified groupings of health risk factors.

Results: Males, those aged 18-24 and those from the more deprived groups consumed ready meals and fast food most frequently. Most of the sample (77.3%) engaged in at least one health risk behaviour. Six clusters were identified in the clustering analysis. Older (65+) female respondents were more likely to be inactive. Smokers exhibiting additional risk behaviours were more likely to be of working age from more deprived groups, and men over 65 were more likely to consume harmful levels of alcohol with additional risk factors.

Conclusion: Policies and services in the UK tend to focus on changing behaviour to address individual risk factors. This study shows that policies and interventions need to address multiple risk factors.

Keywords: alcohol consumption; obesity; physical activity.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Distribution
  • Aged
  • Alcohol Drinking / epidemiology*
  • Cluster Analysis
  • Cross-Sectional Studies
  • Diet
  • Fast Foods / statistics & numerical data*
  • Female
  • Health Risk Behaviors*
  • Humans
  • Male
  • Middle Aged
  • Overweight / epidemiology*
  • Risk Factors
  • Sedentary Behavior*
  • Smoking / epidemiology*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • United Kingdom / epidemiology
  • Young Adult