Unhealthy Behaviors Among Canadian Men Are Predictors of Comorbidities: Implications for Clinical Practice

Bibliographic Details
Title: Unhealthy Behaviors Among Canadian Men Are Predictors of Comorbidities: Implications for Clinical Practice
Authors: Nahid Punjani, Ryan Flannigan, John L. Oliffe, Donald R. McCreary, Nick Black, S. Larry Goldenberg
Source: American Journal of Men's Health, Vol 12 (2018)
Publisher Information: SAGE Publishing, 2018.
Publication Year: 2018
Collection: LCC:Medicine
Subject Terms: Medicine
More Details: Men’s poor health behaviors are an increasingly prevalent issue with long-term consequences. This study broadly samples Canadian men to obtain information regarding health behaviors as a predictor of downstream medical comorbidities. A survey of Canadian men included questions regarding demographics, comorbidities, and health behaviors (smoking and alcohol consumption, sleep and exercise behaviors, and dietary habits). Health behaviors were classified as either healthy or unhealthy based upon previous studies and questionnaire thresholds. Multivariate regression was performed to determine predictors for medical comorbidities. The 2,000 participants were aged 19–94 (median 48, interquartile range 34–60). Approximately half (47.4%) were regular smokers, 38.7% overused alcohol, 53.9% reported unhealthy sleep, 48.9% had low levels of exercise, and 61.8% had unhealthy diets. On multivariate analysis, regular smoking predicted heart disease (OR 2.08, p < .01), elevated cholesterol (OR 1.35, p = .02), type 2 diabetes (OR 1.57, p = .02), osteoarthritis (OR 1.43, p = .04), and depression (OR 1.62, p < .01). Alcohol overuse predicted hypertension (OR 1.40, p < .01) and protected against type 2 diabetes (OR 0.61, p < .01). Unhealthy sleep predicted hypertension (OR 1.46, p < .01), erectile dysfunction (OR 1.50, p = .04), and depression (OR 1.87, p < .01). Low levels of exercise predicted hypertension (OR 1.30, p = .03) and elevated cholesterol (OR 1.27, p = .05). Finally, unhealthy diet predicted depression (OR 1.65, p < .01). This study confirms the association of poor health behaviors and comorbidities common to middle-aged and older men. The results emphasize the potential scope of targeted gender-sensitized public awareness campaigns and interventions to reduce common male disease, morbidity, and mortality.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1557-9883
1557-9891
15579883
Relation: https://doaj.org/toc/1557-9883; https://doaj.org/toc/1557-9891
DOI: 10.1177/1557988318799022
Access URL: https://doaj.org/article/947fadbd7c80432d926c32d1f5695943
Accession Number: edsdoj.947fadbd7c80432d926c32d1f5695943
Database: Directory of Open Access Journals
More Details
ISSN:15579883
15579891
DOI:10.1177/1557988318799022
Published in:American Journal of Men's Health
Language:English