Health Behaviors and All-Cause Mortality in African American Men

Roland J Thorpe, Shondelle M. Wilson-Frederick, Janice Bowie, Kisha Coa, Olivio J. Clay, Thomas A. LaVeist, Keith E. Whitfield

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
JournalAmerican Journal of Men's Health
Volume7
Issue number4 SUPPL.
DOIs
StatePublished - 2013

Fingerprint

Health Behavior
health behavior
African Americans
mortality
cause
Mortality
age group
Nutrition Surveys
Age Groups
smoking
health
Men's Health
Premature Mortality
Insurance Coverage
Health
Marital Status
Smoking Cessation
Poverty
marital status
eating behavior

Keywords

  • African Americans
  • health behaviors
  • health disparities
  • men
  • men's health
  • mortality

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Thorpe, R. J., Wilson-Frederick, S. M., Bowie, J., Coa, K., Clay, O. J., LaVeist, T. A., & Whitfield, K. E. (2013). Health Behaviors and All-Cause Mortality in African American Men. American Journal of Men's Health, 7(4 SUPPL.). https://doi.org/10.1177/1557988313487552

Health Behaviors and All-Cause Mortality in African American Men. / Thorpe, Roland J; Wilson-Frederick, Shondelle M.; Bowie, Janice; Coa, Kisha; Clay, Olivio J.; LaVeist, Thomas A.; Whitfield, Keith E.

In: American Journal of Men's Health, Vol. 7, No. 4 SUPPL., 2013.

Research output: Contribution to journalArticle

Thorpe, RJ, Wilson-Frederick, SM, Bowie, J, Coa, K, Clay, OJ, LaVeist, TA & Whitfield, KE 2013, 'Health Behaviors and All-Cause Mortality in African American Men', American Journal of Men's Health, vol. 7, no. 4 SUPPL.. https://doi.org/10.1177/1557988313487552
Thorpe, Roland J ; Wilson-Frederick, Shondelle M. ; Bowie, Janice ; Coa, Kisha ; Clay, Olivio J. ; LaVeist, Thomas A. ; Whitfield, Keith E. / Health Behaviors and All-Cause Mortality in African American Men. In: American Journal of Men's Health. 2013 ; Vol. 7, No. 4 SUPPL.
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