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    Notwithstanding High Prevalence of Overweight and Obesity, Smoking Remains the Most Important Factor in Poor Self-rated Health and Hospital Use in an Australian Regional Community

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    Author
    Haines, HM; Cynthia, O; Pierce, D; Bourke, L
    Date
    2017-01-01
    Source Title
    AIMS PUBLIC HEALTH
    Publisher
    AMER INST MATHEMATICAL SCIENCES-AIMS
    University of Melbourne Author/s
    Haines, Helen; Pierce, David; Bourke, Lisa; Opie, Cynthia
    Affiliation
    Rural Clinical School
    Rural Health
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Haines, H. M., Cynthia, O., Pierce, D. & Bourke, L. (2017). Notwithstanding High Prevalence of Overweight and Obesity, Smoking Remains the Most Important Factor in Poor Self-rated Health and Hospital Use in an Australian Regional Community. AIMS PUBLIC HEALTH, 4 (4), pp.402-417. https://doi.org/10.3934/publichealth.2017.4.402.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/210777
    DOI
    10.3934/publichealth.2017.4.402
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5690463
    Abstract
    Objective: To classify a rural community sample by their modifiable health behaviours and identify the prevalence of chronic conditions, poor self-rated health, obesity and hospital use. Method: Secondary analysis of a cross- sectional self-report questionnaire in the Hume region of Victoria, Australia. Cluster analysis using the two-step method was applied to responses to health behaviour items. Results: 1,259 questionnaires were completed. Overall 63% were overweight or obese. Three groups were identified: 'Healthy Lifestyle' (63%), 'Non Smoking, Unhealthy Lifestyle' (25%) and 'Smokers' (12%). 'Healthy lifestyle' were older and more highly educated than the other two groups while 'Non Smoking, Unhealthy Lifestyle' were more likely to be obese. 'Smokers' had the highest rate of poor self-rated health. Prevalence of chronic conditions was similar in each group (>20%). 'Smokers' were twice as likely to have had two or more visits to hospital in the preceding year even after adjustment for age, gender and education. Conclusion: High rates of overweight and obesity were identified but 'Smokers' were at the greatest risk for poor self-rated health and hospitalisation. Implications for Public Health: Within an environment of high rates of chronic ill health and obesity, primary care clinicians and public health policy makers must maintain their vigilance in encouraging people to quit smoking.

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