The effect of health behavior change on self-rated health across the adult life course: a longitudinal cohort study

Prev Med. 2014 Jan:58:75-80. doi: 10.1016/j.ypmed.2013.10.017. Epub 2013 Nov 4.

Abstract

Objective: While it is clear that health behaviors are related to self-rated health (SRH), it is less clear if maintaining positive behaviors, or improving, can protect SRH over time.

Method: SRH trajectories were modeled in a large representative Australian sample (n=7485 at baseline), of three age cohorts (20-24, 40-44 and 60-64 years at baseline; 1999, 2000 & 2001 respectively), over an 8 year period. Change in smoking, alcohol consumption and physical activity on SRH trajectories were examined, controlling for demographic, physical and mental health factors.

Results: SRH became poorer over time across the sample. Being a non-smoker was associated with more positive SRH levels across all groups. Maintaining or increasing moderate physical activity was associated with less decline in SRH.

Conclusions: Findings highlight the benefits of positive health behaviors, particularly performing regular physical activity over time, for reducing the risk of subjective health becoming poorer across the adult life course.

Keywords: Health behavior change; Longitudinal cohort study; Self-rated health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alcohol Drinking / trends*
  • Australia
  • Cohort Studies
  • Exercise / physiology*
  • Female
  • Health Behavior*
  • Health Status
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Self Report*
  • Smoking / trends*
  • Young Adult