Unger J B
Department of Preventive Medicine, School of Medicine, University of Southern California, Los Angeles, USA.
Am J Prev Med. 1996 Mar-Apr;12(2):134-8.
Health behaviors are often intercorrelated, suggesting that these behaviors may be manifestations of underlying attitudes toward health. Changes in these attitudes may cause simultaneous changes in several health behaviors. As individuals progress among the stages of change of one health behavior, such as smoking cessation, they may make changes in other health behaviors as well. This study evaluated the hypothesis that subjects in the later stages of change of smoking cessation would practice more healthful behaviors than subjects in the early stages of change. Subjects were 929 respondents in the California Behavioral Risk Factor Surveillance Study who were current smokers or had quit smoking within the past year. Subjects in the more advanced stages of smoking cessation showed more healthful levels of alcohol use and exercise than subjects in the earlier stages. These results suggest that people may make improvements in several health behaviors concurrently. If so, lifestyle-based health promotion programs may be able to take advantage of shifts in attitudes toward health behavior to modify several health behaviors simultaneously.
健康行为往往相互关联，这表明这些行为可能是对健康潜在态度的表现。这些态度的变化可能会导致多种健康行为同时发生变化。当个体在一种健康行为（如戒烟）的改变阶段中取得进展时，他们在其他健康行为上也可能会做出改变。本研究评估了这样一个假设：处于戒烟改变后期阶段的受试者比处于改变早期阶段的受试者会践行更健康的行为。研究对象是加利福尼亚行为风险因素监测研究中的929名受访者，他们均为当前吸烟者或在过去一年内已戒烟。处于戒烟更高级阶段的受试者比处于早期阶段的受试者在饮酒和运动方面表现出更健康的水平。这些结果表明，人们可能会同时在多种健康行为上取得改善。如果是这样，基于生活方式的健康促进项目或许能够利用对健康行为态度的转变来同时改变多种健康行为。
