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Health risk factors in Australian Stroke Survivors: A latent class analysis
journal contribution
posted on 2023-03-27, 03:56 authored by B Clancy, B Bonevski, C English, R Callister, AL Baker, C Collins, M Pollack, P Magin, Alyna TurnerAlyna Turner, J Faulkner, A GuillaumierIssues Addressed: To (i) determine the prevalence of health risk factors (physical activity, diet, alcohol, smoking, blood pressure medication use and mental health) in community-dwelling stroke survivors; and (ii) examine how these health risk factors cluster, and identify associations with physical functioning, independent living, or sociodemographic factors. Methods: A secondary analysis of data obtained during a national randomised controlled trial. Participants had experienced stroke and completed a baseline telephone survey on demographic and stroke characteristics, health risk factors, physical functioning and independence in activities of daily living. A latent class analysis was performed to determine health risk profiles. Univariate logistic regressions were performed to identify if participant characteristics were associated with resulting classes. Results: Data analysed from 399 participants. Two classes of health risk factors were identified: Low Mood, Food & Moves Risk (16% of participants) and Alcohol Use Risk (84% of participants). The Low Mood, Food & Moves Risk group had poorer diet quality, lower physical activity levels and higher levels of depression and anxiety. Lower levels of independence and physical functioning were predictor variables for this group. In contrast, the Alcohol Use Risk group had better physical activity and diet scores, significantly lower probability of depression and anxiety, but a higher probability of risky drinking. Conclusions: We identified two distinct health risk factor groups in our population. So What?: Future interventions may benefit from targeting the specific needs and requirements of people who have experienced stroke based on their distinct risk group. Alcohol consumption in poststroke populations requires further attention.
History
Journal
Health Promotion Journal of AustraliaPagination
1-8Location
AustraliaPublisher DOI
ISSN
1036-1073eISSN
2201-1617Language
enPublisher
WileyUsage metrics
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Keywords
alcohol drinkinghealth risk behaviourslatent class analysisrecurrent strokerisk factorssecondary preventionstrokeDepressionCardiovascularBehavioral and Social SciencePreventionMental HealthAlcoholism, Alcohol Use and HealthClinical ResearchStrokeBrain DisordersRehabilitationSubstance Misuse3 Prevention of disease and conditions, and promotion of well-being2 Aetiology2.3 Psychological, social and economic factors3.1 Primary prevention interventions to modify behaviours or promote wellbeingMental healthCancer3 Good Health and Well BeingPublic Health and Health Services not elsewhere classified
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