Health-risk behaviors and quality of life among young men
To examine the associations between substance use and other health-risk behaviors and quality of life (QOL) among young men.
The analytical sample consisted of 5,306 young Swiss men who participated in the Cohort Study on Substance Use Risk Factors. Associations between seven distinct self-reported health-risk behaviors (risky single-occasion drinking; volume drinking; cigarette smoking; cannabis use; use of any other illicit drugs; sexual intercourse without a condom; low physical activity) were assessed via chi-square analysis. Logistic regression analyses were conducted to study the associations between each particular health-risk behavior and either physical or mental QOL (assessed with the SF-12v2) while adjusting for socio-demographic variables and the presence of all other health-risk behaviors.
Most health-risk behaviors co-occurred. However, low physical activity was not or negatively related to other health-risk behaviors. Almost all health-risk behaviors were associated with a greater likelihood of compromised QOL. However, sexual intercourse without a condom (not associated with both physical and mental QOL) and frequent risky single-occasion drinking (not related to mental QOL after adjusting for the presence of other health-risk behaviors; positively associated with physical QOL) differed from this pattern.
Health-risk behaviors are mostly associated with compromised QOL. However, sexual intercourse without a condom and frequent risky single-occasion drinking differ from this pattern and are therefore possibly particularly difficult to change relative to other health-risk behaviors.
KeywordsQuality of life Binge drinking Smoking Cannabis Physical activity Unsafe sex
We are grateful to Charlotte Eidenbenz and Petra Dermota for project management and to Caroline Bähler for her valuable input regarding physical activity. This work has been supported by the Swiss National Science Foundation (33CS30_139467).
- 8.Strine, T. W., Chapman, D. P., Balluz, L. S., Moriarty, D. G., & Mokdad, A. H. (2008). The associations between life satisfaction and health-related quality of life, chronic illness, and health behaviors among US community-dwelling adults. Journal of Community Health, 33(1), 40–50.PubMedCrossRefGoogle Scholar
- 9.Wen, X. J., Kanny, D., Thompson, W. W., Okoro, C. A., Town, M., & Balluz, L. S. (2012). Binge drinking intensity and health-related quality of life among US adult binge drinkers. Preventing Chronic Disease, 9, 1–11.Google Scholar
- 15.Jiang, Y. W., & Hesser, J. E. (2006). Associations between health-related quality of life and demographics and health risks. Results from Rhode Island’s 2002 behavioral risk factor survey. Health and Quality of Life Outcomes, 4(14), 1–14.Google Scholar
- 23.Omorou, Y. A., Erpelding, M. L., Escalon, H., & Vuillemin, A. Contribution of taking part in sport to the association between physical activity and quality of life. Quality of Life Research. doi: 10.1007/s11136-013-0355-3.
- 26.Studer, J., Baggio, S., Mohler-Kuo, M., Dermota, P., Gaume, J., Bertholet, N., et al. (2013). Examining non-response bias in substance use research—Are late respondents proxies for non-respondents? Drug Alcohol Dependendence. doi: 10.1016/j.drugalcdep.2013.02.029
- 29.Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ). Short and long forms. November 2005. http://www.google.ch/url?sa=t&rct=j&q=&esrc=s&source=web&cd=3&ved=0CEcQFjAC&url=http%3A%2F%2Flearnonline.canberra.edu.au%2Fpluginfile.php%2F511212%2Fmod_resource%2Fcontent%2F0%2FIPAQ_scoring_long.pdf&ei=cNxbUc6LIeeM4ASapYCQAg&usg=AFQjCNE_O70GmcgsL4NV4IEhsHSVXT8M0w&sig2=46kAz81xEeW5vOmtiKw1pg&bvm=bv.44697112,d.ZWU.
- 30.Haskell, W. L., Lee, I. M., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A., et al. (2007). Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Medicine and Science in Sports and Exercise, 39(8), 1423–1434.PubMedCrossRefGoogle Scholar
- 31.Ware, J. E., Kosinski, M., Turner-Bowker, D. M., & Gandek, B. (2005). SF-12v2. How to score version 2 of the SF-12 health survey. Lincoln, Rhode Island: QualityMetric Incorporated.Google Scholar
- 35.Chaiton, M. O., Cohen, J. E., O’Loughlin, J., & Rehm, J. (2009). A systematic review of longitudinal studies on the association between depression and smoking in adolescents. BMC Public Health, 9(356), 1–11.Google Scholar
- 37.Katschnig, H. (2006). How useful is the concept of quality of life in psychiatry? In H. Katschnig, H. Freeman, & N. Sartorius (Eds.), Quality of life in mental disorders. Chichester: Wiley.Google Scholar
- 38.WHO. (1992). The ICD-10 classification of mental and behavioural disorders. Clinical descriptions and diagnostic guidelines. Geneva: WHO.Google Scholar