Evidence map›Paper›PMID 23988727›Full record

ArticleJournal of health and social behavior2013

Educational differences in healthy behavior changes and adherence among middle-aged Americans.

Rachel Margolis

Abstract read
In one paragraph

Article in Journal of health and social behavior, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed
8.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 126 citations in OpenAlex.

  1. Comparing the preventive behavior of medical students and physicians in the era of COVID-19: Novel medical problems demand novel curricular interventions.Biochemistry and molecular biology education : a bimonthly publication of the International Union of Biochemistry and Molecular Biology · 2020
    Trial
  2. Trial
  3. Early quit days among methadone-maintained smokers in a smoking cessation trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2014
    Trial
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  11. Health shocks and health behavior: a long-term perspective.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
    Article
  12. Article
  13. CHRNA5-A3-B4, CYP2A6, and DBH Genetic Associations With Smoking Cessation Throughout Adulthood Within Two Longitudinal Studies of Women.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Rachel Margolis1University of Western Ontario, London, Ontario, Canada.
Western University · CA

Funding

STATISTICAL DATA ENCLAVE COREP30AG012836 · NIA · UNIVERSITY OF PENNSYLVANIA · PI COE, NORMA B, KOHLER, HANS-PETER · 1999 to 2024
$14.0M
Population Science Research Center Development CoreR24HD044964 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI SMITH, HERBERT L. · 2003 to 2017
$9.8M
GRADUATE TRAINING IN DEMOGRAPHYT32HD007242 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI MICHEL GUILLOT · 1985 to 2026
$6.6M
Sci-Tech Core-Population Dynamics Research CenterP2CHD044964 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI EMILIO ALBERTO PARRADO · 2018 to 2026
$5.3M
DEMOGRAPHY OF AGINGT32AG000177 · NIA · UNIVERSITY OF PENNSYLVANIA · PI KOHLER, HANS-PETER, PRESTON, SAMUEL H · 1989 to 2012
$1.5M
NIA NIH HHS P30 AG012836NIA NIH HHS P30AG12836NIA NIH HHS T32 AG000177NIA NIH HHS T32AG000177NICHD NIH HHS P2C HD044964NICHD NIH HHS R24 HD044964NICHD NIH HHS R24HD044964NICHD NIH HHS T32 HD007242NICHD NIH HHS T32HD007242
6 · The paper itself

Abstract

Although the better-educated are more likely to practice healthy behaviors when measured at one point in time, there is no clear evidence regarding whether more educated people are more likely to initiate healthy behavior changes in the face of new chronic conditions and whether they are better able to adhere to these healthy changes, once made. I use data from the Health and Retirement Study (HRS) (1992-2010) to examine smoking cessation and starting physical activity by educational attainment over an 18-year period among 16,606 respondents ages 50 to 75. The more-educated are the least likely to smoke and most likely to be physically active in middle age. They are also most likely to make healthy changes overall and better adhere to them. Education also shapes behavior change after a new diagnosis, which likely contributes to socioeconomic status differences in chronic disease management and health outcomes.

Indexed as

Educational StatusHealth BehaviorRisk Reduction BehaviorAgedChronic DiseaseFemaleHumansLongitudinal StudiesMaleMiddle AgedSocial ClassUnited Stateschronic diseaseshealth behaviorsphysical activitysmoking cessationsocioeconomic status

Identifiers

PMID23988727
PMCPMC3998203
OpenAlexW2022092060

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.