ArticleScientific reports2023
Behavior-related health risk factors, mental disorders and mortality after 20 years in a working aged general population sample.
Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Educational inequalities in trajectories of co-occurring behavioral health risk factors over four years: a latent class growth analysis.BMC public health · 2025Trial
- Prevalence of behavioural risk factors and their combinations among older adults: cross-sectional results of the nationwide study Gesundheit 65.BMC geriatrics · 2026Article
- Understanding the "Paradox" in Black-White Alcohol Outcomes: Examining High-Effort Coping and Health Behaviors with a Focus on Black Populations and College Students.Journal of racial and ethnic health disparities · 2025Review
- Estimating mortality attributable to alcohol or tobacco - a cohort study from Germany.Substance abuse treatment, prevention, and policy · 2025Article
- General hospital patients' attitude towards systematic health risk behavior screening and intervention.BMC public health · 2024Article
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Authors and funding
4 authors.
Funding
Abstract
Mortality is predicted by the sum of behavior-related health risk factors (BRFs: tobacco smoking, alcohol drinking, body overweight, and physical inactivity). We analyzed degrees and combinations of BRFs in their relation to mortality and adjusted for mental disorders. In a random sample of the general population in northern Germany aged 18-64, BRFs and mental disorders had been assessed in 1996-1997 by the Munich Composite International Diagnostic Interview. A sum score including eight ranks of the behavior-related health risk factors was built. Death and its causes were ascertained 2017-2018 using residents' registration files and death certificates. Relations of the sum score and combinations of the BRFs at baseline with all-cause, cancer, and cardiovascular mortality 20 years later were analyzed. The sum score and combinations predicted all-cause, cardiovascular and cancer mortality. The odds ratio of the sum score was 1.38 (95% confidence interval 1.31-1.46) after adjustment for age, gender, and mental disorder. In addition to the BRFs, mood, anxiety or somatoform disorders were not related to mortality. We concluded that the sum score and combinations of behavior-related health risk factors predicted mortality, even after adjustment for mental disorders.
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