Misconceptions about health and disease prevention behaviors of rural Appalachian Americans

  • Authors

    • Wayne Miller Director, Center for Rural and Community Health, West Virginia School of Osteopathic Medicine, USA
    • Brian Griffith West Virginia School of Osteopathic Medicine, USA
    • Timothy Bikman West Virginia School of Osteopathic Medicine, USA
    • Cameron Meyer West Virginia School of Osteopathic Medicine, USA
    2014-10-02
    https://doi.org/10.14419/ijm.v2i2.3572

  • Abstract

    Background: Appalachia is one of the unhealthiest regions in the United States due to poor disease prevention behaviors.

    Objective: Determine if self-perceived health of rural Appalachians is related to participation in disease prevention behaviors.

    Methods: Rural Appalachian adults (n=437) were surveyed regarding their self-perceived health and disease prevention behaviors. Healthy behaviors included: moderate (? 90 min/wk) and vigorous (? 45 min/wk) physical activity, sugared drink consumption (? 1 sugared drink/d), smoking (non-smoker), alcohol consumption (? 1 drink/d), blood pressure (? 120/80 mm Hg), and fast food consumption (? 1 time/wk). Participants were grouped where healthy = (self-health rating > 5 on a 0-10 scale), BMI < 25, and blood pressure (? 120/80 mm Hg). Jaccard Binary Similarity (JBS) coefficients and Russell and Rao (RR) dichotomy coefficients determined the association and predictability of self-health ratings and disease prevention behaviors. T-tests determined group differences in the number of disease prevention behaviors.

    Results: Individuals who reported being healthy had high JBS coefficients for having healthy sugared drink consumption (0.552), not smoking (0.704), low alcohol consumption (0.742), and low fast food consumption (0.481). RR results were similar to JBS results. Not smoking and low alcohol consumption were highly correlated (r=0.87). Those with a good health perception practiced more disease prevention behaviors (mean±SEM, 2.84±0.06) than those with a poor health perception (2.19±0.10, p<0.001). Good health perceptions were not strongly related to obesity and inactivity.

    Conclusions: Appalachians are not indifferent about their health. However, Appalachians may not understand how inactivity and obesity relate to disease.

    Keywords: Disease Prevention, Health Behaviors, Rural Appalachian Health, Self-Perceived Health.

  • References

    1. Ahmad K, Jafar T, Chaturdedi N (2005) Self-rated health in Pakistan: results of a national health survey. BioMed Central Public Health 5:51. http://dx.doi.org/10.1186/1471-2458-5-51.
    2. Ajzen I (1991) the theory of planned behavior. Organizational Behavior and Human Decision Processes 50:179-211. http://dx.doi.org/10.1016/0749-5978 (91)90020-T.
    3. Baronowski T, Cullen KW, Nicklas T, Thompson D, Baronowski J (2003) Are current health behavioral change models helpful in guiding prevention of weight gain efforts? Obesity Research 11 Suppl: 23S-43S. http://dx.doi.org/10.1038/oby.2003.222.
    4. Byun W, Sieverdes JC, Sui X, Hooker SP, Lee C-D, Church TS, Blair SN (2010) Effect of positive health factors and all-cause mortality in men. Medicine and Science in Sports and Exercise 42:163. http://dx.doi.org/10.1249/MSS.0b013e3181d43f29.
    5. Centers for Disease Control (2009) Estimated county-level prevalence of diabetes and obesity – United States, 2007. Morbidity Monthly Weekly Report 58:1259-1263.
    6. Dave JM, An LC, Jeffery RW, Ahluwalia JS (2009) Relationship of attitudes toward fast food and frequency of fast-food intake in adults. Obesity 17:1164-1170.
    7. Haseli-Mashhadi N, Pan A, Ye X, Wang J, Qi Q, Liu Y, Li H, Yu Z, Lin X, Franco O (2009) Self-rated health in middle-aged and elderly Chinese: distribution, determinants and associations with cardio-metabolic risk factors. BioMed Central Public Health 9:368. http://dx.doi.org/10.1186/1471-2458-9-368.
    8. Manderbacka K, Lundberg O, Martikainen P (1999) Do risk factors and health behaviors contribute to self-ratings of health? Social Science and Medicine 48:1713-1720. http://dx.doi.org/10.1016/S0277-9536 (99)00068-4.
    9. Mossey JM, Shapiro E (1982) Self-rated health: a predictor of mortality among the elderly. American Journal of Public Health 72:800-808. http://dx.doi.org/10.2105/AJPH.72.8.800.
    10. Paradis A-M, Perusse L, Godin G, Vohl M-C (2008) Validity of self-reported measure of familial history of obesity. Nutrition Journal 7:27-33. http://dx.doi.org/10.1186/1475-2891-7-27.
    11. Prochaska JO, Velicer WF, Rossi JS, Goldstein MG, Marcus BH, Rakowski W, Fiore C, Harlow LL, Redding CA, Rosenbloom D, Rossi SR (1994) Stages of change and decisional balance for 12 problem behaviors. Health Psychology 13:39-46. http://dx.doi.org/10.1037/0278-6133.13.1.39.
    12. Raosoft Incorporated. Survey Sample Size Calculator. Available at: http://www.raosoft.com/samplesize/html. Accessed August 28, 2014.
    13. Rehm CD, Matte TD, Van Wye G, Young C, Frieden TR (2008) Demographic and behavioral factors associated with daily sugar-sweetened soda consumption in New York City adults. Journal of Urban Health 85:375-385. http://dx.doi.org/10.1007/s11524-008-9269-8.
    14. Rohrer JE, Merry SP, Thacher TD, Summers MR, Alpern JD, Contino RW (2010) Self-assessed disability and self-rated health among rural villagers in Peru: a brief report. Journal of Rural Health 26:294-297. http://dx.doi.org/10.1111/j.1748-0361.2010.00293.x.
    15. Rohrer JE, Vaughn T, Knott A, Westermann J (2000) Health status and health professional visits in a rural area. Health Services Management Research 13:127-132.
    16. Rohrer JE, Young R, Sicola V, Houston M (2007) Overall self-rated health: a new quality indicator for primary care. Journal of Evaluation in Clinical Practice 13:150-153.
    17. Spencer EA, Appleby PN, Davey GK, Key TJ (2002) Validity of self-reported height and weight in 4808 EPIC-Oxford participants. Public Health Nutrition 2002, 561-565. http://dx.doi.org/10.1111/j.1365-2753.2006.00692.x.
    18. State Data Center. Available at: http://www.commonwealthfund.org/publications/fund-reports/2014/apr/2014-state-scorecard. Accessed August 28, 2014.
    19. Thommasen HV, Self B, Grigg A, Zhang W, Birmingham CL (2005) The relationship between self-rated health, stress, health care, overall quality of life and weight in a rural population. Eating and Weight Disorders 10:e66-e99. http://dx.doi.org/10.1007/BF03327553.
    20. United Health Foundation. America’s Health Rankings. Available at: http://www.americashealthrankings.org. Accessed August 28, 2014.

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  • How to Cite

    Miller, W., Griffith, B., Bikman, T., & Meyer, C. (2014). Misconceptions about health and disease prevention behaviors of rural Appalachian Americans. International Journal of Medicine, 2(2), 71-75. https://doi.org/10.14419/ijm.v2i2.3572

    Received date: 2014-09-10

    Accepted date: 2014-09-28

    Published date: 2014-10-02