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Changing multiple health risk behaviors in CHOICES
Shannon K Johnson1, Kirk von Sternberg2, Mary M Velasquez2
1The Catholic University of America, National Catholic School of Social Service, Washington, DC, United States.
Preventive Medicine Reports
|July 10, 2018
Summary
This study found that while smoking made reducing risky drinking harder, changing drinking behavior also increased the likelihood of quitting smoking. This suggests related health behaviors often change together.
Area of Science:
- Public Health
- Behavioral Science
- Addiction Research
Background:
- Previous Multiple Health Behavior Change (MHBC) interventions focused solely on directly targeted behaviors.
- Limited research exists on how untargeted behaviors influence targeted behavior change or vice versa.
Purpose of the Study:
- To examine the impact of untargeted smoking behavior on changes in targeted risky drinking behavior.
- To investigate whether changes in drinking behavior influence smoking cessation within the CHOICES intervention trial.
Main Methods:
- Secondary analysis of the CHOICES efficacy trial data.
- Inclusion of women of childbearing age at risk for alcohol-exposed pregnancies.
- Measures included Timeline Followback for alcohol consumption and smoking behavior questionnaires.
Main Results:
- Baseline smokers were less likely to reduce risky drinking compared to non-smokers (OR=0.681).
- Smokers who reduced drinking were more likely to quit smoking (OR=2.769).
- 41.1% of smokers reduced drinking vs. 50.6% of non-smokers; 19.5% of attempters quit smoking vs. 8.1% of non-attempters.
Conclusions:
- Untargeted behaviors can impede targeted behavior change, but related behaviors exhibit a natural tendency to change concurrently.
- Interventions may benefit from considering the interplay between multiple health behaviors.
- Behavior change in one area can facilitate change in related, unaddressed behaviors.
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