Xiaoling Xiang1. 1. Northwestern University, Chicago, IL, USA xiaoling.xiang@northwestern.edu.
Abstract
OBJECTIVE: To examine the impact of a new chronic disease diagnosis on substance use (i.e., smoking and drinking), utilization of preventive medical procedures, and physical activity among middle-aged and older adults. METHOD: Individual-level data came from 1996 to 2010 waves of the U.S. Health and Retirement Study. Disease diagnosis was ascertained from self-reports of physician-diagnosed diseases. A case-control difference-in-differences approach estimated in logistic regression was applied to test study hypotheses. RESULTS: After a diagnosis of chronic disease, participants decreased substance use and increased utilization of preventive medical procedures. Physical activity declined after a diagnosis of lung disease, cancer, and stroke. DISCUSSION: Chronic disease diagnosis may be an important teachable moment that can motivate individuals to adopt multiple risk-reducing health behaviors. Future research needs to elucidate the mechanisms through which disease diagnosis affects behaviors and test the modifying effect of time since diagnosis on intervention effectiveness.
OBJECTIVE: To examine the impact of a new chronic disease diagnosis on substance use (i.e., smoking and drinking), utilization of preventive medical procedures, and physical activity among middle-aged and older adults. METHOD: Individual-level data came from 1996 to 2010 waves of the U.S. Health and Retirement Study. Disease diagnosis was ascertained from self-reports of physician-diagnosed diseases. A case-control difference-in-differences approach estimated in logistic regression was applied to test study hypotheses. RESULTS: After a diagnosis of chronic disease, participants decreased substance use and increased utilization of preventive medical procedures. Physical activity declined after a diagnosis of lung disease, cancer, and stroke. DISCUSSION: Chronic disease diagnosis may be an important teachable moment that can motivate individuals to adopt multiple risk-reducing health behaviors. Future research needs to elucidate the mechanisms through which disease diagnosis affects behaviors and test the modifying effect of time since diagnosis on intervention effectiveness.
Authors: Michelle Brust; Winifred A Gebhardt; Nadine A E van der Voorde; Mattijs E Numans; Jessica C Kiefte-de Jong Journal: Prev Med Rep Date: 2022-06-27
Authors: Stephanie J Alley; Gregory S Kolt; Mitch J Duncan; Cristina M Caperchione; Trevor N Savage; Anthony J Maeder; Richard R Rosenkranz; Rhys Tague; Anetta K Van Itallie; W Kerry Mummery; Corneel Vandelanotte Journal: Int J Behav Nutr Phys Act Date: 2018-01-12 Impact factor: 6.457