Adherence
Longitudinal assessment of modifiable health behaviors (smoking, alcohol, diet, physical activity) explains a substantially larger proportion of the mortality risk associated with low socioeconomic position than single baseline assessments.
If you are assessing long-term health risk, do not rely on a single snapshot of your lifestyle. Behaviors like diet, activity, and smoking change over time, and these changes significantly impact mortality risk, especially for those with lower socioeconomic resources. To accurately gauge risk, one must track how these behaviors evolve, as static assessments miss critical shifts that drive health outcomes.
Overall, health behaviors assessed at baseline explained 42%... of the association between socioeconomic position and all-cause mortality; this increased to 72%... when they were entered as time-dependent covariates
Why this rating
Large longitudinal cohort (N=9590), long follow-up (24 years), rigorous statistical adjustment, and use of bootstrap confidence intervals for mediation analysis.
Source
Association of Socioeconomic Position With Health Behaviors and Mortality
Silvia Stringhini · JAMA · 2010
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