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Journal of the Australian Health Promotion Association
RESEARCH ARTICLE

Changes in smoking, drinking, overweight and physical inactivity in young Australian women 1996–2013

Jennifer R. Powers A D , Deborah Loxton A , Amy E. Anderson A , Annette J. Dobson B , Gita D. Mishra B , Richard Hockey B and Wendy J. Brown C
+ Author Affiliations
- Author Affiliations

A Research Centre for Generational Health and Ageing, University of Newcastle, Callaghan, NSW 2308, Australia.

B School of Public Health, Faculty of Medicine and Biomedical Sciences, University of Queensland, Herston, Qld 4006, Australia.

C School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, Qld 4072, Australia.

D Corresponding author. Email: jenny.powers@newcastle.edu.au

Health Promotion Journal of Australia 28(3) 255-259 https://doi.org/10.1071/HE16085
Submitted: 3 August 2016  Accepted: 12 January 2017   Published: 20 February 2017

Abstract

Issue addressed: Smoking, risky drinking, overweight and obesity, and physical inactivity are health-risk factors (HRFs) that contribute significantly to morbidity worldwide. Several initiatives have been introduced over the past two decades to reduce these HRFs. This paper examines changes in the prevalence of HRFs in young women (aged 18–23 years) between 1996 and 2013, overall and within demographic groups.

Methods: Data from two cohorts of the Australian Longitudinal Study on Women’s Health, born in 1973–78 (n = 14 247) and 1989–95 (n = 17 012) were weighted to provide national estimates. Prevalence ratios were used to compare HRFs in 2013 relative to 1996.

Results: In 1996, 32% were current smokers, 38% were risky drinkers, 22% were overweight or obese and 7% were physically inactive. In 2013, corresponding estimates were 19%, 35%, 33% and 6%. Between 1996 and 2013, overall smoking prevalence decreased, but remained over 43% among least educated women. Overweight and obesity increased in all demographic groups.

Conclusions: The findings suggest that only smoking, which has been the subject of changes in taxation, legislation and regulation, declined significantly, in all except the least educated women. In contrast, the prevalence of overweight and obesity, which has largely been addressed through awareness campaigns and voluntary actions by the food industry, increased markedly in all demographic sub-groups.

So what?: The findings show that comprehensive health promotion interventions, such as those for tobacco control, are successful (but may still be ineffective among less educated women). In contrast the measures to control population weight gain among young women have been futile so far.

Key words: alcohol consumption, ALSWH, health policy, obesity, women’s health.


References

[1]  World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. Geneva: WHO; 2009.

[2]  Moodie R, Daube M, Carnell K, Connors C, Larkin S, Roberts L. et al. Technical report 1 – Obesity in Australia: a need for urgent action. Including addendum for October 2008 to June 2009. Canberra: Commonwealth of Australia; 2009. Available from: http://www.health.gov.au/internet/preventativehealth/publishing.nsf/Content/tech-obesity-toc [Verified 23 January 2017]

[3]  Office of Disease Prevention and Health Promotion. Healthy people 2020. Washington, DC: US Department of Health and Human Services; 2015.

[4]  Public Health Policy and Strategy Unit. Public health outcomes framework 2013 to 2016. London: United Kingdom Department of Health; 2012.

[5]  Australian Government Department of Health. Australia’s physical activity and sedentary behaviour guidelines Canberra: Commonwealth of Australia. 2014. Available from: http://www.health.gov.au/internet/main/publishing.nsf/Content/health-pubhlth-strateg-phys-act-guidelines. [Verified 23 June 2015]

[6]  Howard SJ, Gordon R, Jones SC (2014) Australian alcohol policy 2001-2013 and implications for public health. BMC Public Health 14, 848
Australian alcohol policy 2001-2013 and implications for public health.Crossref | GoogleScholarGoogle Scholar |

[7]  Scollo MM, Winstanley MH. Tobacco in Australia: facts and issues. Melbourne: Cancer Council Victoria. 2016. Available from: http://www.tobaccoinaustralia.org.au/ [Verified 17 January 2017].

[8]  Lee C, Dobson AJ, Brown WJ, Bryson L, Byles J, Warner-Smith P, et al (2005) Cohort profile: the Australian longitudinal study on women’s health. Int J Epidemiol 34, 987–91.
Cohort profile: the Australian longitudinal study on women’s health.Crossref | GoogleScholarGoogle Scholar |

[9]  Loxton D, Powers J, Anderson AE, Townsend N, Harris ML, Tuckerman R, et al (2015) Online and offline recruitment of young women for a longitudinal health survey: findings from the Australian Longitudinal Study on Women’s Health 1989-1995 cohort. J Med Internet Res 17, e109
Online and offline recruitment of young women for a longitudinal health survey: findings from the Australian Longitudinal Study on Women’s Health 1989-1995 cohort.Crossref | GoogleScholarGoogle Scholar |

[10]  Mishra GD, Hockey R, Powers J, Loxton D, Tooth L, Rowlands I, et al (2014) Recruitment via the Internet and social networking sites: the 1989–1995 cohort of the Australian Longitudinal Study on Women’s Health. J Med Internet Res 16, e279
Recruitment via the Internet and social networking sites: the 1989–1995 cohort of the Australian Longitudinal Study on Women’s Health.Crossref | GoogleScholarGoogle Scholar |

[11]  Brown WJ, Bryson L, Byles JE, Dobson AJ, Lee C, Mishra G, et al (1999) Women’s Health Australia: recruitment for a national longitudinal cohort study. Women Health 28, 23–40.
Women’s Health Australia: recruitment for a national longitudinal cohort study.Crossref | GoogleScholarGoogle Scholar |

[12]  Sterne JA, White IR, Carlin JB, Spratt M, Royston P, Kenward MG, et al (2009) Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls. Brit Med J 338, b2393
Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls.Crossref | GoogleScholarGoogle Scholar |

[13]  Organisation for Economic Cooperation and Development (OECD). OECD factbook 2014: economic, environmental and social statistics. OECD Publishing: Paris; 2014.

[14]  Australian Institute of Health and Welfare (AIHW). Risk factor trends: age patterns in key health risks over time. Cat. no. PHE 166. Canberra: AIHW; 2012.

[15]  Behanova M, Nagyova I, Katreniakova Z, van Ameijden EJC, van Dijk JP, Reijneveld SA (2014) Health-risk behaviours in deprived urban neighbourhoods: a comparison between Slovak and Dutch cities. Int J Public Health 59, 405–14.
Health-risk behaviours in deprived urban neighbourhoods: a comparison between Slovak and Dutch cities.Crossref | GoogleScholarGoogle Scholar |

[16]  Kypri K, Jones C, McElduff P, Barker D (2011) Effects of restricting pub closing times on night‐time assaults in an Australian city. Addiction 106, 303–10.
Effects of restricting pub closing times on night‐time assaults in an Australian city.Crossref | GoogleScholarGoogle Scholar |

[17]  Doran CM, Digiusto E (2011) Using taxes to curb drinking: A report card on the Australian government’s alcopops tax. Drug Alcohol Rev 30, 677–80.
Using taxes to curb drinking: A report card on the Australian government’s alcopops tax.Crossref | GoogleScholarGoogle Scholar |

[18]  Dunlop SM (2011) Impact of the 2010 tobacco tax increase in Australia on short-term smoking cessation: a continuous tracking survey. Med J Aust 195, 469–72.
Impact of the 2010 tobacco tax increase in Australia on short-term smoking cessation: a continuous tracking survey.Crossref | GoogleScholarGoogle Scholar |

[19]  Gomersall S, Dobson A, Brown W (2014) Weight gain, overweight, and obesity: determinants and health outcomes from the Australian Longitudinal Study on Women’s Health. Curr Obes Rep 3, 46–53.
Weight gain, overweight, and obesity: determinants and health outcomes from the Australian Longitudinal Study on Women’s Health.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC28vnt1KnsQ%3D%3D&md5=f4d62b007412638b8dc67c1bb4dd69f1CAS |

[20]  Brown WJ, Hockey R, Dobson AJ (2010) Effects of having a baby on weight gain. Am J Prev Med 38, 163–70.
Effects of having a baby on weight gain.Crossref | GoogleScholarGoogle Scholar |