Health risk factors in Australian Stroke Survivors: A latent class analysis

Brigid Clancy, Billie Bonevski, Coralie English, Robin Callister, Amanda L. Baker, Clare Collins, Michael Pollack, Parker Magin, Alyna Turner, Jack Faulkner, Ashleigh Guillaumier

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
50 Downloads (Pure)

Abstract

Issues Addressed: To (i) determine the prevalence of health risk factors (physical activity, diet, alcohol, smoking, blood pressure medication use and mental health) in community-dwelling stroke survivors; and (ii) examine how these health risk factors cluster, and identify associations with physical functioning, independent living, or sociodemographic factors. 

Methods: A secondary analysis of data obtained during a national randomised controlled trial. Participants had experienced stroke and completed a baseline telephone survey on demographic and stroke characteristics, health risk factors, physical functioning and independence in activities of daily living. A latent class analysis was performed to determine health risk profiles. Univariate logistic regressions were performed to identify if participant characteristics were associated with resulting classes. 

Results: Data analysed from 399 participants. Two classes of health risk factors were identified: Low Mood, Food & Moves Risk (16% of participants) and Alcohol Use Risk (84% of participants). The Low Mood, Food & Moves Risk group had poorer diet quality, lower physical activity levels and higher levels of depression and anxiety. Lower levels of independence and physical functioning were predictor variables for this group. In contrast, the Alcohol Use Risk group had better physical activity and diet scores, significantly lower probability of depression and anxiety, but a higher probability of risky drinking. 

Conclusions: We identified two distinct health risk factor groups in our population. 

So What?: Future interventions may benefit from targeting the specific needs and requirements of people who have experienced stroke based on their distinct risk group. Alcohol consumption in poststroke populations requires further attention.

Original languageEnglish
Pages (from-to)37-44
Number of pages8
JournalHealth Promotion Journal of Australia
Volume35
Issue number1
Early online date17 Feb 2023
DOIs
Publication statusPublished - Jan 2024

Keywords

  • alcohol drinking
  • health risk behaviours
  • latent class analysis
  • recurrent stroke
  • risk factors
  • secondary prevention
  • stroke

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