The lack of social gradient of health behaviors and psychosocial factors in Northern Italy

Soz Praventivmed. 2005;50(4):197-205. doi: 10.1007/s00038-005-4025-2.

Abstract

Objectives: To examine inequalities in health behaviors and psychosocial factors in Northern Italy.

Methods: The study was based on a computer-assisted telephone interview (CATI) of 4 002 non-institutionalized adults living in the Veneto region of Italy.

Results: Cigarette smoking, binge drinking, fruit and vegetables consumption and stress failed to show a social gradient. Only physical activity was significantly associated with social class. Stress was a significant predictor of physical inactivity, smoking and low fruit and vegetable intake. Lack of emotional support was associated with smoking and physical inactivity among males, and low fruit and vegetable intake for both genders.

Conclusions: Three proposed explanations may account for the lack of consistent social gradient of health behaviors in Northern Italy: a) socio-economic context; b) uncompleted epidemiological transition of behavioral risk factors across social classes; c) lack of systematic health promotion efforts. Future research is needed to examine the plausibility of such explanations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Alcoholic Intoxication / epidemiology
  • Alcoholic Intoxication / psychology
  • Cross-Sectional Studies
  • Exercise / psychology
  • Feeding Behavior / psychology
  • Female
  • Fruit
  • Health Behavior*
  • Health Knowledge, Attitudes, Practice
  • Health Promotion
  • Humans
  • Italy
  • Male
  • Middle Aged
  • Population Surveillance
  • Risk Factors
  • Smoking / adverse effects
  • Smoking / epidemiology
  • Smoking / psychology
  • Social Class*
  • Social Support
  • Socioeconomic Factors*
  • Statistics as Topic
  • Stress, Psychological / complications
  • Vegetables