Preventative Habits: How Many Americans Follow The Five Basic Health Behaviors That Prevent Chronic Disease?

Preventative Habits: How Many Americans Follow The Five Basic Health Behaviors That Prevent Chronic Disease?

| Friday, Sep 23, 2016
tags: Features

Around 117 million people had at least one chronic health condition in 2012, while 1 in 4 adults had two or more. That’s about half of all adults in the United States. 

Chronic diseases, such as stroke, cancer, type 2 diabetes, and cardiovascular disease, are among the most common and costly health problems in the United States, according to the CDC.

Moreover, in 2010, more than 83 percent of healthcare spending in the U.S. was for people with at least one chronic health condition, with heart disease and stroke costing $315.4 billion alone.

Fortunately, there are a number of health-related behaviors that can lower the risk of such diseases. Dr. Yong Lu, of the Division of Population Health at the CDC, and colleagues set out to investigate the proportion of Americans that adhere to them. In 2013, Dr. Lu's team collected health-related information from residents across all U.S. states a system of telephone surveys known as the Behavioral Risk Factor Surveillance System (BRFSS). The data was then analyzed by the team. 

Respondents almost 400,000 adults aged 21 and older, and the team looked at what proportion of these individuals adopted the five health behaviors known to reduce the risk of death from chronic disease. This is the finding of a new study from the Centers for Disease Control and Prevention (CDC), recently published in the journal Preventing Chronic Disease: Public Health Research, Practice, and Policy.

They found that only 6.3 percent of adults engaged in all five health behaviors. On the brighter side, results revealed that only 1.4 percent of the adults failed to engage in any of the five health behaviors.

These 5 health behaviors can reduce the risk of chronic diseases. How many of them do you yourself follow regularly?

  • Not smoking

  • Exercising regularly

  • Avoiding alcohol consumption or only drinking in moderation

  • Maintaining a healthy body weight

  • Getting a sufficient amount of sleep

A total of 8.4 percent of the adults engaged in one of the health behaviors, 24.3 percent engaged in two, 35.4 percent engaged in three, and 24.3 percent engaged in four.

However, only 6.3 percent of the adults engaged in all five behaviors, with women, older adults, college graduates, and Asians most likely to report doing so.

Compared with adults living in southern U.S. states, adults who lived in the Pacific and Rocky Mountain states were more likely to adhere to all five health behaviors.

The authors add:

"Supporting proven programs and policies to promote all five behaviors in communities, healthcare settings, work sites, and schools can produce population-wide changes, especially among the high-risk groups."

Dr. Lu and colleagues believe there needs to be increased focus on strategies that encourage more Americans to engage in all five health behaviors, based on their results, which may reduce their risk of cancer and other chronic diseases.


Aptly named, Enclothed Cognition is the official Medelita blog for medical professionals interested in topics relevant to a discerning and inquisitive audience. Medelita was founded by a licensed clinician who felt strongly about the connection between focus, poise and appearance.