Socio-economic and Demographic Characteristics Associated With Risk Behaviour Patterns for Chronic Non-Communicable Diseases in Brazil: Data From the National Health Survey, 2013

Public Health Nutr. 2019 Aug;22(11):2083-2091. doi: 10.1017/S136898001900034X. Epub 2019 Mar 12.


Objective: To identify risk behaviour patterns for chronic non-communicable diseases (NCD) in the Brazilian population and to investigate associated socio-economic and demographic factors.

Design: Factor analysis was used to identify patterns considering the following risk behaviours: consumption of soft drinks/artificial juice, sweet foods, red meat with apparent fat, chicken skin; inadequate consumption of fruits and vegetables; alcohol abuse; smoking; absence of physical activity during leisure time; and time spent watching television. The χ 2 test was used to compare ratios. All analyses accounted for weighting factors and the study's complex sampling design effect. The socio-economic and demographic variables evaluated were gender, age, schooling level and macro region of residence.

Setting: National Health Survey, a household survey with national representation, conducted in 2013 in Brazil.ParticipantsIndividuals (n 60202) aged 18 years or over.

Results: Four risk behaviour patterns were identified: 'Physical inactivity in leisure time and Inadequate consumption of fruits and vegetables', 'Saturated fat', 'Alcohol and Smoking' and 'Sedentary behaviour and Sugar', explaining 52·01 % of the total variance. Overall, greater adherence to 'Saturated fat' and 'Alcohol and Smoking' patterns was observed among men and those with lower education level. The 'Sedentary behaviour and Sugar' and 'Physical inactivity in leisure time and Inadequate consumption of fruits and vegetables' patterns had greater adherence among younger individuals, and the first was associated with higher education whereas the second with less education among individuals residing in the North and Northeast regions.

Conclusions: Risk behaviour patterns for NCD were heterogeneous, reflecting the socio-economic and demographic differences in Brazil.

Keywords: Chronic non-communicable diseases; Lifestyle; Risk behaviours; Socio-economic factors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Brazil / epidemiology
  • Chronic Disease / epidemiology*
  • Female
  • Health Behavior
  • Health Surveys
  • Humans
  • Life Style*
  • Male
  • Middle Aged
  • Noncommunicable Diseases / epidemiology*
  • Risk Factors
  • Risk-Taking*
  • Socioeconomic Factors
  • Young Adult