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The Clustering of Lifestyle Risk Factors in the Serbian Adult Population and Association with Self-Rated Health Cover

The Clustering of Lifestyle Risk Factors in the Serbian Adult Population and Association with Self-Rated Health

Open Access
|Dec 2025

Figures & Tables

Distribution of lifestyle risk factors in the clusters_

Lifestyle risk factorsCluster 1. Healthy lifestyle (n=1202)Cluster 2. Low fruit and vegetable intake (n=1847)Cluster 3. Physical inactivity (n=1931)Cluster 4. Smoking and other LRFs (n=2147)Cluster 5. Risky drinking and other LRFs (n=758)Total (n=7885)
Smoking (%)0.00.00.0100.052.533.1
Physical inactivity (%)0.00.0100.037.730.338.2
Risky drinking (%)0.00.00.00.0100.010.5
Low fruit and vegetable intake (%)0.0100.059.668.767.463.1

Multinomial logistic regression model estimating the association between cluster membership and socio-demographic characteristics_

Lifestyle risk factorsCluster 2. Low fruit and vegetable intake; OR (95% CI)Cluster 3. Physical inactivity; OR (95% CI)Cluster 4. Smoking and other LRFs; OR (95% CI)Cluster 5. Risky drinking and other LRFs; OR (95% CI)
Gender
women1111
men1.33 (1.32–1.33)*0.78 (0.77–0.78)*1.01 (1.01–1.02)*4.99 (4.95–5.04)*
Age (years)
18–341.88 (1.86–1.90)*1.04 (1.03–1.05)*1.42 (1.40–1.43)*3.53 (3.48–3.57)*
35–541.51 (1.50–1.52)*0.99 (0.98–1.00)*2.01 (1.99–2.02)*2.37 (2.34–2.39)*
55 and over1111
Marital status
married1111
single1.01 (1.00–1.01)1.38(1.37–1.39)*1.21 (1.21–1.22)*1.22 (1.21–1.23)*
Region of Serbia
Belgrade1111
Vojvodina1.76 (1.74–1.77)*0.97 (0.97–0.98)*1.28 (1.27–1.29)*1.58 (1.56–1.60)*
Sumadija and Western Serbia3.00 (2.97–3.03)*0.99 (0.98–0.99)*1.27 (1.26–1.28)*1.22 (1.20–1.24)*
Southern and Eastern Serbia1.60 (1.58–1.61)*1.06 (1.05–1.07)*1.03 (1.02–1.05)*2.42 (2.39–2.48)*
Education level
postsecondary1111
secondary1.44 (1.43–1.45)*0.83 (0.82–0.83)*1.49(1.48–1.50)*1.45 (1.44–1.47)*
primary1.95 (1.93–1.97)*1.11(1.10–1.12)*1.79 (1.77–1.81)*1.19 (1.17–1.21)*

Descriptive statistics for socio-demographic characteristics, lifestyle risk factors and self-rated health in the Serbian adult population_

Variablesn (%)weighted %
Socio-demographic characteristics
Gender
women4138 (52.5)53.2
men3747 (47.5)46.8
Age (years)
18–341696 (21.5)24.7
35–542578 (32.7)35.4
55 and over3611 (45.8)39.9
Marital status
married4975 (63.2)61.3
single2896 (36.8)38.7
Region of Serbia
Belgrade1534 (19.5)20.6
Vojvodina2109 (26.7)31.0
Sumadija and Western Serbia2831 (35.9)30.4
Southern and Eastern Serbia1411 (17.9)18.0
Education level
postsecondary1598 (20.3)22.4
secondary4513 (57.2)57.3
primary1773 (22.5)20.4

Lifestyle risk factors1
Smoking2540 (32.2)33.1
Risky alcohol drinking758 (9.6)10.5
Physical inactivity2960 (37.5)38.2
Low fruit and vegetable intake4982 (63.2)63.1

Self-rated health
very good1928 (24.5)26.7
good3120 (39.6)40.2
fair2002 (25.4)23.7
bad696 (8.8)7.9
very bad136 (1.7)1.5
Total27885 (100.0)100.0

Association between poor SRH and lifestyle clusters_

Lifestyle clustersUnadjusted model; OR (95% CI)Model 1; OR (95% CI)Model 2 OR (95% CI)
Cluster 1 (Healthy lifestyle)111
Cluster 2 (Low fruit and vegetable intake)0.95 (0.94–0.96)*1.16 (1.14–1.17)*0.99 (0.97–1.00)
Cluster 3 (Physical inactivity)2.88 (2.84–2.91)*3.07 (3.04–3.11)*2.97 (2.93–3.01)*
Cluster 4 (Smoking and other LRFs)1.49 (1.48–1.51)*1.88 (1.85–1.90)*1.82 (1.80–1.85)*
Cluster 5 (Risky drinking and other LRFs)0.61 (0.60–0.63)*1.13 (1.11–1.16)*1.09 (1.07–1.11)*
DOI: https://doi.org/10.2478/sjph-2025-0027 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 208 - 217
Submitted on: May 23, 2025
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Accepted on: Oct 23, 2025
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Published on: Dec 1, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Nataša Dragnić, Sanja Harhaji, Vesna Mijatović Jovanović, Sonja Čanković, Snežana Ukropina, Ivana Radić, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.