摘要
目的分析客家老年人锻炼、休闲、健康饮食、不吸烟、不饮酒和规律睡眠6种促进健康行为聚集情况及其相关因素,为提高促进健康行为发生率,改善客家老年人健康水平提供依据。方法2018年1—3月采用方便抽样法在福建省宁化县对拥有本地户籍且≥60岁常住居民开展问卷调查,采用χ^(2)检验和多因素logistic回归分析客家老年人促进健康行为聚集情况及其相关因素。结果本研究共纳入1262名客家老年人,其中有0~2种促进健康行为404人(32.01%),有3~4种促进健康行为357人(28.29%),有5~6种促进健康行为501人(39.70%)。女性(OR=2.89,95%CI=1.83~4.57)、年龄75~<80岁(OR=2.78,95%CI=1.31~5.90)、现居地为城关(OR=4.84,95%CI=2.13~11.02)、学历水平为私塾/扫盲班(OR=4.28,95%CI=2.05~8.94)或小学(OR=8.74,95%CI=3.29~23.25)、家庭人均年收入为3.0~<6.0万元(3.0~<4.5万元:OR=4.40,95%CI=2.08~9.31;4.5~<6.0万元:OR=3.30,95%CI=1.25~8.77)、有职工医保者(OR=5.39,95%CI=1.80~16.08)更可能发生5~6种促进健康行为(P<0.05)。结论客家老年人促进健康行为有待改善,应针对不同性别、年龄、现居地、学历水平、婚姻状况、家庭人均年收入、居住方式安排、自评健康状况、医保和慢性病种类数等因素,开展慢性病防控行为和生活方式综合性干预。
Objective To investigate the co-prevalence of six health-promoting behaviors including regular physical exercise,leisure activities,healthy eating habits,no smoking,no alcohol drinking and regular sleep and its related factors among the Hakka elderly people,so as to provide evidence for increasing the prevalence of health-promoting behaviors and improving the health level in the Hakka elderly people.Methods Using convenience sampling method,local permanent residents aged 60 years and above in Ninghua County,Fujian Province were selected from January to March,2018 for a questionnaire survey.Chi-square test and multivariable logistic regression analysis were used to analyze related factors of the co-prevalence of the 6 health-promoting behaviors.Results A total of 1262 Hakka elderly people were included in this study,among whom 404(32.01%)had 0-2 health-promoting behaviors,357(28.29%)had 3-4 health-promoting behaviors,and 501(39.70%)had 5-6 health-promoting behaviors.Multivariable logistic regression analysis demonstrated that the female respondents(OR=2.89,95%CI=1.83-4.57),those aged 75-<80 years(OR=2.78,95%CI=1.31-5.90),those living in County(OR=4.84,95%CI=2.13-11.02),being educated by homeschooling or in literacy classes(OR=4.28,95%CI=2.05-8.94)or with primary school education(OR=8.74,95%CI=3.29-23.25),those with annual household income per capita of 30000-<60000 yuan RMB(30000-<45000:OR=4.40,95%CI=2.08-9.31;45000-<60000:OR=3.30,95%CI=1.25-8.77)and those covered by Urban Employee Basic Medical Insurance scheme(OR=5.39,95%CI=1.80-16.08)were more likely to have the co-occurrence of 5-6 health-promoting behaviors(P<0.05).Conclusions The health-promoting behaviors of Hakka elderly people need to be improved.Comprehensive intervention on non-communicable disease prevention and control and health-related lifestyle should be carried out with full consideration of gender,age,current residence,educational level,marital status,annual household income,living arrangement,self-rated health status,medical insurance and the number of non-communicable diseases of the target population.
作者
常华靖
刘晓君
CHANG Huajing;LIU Xiaojun(School of Public Health,Fujian Medical University,Fuzhou,Fujian 350122,China)
出处
《中国预防医学杂志》
CAS
CSCD
北大核心
2023年第10期1080-1086,共7页
Chinese Preventive Medicine
基金
教育部人文社会科学研究项目(22YJCZH112)
关键词
促进健康行为
客家
老年人
聚集性
慢性病
Health-promoting behaviors
The Hakka
The elderly
Co-prevalence
Non-communicable disease
作者简介
常华靖,博士研究生在读,主要从事疾病预防与控制方面研究;通信作者:刘晓君,E-mail:xiaojun_liu@fjmu.edu.cn
