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福建省35~75岁居民4种健康生活方式遵循情况及其影响因素分析

Adherence to four healthy lifestyles and their influencing factors among residents aged 35 to 75 years in Fujian province: a longitudinal study

  • 摘要:
    目的 了解福建省居民4种健康生活方式遵循情况及其影响因素,为慢性病防控与健康管理策略提供参考依据。
    方法  对参与福建省2016 — 2022年心血管病高危人群早期筛查与综合干预项目的31 610名35~75岁居民不吸烟、不饮酒或适量饮酒、业余时间充足的身体活动和健康饮食等4种健康生活方式的遵循情况进行描述性分析,并探究其与性别、年龄、教育水平等人口社会经济学特征的相关性。
    结果  经年龄和性别标化后,福建省31 610名居民4种健康生活方式单项遵循率由高至低依次是不饮酒或适量饮酒(95.7%)、不吸烟(76.2%)、业余时间充足的身体活动(26.1%)和健康饮食(11.4%),仅3.4%的居民同时遵循4种健康生活方式。多因素logistic回归分析显示,女性、 ≥ 65岁老年人、非农民、受教育程度较高的居民更倾向于遵循全部4种健康生活方式。
    结论  福建省居民4种健康生活方式的遵循情况未达到理想状态,健康生活方式与性别、年龄、受教育程度有关;亟待有针对性地制定健康促进策略并开展综合干预措施。

     

    Abstract:
    Objective To understand the adherence to four healthy lifestyle habits among residents of Fujian province and their influencing factors, and to provide a reference for chronic disease prevention and control and health management strategies for the population.
    Methods A descriptive analysis of adherence to four healthy lifestyle habits, including non-smoking, non-drinking or moderate drinking, adequate physical activity during leisure time, and a healthy diet, was conducted among 31 610 residents aged 35 – 75 years who participated in the Fujian Provincial Early Screening and Comprehensive Intervention Program for High-Risk Cardiovascular Disease from 2016 to 2022. The correlation between these lifestyle habits and socio-demographic characteristics such as sex, age, and education level was also explored.
    Results After age and sex standardization, the adherence rates to the four individual healthy lifestyle habits among the 31 610 residents in Fujian province, from the highest to the lowest, were non-drinking or moderate drinking (95.7%), non-smoking (76.2%), adequate physical activity during leisure time (26.1%), and a healthy diet (11.4%). Only 3.4% of the residents adhered to all four healthy lifestyle habits simultaneously. Multifactorial logistic regression analysis showed that women, older adults aged ≥ 65 years, non-farmers, and residents with higher education levels were more likely to adhere to all four healthy lifestyle habits.
    Conclusions The adherence to the four healthy lifestyle habits among residents of Fujian province has not reached an ideal state. Healthy lifestyle habits are associated with sex, age, and education level. There is an urgent need to formulate targeted health promotion strategies and implement comprehensive intervention measures.

     

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