云南楚雄30 ~ 79岁彝族居民健康生活方式现状及其影响因素分析

曾素素; 孟琼; 张雪辉; 王松梅; 米飞; 汪艳蛟; 冯月梅; 殷建忠

doi:10.11847/zgggws1135713

云南楚雄30 ~ 79岁彝族居民健康生活方式现状及其影响因素分析

doi: 10.11847/zgggws1135713

曾素素¹,
孟琼¹,
张雪辉¹,
王松梅¹,
米飞¹,
汪艳蛟¹,
冯月梅^1, ,,
殷建忠^{1, 2}

1.
昆明医科大学公共卫生学院, 云南昆明 650500
2.
保山中医药高等专科学校

基金项目: 国家重点研发计划课题（2017YFC0907302）；国家自然科学基金（81860597）

详细信息

作者简介:
曾素素（1996 – ），女，广东人，硕士在读，研究方向：公共卫生与预防医学

通讯作者:
冯月梅，E-mail：fengyuemei2013@163.com；殷建忠，E-mail：yinjianzhong2005@sina.com

中图分类号: R 195
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- 被引次数: 0
出版历程
- 接收日期: 2021-06-02
- 网络出版日期: 2022-03-23
- 刊出日期: 2022-07-01

Prevalence and risk factors of healthy lifestyle among 30 – 79 years old Yi ethnic residents in Chuxiong Yi Autonomous Prefecture, Yunnan province: a cross-sectional survey in 2019

1.
School of Public Health, Kunming Medical University, Kunming, Yunnan Province 650500, China

摘要

摘要: 目的了解云南楚雄30～79岁彝族居民的健康生活方式现状及其影响因素，为少数民族居民的慢性病防控提供参考依据。方法于2018年12月 — 2019年3月采用多阶段分层随机整群抽样方法在云南省楚雄彝族自治州抽取6493名30～79岁彝族居民进行问卷调查和体格检查。结果云南楚雄最终调查的6122名30～79岁彝族居民的健康生活方式得分为（3.69 ± 1.26）分，有健康生活方式者3418人，具有健康生活方式者比例为55.8 %，其中同时具有全部7项健康生活方式者仅8人（0.1 %）；多因素非条件logistic回归分析结果显示，女性居民具有健康生活方式的比例为男性居民的2.889倍（OR = 2.889，95 % CI = 2.570～3.247），在婚居民具有健康生活方式的比例为非在婚居民的1.356倍（OR = 1.356，95 % CI = 1.151～1.599）；年龄45～59岁和 ≥ 60岁居民具有健康生活方式的比例分别为 < 45岁居民的0.752倍（OR = 0.752，95 % CI = 0.654～ 0.865）和0.712倍（OR = 0.712，95 % CI = 0.599～0.846）。结论云南楚雄30～79岁彝族居民具有全部7种健康生活方式的比例极低，性别、年龄和婚姻状况是该地彝族居民健康生活方式的主要影响因素。
- 健康生活方式 /
- 影响因素 /
- 彝族居民
Abstract: Objective To examine the prevalence and risk factors of healthy lifestyle among Yi ethnic residents aged 30 to 79 years in Chuxiong Yi Autonomous Prefecture (Chuxiong) of Yunnan province for providing evidences to chronic disease prevention and control in ethnic minorities. Methods The participants of the survey were 6 493 Yi ethnic residents (aged 30 – 79 years) recruited using stratified multistage random cluster sampling in two counties of Chuxiong. Face-to-face interviews with a self-designed questionnaire and physical examination were carried out among the participants from December 2018 through March 2019. The seven characteristics of healthy lifestyle for this study included not smoking currently, never or almost not consuming alcohol, with healthy diet behavior, having relatively high physical exercise, having sufficient sleep, with normal weight, and without central obesity and one score was assigned for each of the characteristics in healthy lifestyle scale. Results Of the 6 122 participants completing the survey, 55.8% (3 418) were assessed as with healthy lifestyle based on their healthy lifestyle scores of 4 and above; the mean of healthy lifestyle score was 3.69 ± 1.26 for all the participants and only 0.1% (8) of the participants had the maximum score of 7 for the healthy lifestyle scale. Unconditional multivariate logistic regression analysis revealed that the females (odds ratio [OR] = 2.889, 95% confidence interval [95% CI]: 2.570 – 3.247) and those being married (OR = 1.356, 95% CI: 1.151 – 1.599) are more likely to have a healthy lifestyle compared to the males and those unmarried; while, in comparison to those aged less than 45 years, the participants aged 45 – 59 years (OR = 0.752, 95% CI: 0.654 – 0.865) and ≥ 60 (OR = 0.712, 95% CI: 0.599 – 0.846) are less likely to have a healthy lifestyle. Conclusion The prevalence of healthy lifestyle is at a low level and affected mainly by gender, age and marital status among 30 – 79 Yi ethnic residents in Chuxiong prefecture.
- healthy lifestyle /
- influencing factor /
- Yi ethnic residents

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表 1 云南楚雄不同特征30～79岁彝族居民健康生活方式具有情况比较

特征		调查人数	有健康生活方式人数	比例（%）	χ²值	P 值
性别	男性	2025	780	38.5	366.742	< 0.001
	女性	4097	2638	64.4
年龄（岁）	< 45	1384	857	61.9	35.267	< 0.001
	45～59	3231	1792	55.5
	≥60	1507	769	51.0
文化程度	文盲/半文盲	1516	871	57.5	14.153	0.001
	小学	2566	1477	57.6
	初中及以上	2040	1070	52.5
婚姻状况	非在婚	739	364	49.3	14.435	< 0.001
	在婚	5383	3054	56.7
地区	永仁县	4007	2248	56.1	0.313	0.576
	武定县	2115	1170	55.3

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