Objective To examine the status quo of participation in Healthy City Construction Programs (HCCPs) among residents in Hangzhou city and to provide evidences for developing strategies for Healthy City construction.
Methods We selected 4 200 residents aged 15 to 75 years in 28 urban communities or rural villages in 2 districts and one county of Hangzhou municipality with stratified multistage random sampling and carried out a household questionnaire survey among the residents in January, 2017.
Results Of the 3 913 residents with valid information, 65.82% reported the participation in HCCPs; the top three program contents with higher reported participation rate were healthy culture (69.01%), healthy population (66.59%), and healthy environment (66.30%), respectively. The reported rate for active participation in HCCPs differed significantly by sex, living region, age, marital status, occupation, education, and income (P < 0.001 for all) among the residents and the total number of person-times (rate) of participation in various HCCPs among different groups of the residents were as following:16 273 (66.54%) and 14 631 (65.04%) for the male and female residents; 12 649 (67.44%), 9 319 (62.23%), and 8 939 (67.60%) for the urban, township residents, and rural residents; 1 751 (49.97%) , 14 962 (66.42%), 8 853 (68.67%), and 5 995 (66.65%) for the residents aged 15 – 17, 18 – 44, 45 – 59, and 60 – 75 years; 6 428 (58.80%), 23 221 (68.09%), 775 (70.97%), and 483 (58.33%) for the unmarried, married, divorced, and widowed residents; 3 503 (76.42%), 8 084 (63.23%), 2 578 (66.72%), 2 272 (63.32%), 3 679 (65.65%), 3 375 (52.28%), and 5 324 (69.87%) for the residents being public institution staff, enterprise worker, self-employed entrepreneur, commercial service person, peasant, student, and retiree; 460 (59.51%) for the illiterate; 2 568 (62.21%), 6 980 (65.36%), 9 066 (63.22%), 546 (75.83%), and 11 279 (69.06%) for the residents with the education of primary school, junior high school, senior high school, junior college or undergraduate, and graduate education; 3 453 (57.66%),17 826 (66.73%), 6 332 (67.56%), 1908 (63.10%), and 1 385 (66.71%) for the residents with family monthly income per capita of < 2 000, 2 001 – 5 000, 5 001 – 8 000, 8 001 – 11 000, and > 11 000 RMB yuan. The results of multivariate analyses indicated that marital status, educational background, occupation, living region, family monthly income per capita were significant factors influencing the residents′ participation in HCCPs. There were 10 items of HCCPs contributing significant impacts on the overall rate of participation in HCCPs among the residents and comprehensive management on natural/drinking/waste water, family garden renovation, and intervention on chronic disease prevalence were the top three with most strong impact.
Conclusion The participation in Healthy City Construction Programs has been improved among the residents in Hangzhou city but active participation of the residents needs to be promoted and targeted disseminations of the programs should be carried in various groups of the residents.
DownLoad: