江苏省中老年居民骨质疏松相关健康行为社区干预效果  

Analysis on the effects of osteoporosis intervention on health behaviors among middle-aged and elderly residents in Jiangsu province

作　　者：潘晓群[1] 张永青[1] 罗鹏飞[1] 苏健[1] 万亚男 林萍[1] 

机构地区：[1]江苏省疾病预防控制中心,南京210009

出　　处：《江苏预防医学》2017年第5期505-508,共4页Jiangsu Journal of Preventive Medicine

摘　　要：目的评估江苏中老年居民骨质疏松相关健康行为社区干预效果。方法采用多阶段分层随机抽样方法,抽取南京鼓楼区、徐州贾汪区和南通崇川区3个城区9个街道,采用方便抽样方法,抽取619名骨质疏松高危人群进行健康综合干预。分别于干预前、干预后半年、干预后1年,采用自行设计问卷进行评估。结果与干预前相比,除每天有氧运动6千步当量以上行为外,中老年居民干预半年后和干预1年后饮用奶类及制品、食用豆类及制品、服用钙和/或维生素D等骨质疏松健康相关行为形成率显著上升,差异均有统计学意义(P值均<0.05);与干预半年后相比,干预1年后食用豆类及制品、未喝咖啡行为形成率明显增加,差异均有统计学意义(P值均<0.05),其他骨质疏松健康相关行为形成率变化不明显;干预后半年、1年后中老年居民骨质疏松健康相关行为得分均高于干预前,差异均有统计学意义(P值均<0.05)。非条件多因素logistic回归分析显示,仅地区是干预后行为改变的重要影响因素,差异有统计学意义(P<0.05)。结论在社区中老年居民开展骨质疏松健康干预能提高相关健康行为形成率,应运用合适的健康干预策略,加强地区健康干预技能培训,进一步促进健康行为的形成和保持。Objective To evaluate the effects of intervention on osteoporosis-related health behavior changes among middle- aged and elderly community residents. Methods Using multistage stratified random sampling method, 9 urban streets of Gu- lou district in Nanjing, Jiawang district in Xuzhou and Chongchuan district in Nantong were sampled. A total of 619 high-risk participants for osteoporosis were selected by convenient sampling method for health comprehensive intervention. Assessment surveys using a self-designed questionnaire were conducted before intervention, 6months after intervention and 1 year after intervention , respectively. Results Compared with the pre-intervention, except aerobic exercise more than 6 thousand steps equivalent a day, the formation rates of osteoporosis-related health behaviors , such as drinking milk and related products, eating beans and related products, taking calcium and/or vitamin D were significantly higher （all P〈0.05） after 6 months or 1 year intervention. Moreover, compared with 6 months~ intervention, the formation rates of eating beans and related prod- ucts, non-drinking coffee were significantly higher （P〈0.05） after 1 year＇s intervention. The formation rates of other osteo- porosis-related behaviors did not show statistical differences （P〈0.05）. The scores of osteoporosis-related behaviors in mid- dle-aged and elderly residents after 6 months or 1 year intervention were significantly higher than those before intervention （all P〈0.05）. A non-conditional multivariate logistic regression analysis showed that area was the only important factor influen- cing the behavior changes after intervention, with statistical significant difference（P〈0.05）. Conclusion The intervention of osteoporosis in the community can improve the formation rates of related health behaviors. Appropriate health intervention strategies should be employed to strengthen the training of regional health intervention skills and further promote the formation and maintenance of health

关 键 词：骨质疏松 中老年居民 健康教育 健康行为 干预效果 

分 类 号：R193[医药卫生—卫生事业管理]