南京市人居环境中公共交通站点设置与城市居民体力活动水平关系  

Relationship between awareness of public transport stop settings and physical activity among urban adults in Nanjing city

作　　者：马雨杨 何静 秦真真[2] 叶青[2] 王志勇[2] 徐斐[1,2] MA Yu-yang;HE Jing;QIN Zhen-zhen(Department of Epidemiology and Health Statistics,School of Public Health,Nanjing Medical University,Nanjing,Jiangsu Province 210003,China)

机构地区：[1]南京医科大学公共卫生学院流行病与卫生统计学系,江苏南京210003 [2]南京市疾病预防控制中心慢病防制科

出　　处：《中国公共卫生》2019年第6期762-764,共3页Chinese Journal of Public Health

基　　金：南京市医学科技发展基金(QRX11038)

摘　　要：目的了解江苏省南京市人居环境中公共交通站点的设置与城市居民体力活动水平的关系,为居民体力活动促进提供科学依据。方法于2017年3—7月采用多阶段分层随机整群抽样方法在南京市城区8个社区中抽取1551名35~74岁城市居民进行问卷调查,并应用混合效应模型分析南京市人居环境中公共交通站点的设置与城市居民体力活动水平的关系。结果南京市1551名城市居民中,体力活动充足者1313人(84.7%),不充足者238人(15.3%);居民感知到居住地附近有公共交通站点者1486人(95.8%),未感知到居住地附近有公共交通站点者65人(4.2%)。混合效应模型分析结果显示,在调整了性别、年龄、文化程度、职业类别、体质指数、社区水平聚集效应等协变量后,感知到居住地附近有公共交通站点居民达到充足体力活动水平的可能性为未感知到居住地附近有公共交通站点居民的3.58倍(OR=3.58,95%CI=1.88~6.83)。按性别与年龄分层分析,在调整了性别、年龄、文化程度、职业类别、体质指数、社区水平聚集效应等协变量后,男性、女性、35~49和65~74岁感知到居住地附近有公共交通站点居民达到充足体力活动水平的可能性为未感知到居住地附近有公共交通站点居民的2.73、3.47、5.55和5.59倍。结论南京市城市居民感知到公共交通站点与体力活动呈正相关关系,在中国开展体力活动友好型人居环境的建设对社区层面体力活动的促进具有重要的公共卫生意义。Objective To examine the association of awareness on public transport stop settings with physical activity (PA) among adults in urban Nanjing city, Jiangsu province and to provide evidences for PA promotion.Methods We recruited 1 551 urban residents aged 35-74 years using stratified multistage random cluster sampling in 8 communities in urban Nanjing and conducted a questionnaire survey between March and July, 2017. Mixed effect model was adopted to assess the association between awareness on public transport stop settings and PA.Results Of all the participants, 1 313 (84.7%) and 238 (15.3%) reported sufficient and insufficient PA;1 486 (95.8%) and 65 (4.2%) reported the awareness and the unawareness on public transport stop settings near their neighborhoods. The result of mixed-effect model analysis indicated that the participants being aware of public transport stop settings near their neighborhoods were 3.58 (95% confidence interval: 1.88-6.83) times more likely to report sufficient PA compared to those being not aware of public transport stop settings near their neighborhoods after adjusting potential confounders including gender, age, educational level, occupation, body mass index, and clustering effects at neighborhood;further stratified analysis revealed that the male, female, 35-49 years old, and 65-74 years old participants being aware of public transport stop settings near their neighborhoods were 2.73, 3.47, 5.55, and 5.59 times more likely to report sufficient PA than their counterparts being not aware of public transport stop settings near their neighborhoods after adjusting potential confounders.Conclusion The awareness on public transport stop settings is positively associated with self-reported physical activity among urban adult residents in Nanjing. The result is of a great public health implication for community-level promotion of PA-friendly environment development in China.

关 键 词：公共交通站点设置 人居环境 体力活动水平 城市居民 关系 

分 类 号：R181.37[医药卫生—流行病学]