健康关注度在早餐习惯与亚健康关系中介和调节效应分析  

Mediation and moderating effect of health concern on relationship between breakfast habit and sub-health among community residents in China

作　　者：薛允莲 许军[1,2] 刘贵浩 许梦瑶[2] 冯叶芳[2] 林沅锜 蒋丽洁 XUE Yun-lian;XU Jun;LIU Gui-hao(School of Public Health,Southern Medical University,Guangzhou,Guangdong Province 510515,China;不详)

机构地区：[1]南方医科大学公共卫生学院,广东广州510515 [2]南方医科大学南方医院卫生经济管理科 [3]广东省人民医院(广东省医学科学院)

出　　处：《中国公共卫生》2020年第3期416-419,共4页Chinese Journal of Public Health

基　　金：国家自然科学基金(71673126);广州市科技计划(201803010089)。

摘　　要：目的探讨健康关注度在早餐习惯与亚健康关系的中介效应及调节效应。方法采用多阶段分层抽样方法,对我国3省14岁以上3535名城镇居民进行调查和分析。分别采用一般线性模型和结构方程模型分析健康关注度对早餐习惯与亚健康关系的调节效应和中介效应。结果健康关注度在早餐习惯与生理亚健康关系中起调节效应(F=4.412,P<0.001),在早餐习惯与生理、心理和社会亚健康关系中起部分中介效应。早餐习惯对生理、心理和社会亚健康的直接效应分别为0.295(0.256~0.336)、0.189(0.150~0.225)和0.217(0.181~0.256),间接效应分别为0.052(0.040~0.063)、0.063(0.051~0.075)和0.058(0.046~0.070)。结论早餐习惯不好和健康关注度低的人更容易出现生理、心理和社会的亚健康症状,健康关注度一定程度上影响早餐习惯对亚健康的效应。Objective To explore mediation and moderating effect of health concern on the relationship between breakfast habit and sub-health in adolescent and adult community residents.Methods We recruited 3969 permanent residents aged 14 years and above in urban communities in three provinces across China using stratified multistage random sampling and carried out an anonymous survey among the residents between March and September 2018.A questionnaire on demographics,lifestyle and health consciousness and Sub-Health Measurement Scale Version 1.0(SHMS V1)for assessment on sub-health were used.General linear model and structural equation model were adopted to analyze mediation and moderating effect of health concern on the relationship between breakfast habit and sub-health.Results Health concern played a significant moderating effect on the relationship between breakfast habit and sub-health(F=4.412,P<0.001)and a partial mediation effect on the association of breakfast habit with physical,mental and social sub-health among the residents.The size of direct effect of breakfast habit on physical,mental and social sub-health were 0.295(95%confidence interval[95%CI]:0.256-0.336),0.189(95%CI:0.150-0.225)and 0.217(95%CI:0.181-0.256)and that of indirect effect of breakfast habit on physical,mental and social sub-health through health concern were 0.052(95%CI:0.040-0.063),0.063(95%CI:0.051-0.075)and 0.058(95%CI:0.046-0.070),respectively.Conclusion Urban community residents with unhealthy breakfast habit and low health concern are more likely to have physical,mental and social sub-health symptoms and health concern influences the impact of breakfast habit on sub-health among the residents.

关 键 词：健康关注度 早餐习惯 亚健康 调节效应 

分 类 号：R395.6[哲学宗教—心理学]