苏州市社区建成环境与居民体力活动的关联分析  

Association between perception of community environment and physical activity in residents in Suzhou

作　　者：华钰洁 陆艳[1] 王临池[1] 俞浩[2] 段银娟 吕筠[3] 李立明[3] Hua Yujie;Lu Yan;Wang Linchi;Yu Hao;Duan Yinjuan;Lyu Jun;Li Liming(Department of Non-communicable Disease Control and Prevention,Suzhou City Center for Disease Control and Prevention,Suzhou 215004,China;Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210009,China;School of Public Health,Peking University,Beijing 100191,China)

机构地区：[1]苏州市疾病预防控制中心慢病科,215004 [2]江苏省疾病预防控制中心,南京210009 [3]北京大学公共卫生学院流行病与卫生统计学系,100191

出　　处：《中华流行病学杂志》2021年第11期1969-1975,共7页Chinese Journal of Epidemiology

基　　金：公益性行业科研专项(201502006);国家自然科学基金(81072373);苏州市科教兴卫项目(Szxk201816,KJXW2018051)。

摘　　要：目的了解苏州市居民体力活动水平,探索社区建成环境与居民体力活动的关联。方法2017年采用多阶段整群随机抽样方法抽取苏州市25~64岁常住人群进行面对面调查,采用国际体力活动量表长卷(IPAQ-L)评估居民体力活动水平,采用居民环境步行量表简表(NEWS-A)评价社区建成环境主观感知。结果苏州市居民过去1周总体力活动水平M=3610.42 MET-min/w,以工作相关体力活动水平为主,交通、家务及休闲相关体力活动水平较低。控制社会人口学因素后,公共服务可及性与社区居民的总体力活动水平呈负相关(OR=0.522,95%CI:0.329~0.830),场所设施多样性与工作相关体力活动水平呈负相关(OR=0.701,95%CI:0.492~0.999),步行和自行车道设施与工作相关体力活动水平呈正相关(OR=1.603,95%CI:1.004~2.559);交通安全与交通相关体力活动水平呈负相关(OR=0.642,95%CI:0.416~0.990);住宅密度与休闲相关体力活动水平呈正相关(OR=1.001,95%CI:1.000~1.002);此外,社区美观与舒适的主观感知程度越高,工作、交通、家务及总体力活动水平越高(OR=1.889,95%CI:1.176~3.033;OR=1.671,95%CI:1.120~2.495;OR=1.775,95%CI:1.143~2.756;OR=1.593,95%CI:1.079~2.350)。结论完善步行道和自行车道设施、提高社区的美观和舒适程度对于增加居民体力活动有重要作用。Objective To estimate physical activity level in residents in Suzhou and explore the association between community environment and physical activity level in local residents.Methods Through multistage stratified random sampling,residents aged 25-64 years in Suzhou were surveyed by face-to face interview in 2017.Physical activity levels were assessed by the international physical activity questionnaire-long version(IPAQ-L).Perceptions of community environment were assessed by Neighborhood Environment Walkability Scale-Abbreviated(NEWS-A).Results Among the local residents surveyed in Suzhou,the median of weekly total physical activity level was 3610.42 MET-min/w.The level of occupational physical activity was higher than that of transportation,household and leisure-time related physical activity levels.After controlling for socio-demographic factors,public service access was negatively associated with the overall physical activity level(OR=0.522,95%CI:0.329-0.830),land-use mix-diversity was negatively associated with the level of occupational physical activity level(OR=0.701,95%CI:0.492-0.999),infrastructure of walk and cycle ways was positively associated with occupational physical activity level(OR=1.603,95%CI:1.004-2.559);traffic hazards were negatively associated with the transportation physical activity level(OR=0.642,95%CI:0.416-0.990);residential building density was positively associated with leisure-time physical activity level(OR=1.001,95%CI:1.000-1.002),and the perceptions level of community environment were positively associated with the occupational,transportation,household and overall physical activity levels(OR=1.889,95%CI:1.176-3.033;OR=1.671,95%CI:1.120-2.495;OR=1.775,95%CI:1.143-2.756;OR=1.593,95%CI:1.079-2.350).Conclusion Improving infrastructure of walk and cycle ways and beautifying community environment play an important role in increasing the physical activity level of the residents.

关 键 词：体力活动 建成环境 关联 

分 类 号：R195[医药卫生—卫生统计学]