成都市农转非和城市居民静坐时间及其对健康的影响分析  

Analysis of Sedentary Behavior and Its Impact on Health among Residents in Urbanized and Urban Areas in Chengdu

作　　者：何蕾 高博[1] 吴念韦 任晓晖[1] 杨淑娟[1] HE Lei;GAO Bo;WU Nianwei;REN Xiaohui;YANG Shujuan(West China School of Public Health(NO.4 West China Teaching Hospital),Sichuan University,Chengdu,610041,China)

机构地区：[1]四川大学华西公共卫生学院/四川大学华西第四医院,四川成都610041

出　　处：《中国社会医学杂志》2023年第1期36-40,共5页Chinese Journal of Social Medicine

基　　金：国家自然科学基金青年科学基金项目(71603176)。

摘　　要：目的 分析农转非与城市居民静坐时间差异,并进一步探讨静坐时间对两类居民健康的影响,为改善其健康水平提供参考。方法 采用多阶段分层随机抽样的方法,抽取居民进行问卷调查。健康评价采用两周患病、慢性病患病作为客观评价指标,同时采用SF-12生命质量评价量表作为主观评价指标。应用多因素Logistic回归分析不同阈值日均静坐时间对农转非和城市居民健康的影响。结果 农转非居民日均静坐行为时间为(4.32±2.45) h/d,低于城市居民[(4.49±2.28) h/d](P<0.05),两类居民的两周患病及慢性病患病的差异均无统计学意义(P>0.05),但农转非居民自评生理健康和心理健康均高于城市居民(P<0.05)。Logistic回归结果显示,静坐时间处于“3~<4 h/d”(OR=1.390,95%CI:1.034~1.869)、“4~<6 h/d”(OR=1.461,95%CI:1.057~2.020)和“≥6 h/d”(OR=1.524,95%CI:1.012~2.294)区间是农转非居民两周患病危险因素;静坐时间处于“3~<6 h/d”(OR=1.417,95%CI:1.027~1.956)和“≥6 h/d”(OR=1.586,95%CI:1.052~2.393)是农转非居民慢病患病的危险因素;静坐时间为“≥6 h/d”(OR=1.504,95%CI:1.001~2.259)对城市居民生理健康有影响,尚未发现静坐时间对两类居民心理健康评分的影响。结论 静坐时间长短对居民健康有影响,其中静坐时间更容易对农转非居民健康产生影响,应重视对农转非居民静坐行为的干预。Objective To analyzes the differences in sedentary time between urbanized residents and urban residents, and to explore the effects of sedentary time on the health of these two types of residents for improving their health levels.Methods A multi-stage stratified random sampling method was used to extract residents for the questionnaire survey.The health evaluation was conducted by using two-week prevalence and chronic disease as objective evaluation indexes, and SF-12 quality of life evaluation scale was used as subjective evaluation indexes.Multi-factor logistic regression was applied to analyze the effect of different thresholds of average daily sedentary time on health of urbanized and urban residents.Results The average sedentary time of urbanized residents was 4.32±2.45 h/d, which was lower than that of urban residents(4.49±2.28 h/d)(P<0.05).There was no statistically significant difference between the two types of residents in terms of the prevalence of two-week prevalence and chronic disease(P>0.05).But the self-rated physical and mental health of urbanized residents was higher than that of urban residents(P<0.05).Logistic regression analysis showed that the sedentary time in range of “3-<4 h/d”(OR=1.390,95%CI:1.034-1.869),“4~<6 h/d”(OR=1.461,95%CI:1.057-2.020)and“≥6 h/d”(OR=1.524,95%CI:1.012-2.294)were risk factor against two-week illness among urbanized residents.And sedentary time in range of "3-<4 h/d"(OR=1.417,95%CI:1.027-1.956)and "≥6 h/d"(OR=1.586,95%CI:1.052-2.393)were found to be a risk factor for chronic disease among urbanized residents.Sedentary time at "≥6 h/d"(OR=1.504,95%CI:1.001-2.259)had an effect on the physical health of urban residents, and no effect of sedentary time on mental health was found for either type.Conclusion Sedentary time has an impact on residents’ health, with sedentary time being more likely to have an impact on the health of urbanized residents, which hints that attention should be paid to intervening in the sedentary behavior of the urbanized res

关 键 词：生命质量 静坐时间 城市居民 农转非居民 健康 

分 类 号：R193[医药卫生—卫生事业管理]