体医融合视角下城市居民运动影响因素分析  

Analysis of influencing factors of urban residents’exercise from the perspective of physical and medical integration

作　　者：石学丹 许传明[2] 苟悦 王梓彤 重竺君 彭小凡 杨钦 雷雅麟 赵莉 申文武[1] SHI Xuedan;XU Chuanming;GOU Yue;WANG Zitong;ZHONG Zhujun;PENG Xiaofan;YANG Qin;LEI Yalin;ZHAO Li;SHEN Wenwu(West China Hospital of Sichuan University,Chengdu 610041,Sichuan Province,China;Chengdu Sport University,Chengdu 610041,Sichuan Province,China;West China School of Public Health,Sichuan University/West China of Fourth Hospital,Chengdu 610041,Sichuan Province,China;Chengdu Health Commission,Chengdu 610042,Sichuan Province,China)

机构地区：[1]四川大学华西医院,成都610041 [2]成都体育学院,成都610041 [3]四川大学华西公共卫生学院(华西第四医院),成都610041 [4]成都市卫生健康委员会,成都610042

出　　处：《预防医学情报杂志》2023年第7期797-802,共6页Journal of Preventive Medicine Information

基　　金：四川省社会科学处“十四五”规划2021年度项目(项目编号:SC21B067);2023年四川省干部保健科研项目(项目编号:川干研2023-127)。

摘　　要：目的 探究体医融合工作对于城市居民运动频率的影响,并提出对应建议。方法 2022年4月采用方便抽样的方法,对成都市成华区居民开展运动频率、体医融合感知情况的问卷调查,使用SPSS 26.0软件分析居民运动现状以及影响因素,率的比较采用卡方检验,采用Logistic回归分析影响因素,检验水准α=0.05。结果 356名被调查居民中,女性居多(225例,63.2%);60岁及以上有45例(12.7%);30.9%的被调查者患有慢性病。年龄是否小于60岁、是否有经济来源、参加体质测试情况、社区医生是否叮嘱锻炼、锻炼时是否有体育指导员指导、社区宣传体医融合内容等方面,运动频率分布差异有统计学意义(P均<0.05);居民进行体育锻炼时从未有指导员指导并强调安全(OR=0.390,95%CI为0.166~0.919)相较经常接受指导,不了解或从未参加体质测试(OR=0.525,95%CI为0.278~0.990)相较定期参与会降低每周运动频率。结论 锻炼时体育指导员的监督指导与居民定期进行体质测试,作为体医融合工作的一部分,对居民运动频率的增加有良好的促进作用,应重点加强这两部分工作的开展。Objective To explore the effect of integrating medical and physical work on the frequency of physical activity among urban residents,and to propose corresponding suggestions.Methods The convenient sampling method was used to select residents in Chenghua District of Chengdu City to conduct a questionnaire survey on exercise frequency and perception of physical and medical integration in April,2022.SPSS 26.0 software was used to analyze the status quo of residents’exercise and its influencing factors.Chi-square test was used to compare rates.Logistic regression was used to analyze the influencing factors.And the test level wasα=0.05.Results Among the 356 surveyed residents,most were women(225 cases,63.2%).There were 45 cases aged 60 years old and above,accounting for 12.7%.A total of 30.9%of the respondents suffered from chronic diseases.There were statistically significant differences in the distribution of exercise frequency in whether younger than 60 years old,whether there were economic resources,participation in physical fitness test,whether community doctors advised to exercise,whether there was guidance from sports instructors during exercise,and community publicity of physical and medical integration content(all P<0.05).Residents without an instructor to guide them and emphasize safety when doing exercise compared to those who received regular instruction(odds ratio OR=0.390,95%confidence interval(CI):0.166-0.919),and residents not knowing or never participating in physical fitness test compared to those who participated regularly(OR=0.525,95%CI:0.278-0.990),exercised less frequently each week.Conclusions The supervision and guidance of sports instructors during exercise and regular physical fitness test of the residents,as part of the medical and sports integration work,have a good promotion effect on increasing the frequency of physical activity among residents.Therefore,these two aspects should be emphasized in the implementation of the work.

关 键 词：健康中国 体医融合 回归分析 影响因素 

分 类 号：R181.3[医药卫生—流行病学]