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目的调查天津市和平区社区居民的健康促进生活方式,探寻其主要影响因素。方法 2015年7月采用分层随机抽样的方法,使用自行设计的一般情况调查表和健康促进生活方式量表(health-promoting lifestyle profileⅡ,HPLP-Ⅱ)对天津市和平区322名社区居民进行问卷调查。计量资料比较采用方差分析,使用多元线性回归分析探索健康生活方式的影响因素,P<0.05为差异有统计学意义。结果天津市和平区社区居民健康促进生活方式平均得分为(130.11±19.51)分,营养得分最高,为(26.09±4.66)分,运动和锻炼得分最低,为(16.00±4.77)分。多元回归分析显示文化程度和自觉健康状况是居民整体健康行为影响因子(R~2=0.044,P<0.05),年龄是健康职责维度的影响因子(R~2=0.023,P<0.05),性别、婚姻状况是运动和锻炼维度的影响因子(R~2=0.057,P<0.05),自觉健康状况是营养维度的影响因子(R~2=0.031,P<0.05),文化程度是人际关系维度的影响因子(R~2=0.038,P<0.05)。结论天津市和平区社区居民健康行为处于良好水平,但仍有提升的空间,在制定健康促进策略时,必须考虑居民的受教育水平和健康状况,以帮助其增加健康知识,改善不良的生活方式。
Objective To investigate the health promotion lifestyles of community residents in Heping District of Tianjin and explore the main influential factors. Methods In July 2015, stratified random sampling method was used to survey 322 community residents in Heping District of Tianjin using the self-designed general condition questionnaire and health-promoting lifestyle profileⅡ (HPLP-Ⅱ) survey. Measurement data were compared using ANOVA, multivariate linear regression analysis to explore the influencing factors of healthy lifestyles, P <0.05 for the difference was statistically significant. Results The average health promotion lifestyle of community residents in Heping District of Tianjin was (130.11 ± 19.51) points, the highest nutrition score was (26.09 ± 4.66) points and the lowest score of exercise and exercise was (16.00 ± 4.77) points. Multivariate regression analysis showed that education level and self-conscious health status were the influencing factors of residents’ overall health behaviors (R ~ 2 = 0.044, P <0.05). Age was the influencing factor of health responsibility dimension (R ~ 2 = 0.023, (R ~ 2 = 0.057, P <0.05). The status of self-regulated health was the influential factor of nutritional dimension (R ~ 2 = 0.031, P <0.05). The educational level was the interpersonal relation dimension (R ~ 2 = 0.038, P <0.05). Conclusion The health behaviors of community residents in Heping District of Tianjin are at a good level, but there is still room for improvement. When formulating health promotion strategies, the residents’ education level and health status must be taken into consideration to help them improve their health knowledge and improve their bad lifestyles .