中国城乡居民2012年全民健康生活方式行动实施效果调查

李园; 张娟; 施小明; 梁晓峰

Abstract

李园,张娟,施小明,梁晓峰.中国城乡居民2012年全民健康生活方式行动实施效果调查[J].Chinese journal of Epidemiology,2013,34(9):869-873

中国城乡居民2012年全民健康生活方式行动实施效果调查

A cross-sectional survey on the efficacy of‘China Healthy Lifestyle for All’in 2012

Received:May 28, 2013

DOI：

KeyWord: 全民健康生活方式行动|项目评价|横断面调查

English Key Word: Healthy people programs|Program evaluation|Cross-sectional studies

FundProject:

Author Name	Affiliation	E-mail
LI Yuan	Division of NCD Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing 102206, China
ZHANG Juan	Division of NCD Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing 102206, China
SHI Xiao-ming	Division of NCD Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing 102206, China	sxmcdc@163．Com
LIANG Xiao-feng	中国疾病预防控制中心

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Abstract:

目的了解全民健康生活方式行动(行动)开展的效果。方法在全国每个省(区、市)随机抽取1个开展行动的区县(开展行动组)及1个GDP和人口数与其相似的未开展行动的区县(未开展行动组)，采用分层整群抽样方法，每个区县随机抽取≥18岁常住居民500名。采用面对面问卷方法调查生活方式知识和行为情况，并采用广义估计方程进行多因素比较。结果城市和农村开展行动组与未开展行动组相比，对行动和健康生活方式的知晓以及自觉控制盐和油摄人的比率更高，如城市开展行动组和未开展行动组对行动的知晓率分别为57．1％和31．7％(OR=3．33，95％CI：1．63～6．80，P=0．001)，农村开展行动组和未开展行动组自觉控制盐摄入的比率分别为51．5％和38．8％(OR=1．70，95％CI：1．13～2．56，P=0．011)。城市开展行动组使用各健康支持工具的比率均高于未开展行动组，如限盐勺的使用率分别为49．2％和29．5％(OR=2．46，95％CI：1．45～4．17，P=O．001)，农村两组仅见控油壶使用率有差异(OR=2．11，95％CI：1．09～4．09，P＝0．028)。农村开展行动组身体活动情况好于未开展行动组，而城市两组人群无差异。城乡两组人群在自觉控制体重、每天摄入蔬菜和水果间的差异无统计学意义。结论全民健康生活方式行动可提高居民健康生活方式知识和健康意识，对改善居民健康行为的效果还有待进一步评价。

English Abstract:

0bjective To study the efficacy of‘China Healthy Lifestyle for All’(CHLA)． Methods Under similar GDP Status，two counties(one with CHLA and one without)were randomly selected from each province of China．Cluster randomized sampling method was performed to select 500 over l8-year-olds from each county．Face-to-face questionnaire interview was used to collect data related to knowledge，awareness and behavior on healthy lifestyle．Generalized Estimated Equation was fitted for the multi．factor analysis．Results A total of 31 396 subjects were surveyed．with 11 871 urban and 6312 rural residents from counties that had under gone the CHLA．Another 3934 urban and 9279 rural subjects were from those counties that had not carried out the CHLA(as control group)．In both urban and Rlral areas，the CHLA group seemed mole likely to be aware of the Campaign itself and the knowledge on healthy lifestyle，than the control group as well as consciously limiting the salt and oil intake，after adjusting other factors such as county，gender，age and education． In the urban area，rates of awareness on the Campaign in both the CHLA and control groups were 57．1％and 31．7％(OR=3．33，95％CI：1．63-6．80，P=1．70。95％CI：1．13-2．56，P=2．46，95％CI：1．45-4．17，P=2．11，95％CI：1．09-4．09，P= 0．028) between the CHLA group and the eontrol group．In the rural area，the CHLA group was more likely to engage in more physical activities than the control grouD．No differences on the rates related to physical activities were found in the urban area．Some behavioral indicators such as the rates of consciously maintaining the bodv weight．daily intake of vegetables and fruits showed no statistically significant difierences between the CHLA group and the control group either in the urban or in the rural areas．Conclusion The‘China Healthy Lifestyle for All’seemed to have improved theknowledge on awareness and conciousness of healthy lifestyle．However．the effect of CHLA on the healthy behavior needs to be further evaluated．

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