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2016年中国职业人群健走激励效果及相关因素分析

Effects and the associated factors of the 2016 China Motivational Healthy Walking Program among occupational population

摘要:

目的 评价在中国职业人群中开展健走激励的效果,并分析激励活动及相关因素对健走行为的影响.方法 2016年"万步有约"中国职业人群健走激励干预项目在中国139个国家级和70个省级慢性病综合防控示范区展开,共29224人参与.通过开展团队和个人的激励活动,对职业人群进行为期100 d的健走干预.采用统一的计步器收集健走数据.分别以人均万步率、集中健走率和有效步数评价健走行为的数量、模式和质量.激励活动的强度采用累计得分方式进行计算.通过问卷调查收集个人基本情况、行为生活方式及慢性病患病等信息.最终纳入分析12368人.采用多水平logistic回归模型分析团队和个人激励因素,以及其他个体特征对健走行为的影响.结果 研究对象年龄为(41.2±8.99)岁,其中女性占58.17%(7194名);经过为期100 d的健走激励,干预对象人均万步率达93.89%±14.42%,集中健走率为92.01%±15.97%,有效步数比为81.00%±7.45%.人均万步率、集中健走率随团队活动得分、自主激励机制得分、个人活动得分增加而升高(P值均<0.001);但人均有效步数比随团队活动得分、自主激励机制得分增高而降低(P值均<0.05),且在个人活动得分组间差异无统计学意义(P=0.525).多水平logistic回归模型分析结果显示,团体参与式活动得分、自主激励得分及个人活动得分高的个体,取得高水平的万步率、集中健走率的可能性更大(P值均<0.05).个体年龄、性别、吸烟史、文化程度、饮酒行为与万步率和集中健走率相关(P值均<0.05).结论 开展健走激励干预对促进职业人群健走行为具有积极作用,团队参与式干预和自主激励与促进职业人群健走有关.

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abstracts:

Objective To examine the effects and associated factors of the China Motivational Healthy Walking Program among occupational population.Methods The 2016 China Motivational Healthy Walking Program recruited 29 224 participants from 139 demonstration areas for comprehensive prevention and control of chronic and non-communicable disease at national level and 70 at provincial level. Intervention on walking was carried out by adopting group and individual motivating measures. Walking steps were recorded by electronic pedometer. We used percent of days achieving 10 000 steps (P10 000), percent of days fulfilling continuous walking(PCW),and proportion of valid walking(PVW)steps to reflect walking quantity, pattern and quality of participants. Motivation intensity was measured by summing up scores of each motivating activity. Questionnaire-based online survey collected information about demographic characteristics, lifestyle risk factors and chronic diseases. This study finally included 12 368 individuals in the analysis. Multilevel logistic regression model was used to assess the effect of group and individual motivating measures on walking activity and corresponding associated factors. Results Age of the study sample was (41.2 ± 8.99) years, and 58.17% (7 194) of them were female. After 100-day intervention,the P10 000,PCW and PVW of all participants were 93.89%±14.42%,92.01%±15.97% and 81.00% ± 7.45%, respectively. The mean P10 000 and PCW increased with rising group-motivated scores, self-motivated scores and individual-activity scores (P<0.001 for all). The mean PVW decreased with both higher group-motivated scores and self-motivated scores(both P<0.05),and varied little among groups with different level individual-activity scores(P=0.525).According to the results from the multilevel model,those who had greater group-motivated scores and self-motivated scores tended to have more likelihood of high-level of P10 000 and PCW.Age,sex,smoking status,education attainment and alcohol drinking were associated with P10 000 and PCW (P<0.05 for all). Conclusion The Motivational Healthy Walking Program had positive effect on promoting healthy walking among occupational population.Group-motivated and self-motivated activities were associated with healthy walking.

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