Urban-Rural Disparity and Economic Geography Variation in the Likelihood of Meeting Physical Activity Recommendation–Results from the Study of Community Sports in China

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Bo Dong, Dexu Chen, Yanan Zhao, Xiujin Guo
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引用次数: 0

Abstract

Purpose. Maintaining physical activity (PA) has significant implications for health. According to the World Health Organization (WHO), adults aged 18–64 should engage in at least 150 to 300 minutes of moderate-intensity aerobic PA per week. However, urban-rural disparities and economic geography variations in PA levels have not received enough attention. This study aimed to examine these disparities in the likelihood of meeting PA recommendations by using data from the Study of Community Sports in China. Methods. This is a nationwide cross-sectional community-based study. A total of 5,000 participants were randomly selected using a multistage sampling strategy. They were asked to complete a survey including demographics data and PA levels. The data were analyzed using mixed-effects logistic regression to evaluate the association between urban-rural residency, economic geography regions, and the likelihood of meeting PA recommendations. Results. A total of 3,779 participants met the eligible criteria, and only 816 (21.6%) met the PA recommendation. The urban participants were more likely to meet the PA recommendation than their rural peers [OR (95% CI) of 1.72 (1.09, 2.71)]. The association remained significant among those aged ≥30 [OR = 2.53 (1.51, 4.24)] and those with the education of high school and below [OR = 1.88 (1.18, 1.77)], but not in their younger, and more-educated peers (Pinteraction = 0.009 and 0.034, respectively). Compared with the east coastal residents, western ones had a greater chance of meeting the recommendation [OR = 2.68 (1.25, 5.74)]. The association was more prominent among the more-educated [OR = 3.89 (1.58, 9.57)] than the less-educated [1.90 (0.83, 4.35)](Pinteraction <0.001), but not modified by age. Conclusion. Urban and western residents were more active than their rural and east coastal counterparts. Studies should carefully consider the interactions between age and education level with urbanization and region while evaluating PA levels. Moreover, policymakers should develop policies and programs according to urban-rural disparity and regional variations to shorten the gaps.

Abstract Image

城乡差异与经济地理差异对达到体育锻炼推荐量的影响--中国社区体育研究的结果
目的保持体力活动(PA)对健康有重要影响。世界卫生组织(WHO)指出,18-64 岁的成年人每周至少应进行 150 到 300 分钟中等强度的有氧体力活动。然而,PA 水平的城乡差异和经济地理差异并没有得到足够的重视。本研究旨在利用《中国社区体育研究》(Study of Community Sports in China)中的数据,研究达到有氧运动量建议的可能性方面存在的这些差异。研究方法这是一项基于社区的全国性横断面研究。采用多阶段抽样策略随机抽取了 5000 名参与者。他们被要求完成一项调查,内容包括人口统计学数据和 PA 水平。研究采用混合效应逻辑回归法对数据进行分析,以评估城乡居住地、经济地理区域和达到 PA 建议水平的可能性之间的关联。结果。共有 3779 名参与者符合资格标准,其中只有 816 人(21.6%)符合 PA 建议。城市参与者比农村参与者更有可能达到锻炼建议的要求[OR(95% CI)为 1.72 (1.09, 2.71)]。在年龄≥30 岁[OR = 2.53 (1.51, 4.24)]和高中及以下教育程度[OR = 1.88 (1.18, 1.77)]的人群中,这种关联仍然显著,但在年龄更小、教育程度更高的人群中,这种关联并不显著(Pinteraction = 0.009 和 0.034)。与东部沿海居民相比,西部沿海居民符合建议的几率更大[OR = 2.68 (1.25, 5.74)]。受教育程度较高的居民[OR = 3.89 (1.58, 9.57)]比受教育程度较低的居民[1.90 (0.83, 4.35)](Pinteraction <0.001)的相关性更为突出,但年龄并不影响其相关性。结论城市和西部地区居民比农村和东部沿海地区居民更活跃。在评估 PA 水平时,研究应仔细考虑年龄和教育水平与城市化和地区之间的相互作用。此外,决策者应根据城乡差异和地区差异制定政策和计划,以缩短差距。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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