Laaksonen Mikko, Lahelma Eero, Prättälä Ritva
Health Promotion Research Unit, Department of Epidemiology and Health Promotion, National Public Health Institute, Helsiniki.
Soz Praventivmed. 2002;47(4):225-32. doi: 10.1007/BF01326403.
The study examines sociodemographic variation in associations and co-occurrence of health behaviours that contribute to multifactorial chronic diseases.
Mantel-Haenszel odds ratios were used to examine pairwise associations among smoking, alcohol use, physical activity, and diet across categories of sociodemographic characteristics. Breslow-Day test for homogeneity was used to test for sociodemographic differences. In addition, co-occurrence of each two unhealthy behaviours was examined across sociodemographic groups using nationwide population survey data from 26,014 Finnish adults.
Most of the health behaviours examined were interrelated and sociodemographic differences in the associations were few. Differences were inconsistent for all sociodemographic characteristics. Variation was observed only in the strength of the associations, not in their direction. However, due to unequal distribution of the individual behaviours, co-occurrence of unhealthy behaviours varied strongly across sociodemographic groups.
Associations between health behaviours were relatively similar across sociodemographic groups. Since co-occurrence of unhealthy behaviours depends on the prevalence of individual unhealthy behaviours and the strength of their association, their co-occurrence in any particular sociodemographic group was primarily determined by the prevalence of individual unhealthy behaviours.
本研究探讨了导致多因素慢性病的健康行为之间的关联及共现情况中的社会人口学差异。
采用Mantel-Haenszel比值比来检验社会人口学特征类别中吸烟、饮酒、身体活动和饮食之间的两两关联。使用Breslow-Day齐性检验来检验社会人口学差异。此外，利用来自26014名芬兰成年人的全国性人口调查数据，对各社会人口学群体中每两种不健康行为的共现情况进行了研究。
所研究的大多数健康行为相互关联，且关联中的社会人口学差异较少。所有社会人口学特征的差异并不一致。仅在关联强度上观察到差异，而非关联方向。然而，由于个体行为分布不均，不健康行为的共现在各社会人口学群体中差异很大。
各社会人口学群体中健康行为之间的关联相对相似。由于不健康行为的共现取决于个体不健康行为的患病率及其关联强度，因此在任何特定社会人口学群体中，不健康行为的共现主要由个体不健康行为的患病率决定。
