卫生保健部门提供的身体活动干预措施是否有需求？一项人群调查的结果。
Is there a demand for physical activity interventions provided by the health care sector? Findings from a population survey.
机构信息
Center for Primary Health Care Research, Lund University/Region Skåne, Malmö, Sweden.
出版信息
BMC Public Health. 2010 Jan 25;10:34. doi: 10.1186/1471-2458-10-34.
BACKGROUND
Health care providers in many countries have delivered interventions to improve physical activity levels among their patients. Thus far, less is known about the population's interest to increase their physical activity levels and their opinion about the health care provider's role in physical activity promotion. The aims of this paper were to investigate the self-reported physical activity levels of the population and intention to increase physical activity levels, self-perceived need for support, and opinions about the responsibilities of both individuals and health care providers to promote physical activity.
METHODS
A regional public health survey was mailed to 13 440 adults (aged 18-84 years) living in Ostergötland County (Sweden) in 2006. The survey was part of the regular effort by the regional Health Authorities.
RESULTS
About 25% of the population was categorised as physically active, 38% as moderately active, 27% as somewhat active, and 11% as low active. More than one-third (37%) had no intentions to increase their physical activity levels, 36% had thought about change, while 27% were determined to change. Lower intention to change was mainly associated with increased age and lower education levels. 28% answered that physical activity was the most important health-related behaviour to change "right now" and 15% of those answered that they wanted or needed support to make this change. Of respondents who might be assumed to be in greatest need of increased activity (i.e. respondents reporting poor general health, BMI>30, and inactivity) more than one-quarter wanted support to make improvements to their health. About half of the respondents who wanted support to increase their physical activity levels listed health care providers as a primary source for support.
CONCLUSIONS
These findings suggest that there is considerable need for physical activity interventions in this population. Adults feel great responsibility for their own physical activity levels, but also attribute responsibility for promoting increased physical activity to health care practitioners.
背景
许多国家的医疗保健提供者已经采取干预措施来提高患者的身体活动水平。到目前为止，人们对提高身体活动水平的兴趣以及对医疗保健提供者在身体活动促进方面的作用的看法了解较少。本文的目的是调查人群的自我报告身体活动水平、增加身体活动水平的意愿、自我感知的支持需求以及个人和医疗保健提供者在促进身体活动方面的责任的看法。
方法
2006 年，向居住在瑞典奥斯特哥特兰县（Ostergötland County）的 13440 名成年人（年龄在 18-84 岁之间）邮寄了一份区域公共卫生调查。该调查是区域卫生当局常规工作的一部分。
结果
约 25%的人群被归类为身体活跃，38%为适度活跃，27%为有些活跃，11%为低度活跃。超过三分之一（37%）的人没有增加身体活动水平的意愿，36%的人曾考虑过改变，而 27%的人则决心改变。较低的改变意愿主要与年龄增长和教育程度较低有关。28%的人回答说，身体活动是目前最需要改变的健康相关行为，15%的人回答说他们希望或需要支持来做出这一改变。在那些可能最需要增加活动的受访者中（即报告一般健康状况较差、BMI>30 和不活动的受访者），超过四分之一的人希望获得改善健康的支持。大约一半希望增加身体活动水平的受访者将医疗保健提供者列为支持的主要来源。
结论
这些发现表明，该人群需要大量的身体活动干预措施。成年人对自己的身体活动水平负有很大的责任，但也认为医疗保健从业者有责任促进身体活动的增加。
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