SPAL, University of Wolverhampton, Walsall, West Midlands, United Kingdom.
J Phys Act Health. 2014 Feb;11(2):339-47. doi: 10.1123/jpah.2012-0044. Epub 2013 Jan 30.
The association between health and deprivation is of serious concern to many health promotion agencies. The purpose of the current study was to assess whether modifiable behaviors of physical activity (PA), sports participation, diet, smoking and body mass index (BMI) can help to explain these inequalities in a sample of 4653 respondents from Northern Ireland.
The study is based on a cross-sectional survey of Northern Irish adults. Responses to a self-rated health question were dichotomized and binary logistic regression was used to identify the health inequalities between areas of high, middle or low deprivation. These differences were further adjusted for other sociodemographic factors and subsequently for various modifiable behaviors of PA, sports participation, diet, smoking, and BMI.
Respondents from high and middle areas of deprivation are more likely to report poorer health. As soon as sociodemographic factors and other modifiable behaviors were included, these inequalities either disappeared or were greatly reduced.
Many inequalities in health in NI can be explained by the respondents' sociodemographic characteristics that can be further explained by introducing information about respondents who meet the recommended PA guidelines, play sport, eat 5 portions of fruit and vegetables, and maintain an optimal BMI.
健康与贫困之间的关系是许多健康促进机构严重关注的问题。本研究的目的是评估在北爱尔兰的 4653 名受访者样本中，是否可以通过身体活动 (PA)、运动参与、饮食、吸烟和体重指数 (BMI) 等可改变的行为来解释这些不平等现象。
本研究基于对北爱尔兰成年人的横断面调查。对自我评估健康问题的回答进行二分法处理，并使用二元逻辑回归来确定高、中、低贫困地区之间的健康不平等情况。这些差异进一步调整了其他社会人口因素，然后调整了各种可改变的 PA、运动参与、饮食、吸烟和 BMI 行为。
来自高和中贫困地区的受访者更有可能报告健康状况较差。一旦纳入社会人口因素和其他可改变的行为，这些不平等现象要么消失，要么大大减少。
北爱尔兰的许多健康不平等现象可以用受访者的社会人口特征来解释，通过引入符合推荐的 PA 指南、进行运动、食用 5 份水果和蔬菜以及保持理想 BMI 的受访者的信息，可以进一步解释这些不平等现象。
