Priority Research Centre for Health Behaviour, Hunter Medical Research Institute, University of Newcastle, New South Wales, Australia.
Aust N Z J Public Health. 2013 Apr;37(2):118-23. doi: 10.1111/1753-6405.12028.
To examine the prevalence and clustering of six health risk behaviours (smoking, alcohol, inadequate sun protection, physical inactivity, and inadequate fruit and vegetable consumption) among severely disadvantaged individuals.
A cross-sectional touch screen computer survey was conducted with 383 clients attending a social and community welfare organisation in New South Wales. Participants were assessed on smoking status, alcohol consumption, fruit and vegetable consumption, physical activity, sun protection and socio-demographic characteristics. Descriptive statistics, factor analysis and logistic regression were used to assess the prevalence, clustering and socio-demographic predictors of health risk behaviours.
Ninety-eight per cent of the participants reported inadequate vegetable consumption, 62.7% reported inadequate fruit consumption, 82.5% reported inadequate sun protection, 61.7% smoked tobacco, 51.4% consumed alcohol at risky levels and 36.5% were insufficiently active. Most participants (87%) reported three or more risk behaviours. Male participants, younger participants and those with lower education were more likely to smoke tobacco and consume alcohol.
The prevalence of health risk behaviours among a sample of typically hard-to-reach, severely disadvantaged individuals is extremely high.
Future intervention development should take into account the likelihood of health risk clustering among severely disadvantaged groups.
调查极度贫困人群中六种健康风险行为(吸烟、饮酒、防晒不足、缺乏身体活动以及蔬果摄入不足)的流行情况和聚集程度。
在新南威尔士州的一家社会和社区福利组织中,对 383 名客户进行了一项横断面触摸屏计算机调查。评估了参与者的吸烟状况、饮酒、蔬果摄入、身体活动、防晒和社会人口统计学特征。使用描述性统计、因子分析和逻辑回归评估健康风险行为的流行程度、聚集程度和社会人口统计学预测因素。
98%的参与者报告蔬菜摄入不足,62.7%报告水果摄入不足,82.5%报告防晒不足,61.7%吸烟,51.4%饮酒过量,36.5%身体活动不足。大多数参与者(87%)报告了三种或更多种风险行为。男性参与者、年轻参与者和受教育程度较低的参与者更有可能吸烟和饮酒。
在一个典型的难以接触到的极度贫困人群样本中,健康风险行为的流行率极高。
未来的干预措施应考虑到极度贫困人群中健康风险聚集的可能性。