Filippidis F T, Agaku I T, Vardavas C I
School of Public Health, Imperial College London, London, UK.
Department of Social and Behavioral Sciences, Center for Global Tobacco Control, Harvard School of Public Health, Boston, MA, USA.
J Public Health (Oxf). 2016 Jun;38(2):e13-20. doi: 10.1093/pubmed/fdv061. Epub 2015 May 11.
Risky health behaviours such as tobacco and alcohol abuse, physical inactivity and poor diet may play an important role in disease development. The aim of the present study was to assess the geographical distribution and socio-demographic determinants of risky health-related behaviours in 27 member states (MSs) of the European Union (EU).
Data from the 2009 Eurobarometer survey (wave 72.3; n = 26 788) were analysed. Tobacco use, alcohol consumption, physical activity and fruit consumption were assessed through a self-reported questionnaire provided to participants from 27 EU MSs. Within the analyses, participants with three or more lifestyle risk factors were classified as individuals with co-occurrence of risk factors.
Among respondents aged 15 or older, 28.2% had none of the aforementioned behavioural risk factors, whereas 9.9% had three or more lifestyle risk factors. Males [adjusted odds ratio (aOR) = 2.50; 95% confidence interval (95% CI): 2.17-2.88] and respondents of middle (aOR = 1.60; 95% CI: 1.36-1.89) or lower income (aOR = 2.63; 95% CI: 2.12-3.26) were more likely to report co-occurrence of behavioural risk factors, as well as respondents in Northern (aOR = 1.43; 95% CI: 1.14-1.78), Western (aOR = 1.28; 95% CI: 1.06-1.56) and Eastern Europe (aOR = 1.28; 95% CI: 1.06-1.55), when compared with Southern European respondents.
The above analyses indicate significant geographical and social variation in the distribution of the co-occurrence of behavioural risk factors for disease development.
诸如烟草和酒精滥用、缺乏体育锻炼以及不良饮食等危险健康行为可能在疾病发展中起重要作用。本研究的目的是评估欧盟27个成员国中与健康相关的危险行为的地理分布和社会人口学决定因素。
分析了2009年欧洲晴雨表调查（第72.3波；n = 26788）的数据。通过向来自27个欧盟成员国的参与者提供的一份自我报告问卷，对烟草使用、酒精消费、体育活动和水果消费进行了评估。在分析中，有三个或更多生活方式风险因素的参与者被归类为有风险因素共现的个体。
在15岁及以上的受访者中，28.2%没有上述行为风险因素，而9.9%有三个或更多生活方式风险因素。与南欧受访者相比，男性（调整后的优势比[aOR]=2.50；95%置信区间[95%CI]：2.17 - 2.88）以及中等收入（aOR = 1.60；95%CI：1.36 - 1.89）或低收入（aOR = 2.63；95%CI：2.12 - 3.26）的受访者更有可能报告行为风险因素的共现，北欧（aOR = 1.43；95%CI：1.14 - 1.78）、西欧（aOR = 1.28；95%CI：1.06 - 1.56）和东欧（aOR = 1.28；95%CI：1.06 - 1.55）的受访者也是如此。
上述分析表明，在疾病发展的行为风险因素共现分布方面存在显著的地理和社会差异。
