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[西班牙成年人口休闲时间身体活动不足方面的教育不平等:十年(2002 - 2012年)间的差异]

[Educational Inequality in Physical Inactivity in Leisure Time in Spanish Adult Population: differences in Ten Years (2002-2012)].

作者信息

Maestre-Miquel Clara, Regidor Enrique, Cuthill Fiona, Martínez David

出版信息

Rev Esp Salud Publica. 2015 May-Jun;89(3):259-69. doi: 10.4321/S1135-57272015000300004.

Abstract

BACKGROUND

Social inequality in health is an increasing phenomenon in the world. The aim was to compare in 2002 and 2012, the magnitude of inequalities in leisure-time physical inactivity by educational level in Spain, but also the trends in health perception, in physically inactive people.

METHODS

A cross-sectional study from the National Health Survey in Spain in 2002 (n=21,650) and 2012 (n=21,007). The population aged from 25 to 64 years. At the first stage, physical inactivity in leisure-time was the dependent variable, and educational level was the independent variable. At the second stage, self-perception of health in last 12 months was the dependent variable. Logistic regression was adjusted using other variables: age, marital status, employment status and social class of the head of the family.

RESULTS

Prevalence of leisure time physical inactivity was in 2012, up to 53.9% (men) and 67.5% (women), in the group aged between 25-44 with primary education. It declined in all age and sex groups in 2012, compared to 2002 (down to 18.7 percentage points). More than three times inactive women in between those who have primary or less education: OR 3.27 (2.35-4.55) in 2012. Bad health perceived in women with less educational level comparing with those with higher education. It also has declined over time: OR 1.45 in 2002 to OR 1.91, in 2012 (45-64 aged group).

CONCLUSIONS

Although the prevalence of physical inactivity has decreased, inequalities in such behavior have increased in 2012 respect 2002.

摘要

背景

健康方面的社会不平等在全球范围内日益凸显。本研究旨在比较2002年和2012年西班牙不同教育水平人群在休闲时间缺乏身体活动的不平等程度,以及缺乏身体活动人群的健康认知趋势。

方法

采用西班牙2002年(n = 21,650)和2012年(n = 21,007)全国健康调查的横断面研究。研究对象为25至64岁人群。第一阶段,以休闲时间缺乏身体活动为因变量,教育水平为自变量。第二阶段,以上一年的自我健康认知为因变量。使用其他变量进行逻辑回归调整:年龄、婚姻状况、就业状况和户主的社会阶层。

结果

2012年,25 - 44岁小学教育水平组的休闲时间缺乏身体活动的患病率,男性高达53.9%,女性高达67.5%。与2002年相比,2012年所有年龄和性别组的患病率均有所下降(下降至18.7个百分点)。小学及以下教育水平的女性缺乏身体活动的人数是其他女性的三倍多:2012年的比值比为3.27(2.35 - 4.55)。教育水平较低的女性与教育水平较高的女性相比,健康状况较差。随着时间推移,这种差异也有所下降:2002年的比值比为1.45,到2012年(45 - 64岁年龄组)变为1.91。

结论

尽管缺乏身体活动的患病率有所下降,但与2002年相比,2012年这种行为的不平等现象有所增加。

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