Levinson R M, Fuchs J A, Stoddard R R, Jones D H, Mullet M
Division of Chronic Disease Control and Community Intervention, U.S. Centers for Disease Control, Atlanta, Georgia 30333.
Am J Prev Med. 1989 May-Jun;5(3):150-6.
A representative sample of 400 Amish adults residing in Holmes County, Ohio, was interviewed about certain health risk characteristics and behaviors, using the Behavioral Risk Factor Survey (BRFS). For purposes of comparison, a representative sample of 773 non-Amish adults responded to the same survey by telephone interviews. In general, the Amish report lower rates of alcohol and tobacco consumption than their non-Amish counterparts. The Amish are less likely to salt their food and are more likely to take vitamin supplements, but do not differ from non-Amish in the consumption of "health foods." Amish men and women are less likely to be trying to lose weight than their non-Amish counterparts. Further, the Amish are less likely to engage in leisure-time physical activity or in exercise associated with attempts to lose weight or deal with hypertension. Amish women are less likely to use seat belts than non-Amish women, whereas men in both groups appear rather similar. Although some differences could be influenced by response biases, many are supported by less systematic observations of Old Order Amish societies. The patterns of health behavior reflect characteristics of Amish culture and may be responsible for certain favorable mortality rates among the Amish population.
对居住在俄亥俄州霍姆斯县的400名阿米什成年居民进行了抽样调查，通过行为风险因素调查（BRFS）询问了他们的某些健康风险特征和行为。为了进行比较，773名非阿米什成年居民的代表性样本通过电话访谈对相同的调查做出了回应。总体而言，阿米什人报告的酒精和烟草消费率低于非阿米什人。阿米什人往食物中加盐的可能性较小，服用维生素补充剂的可能性较大，但在“健康食品”的消费方面与非阿米什人没有差异。与非阿米什人相比，阿米什男性和女性试图减肥的可能性较小。此外，阿米什人参与休闲体育活动或与减肥或治疗高血压相关的锻炼的可能性较小。阿米什女性使用安全带的可能性低于非阿米什女性，而两组中的男性情况似乎相当相似。尽管一些差异可能受到回应偏差的影响，但许多差异得到了对旧秩序阿米什社会不太系统的观察的支持。健康行为模式反映了阿米什文化的特征，可能是阿米什人群中某些有利死亡率的原因。
