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与巴西慢性非传染性疾病风险行为模式相关的社会经济和人口统计学特征:2013 年全国健康调查数据。

Socio-economic and demographic characteristics associated with risk behaviour patterns for chronic non-communicable diseases in Brazil: data from the National Health Survey, 2013.

机构信息

1Department of Food and Nutrition,Federal University of Mato Grosso,Cuiabá,MG,Brazil.

2Department of Social Medicine,State University of Rio de Janeiro,Rio de Janeiro,RJ,Brazil.

出版信息

Public Health Nutr. 2019 Aug;22(11):2083-2091. doi: 10.1017/S136898001900034X. Epub 2019 Mar 12.

DOI:10.1017/S136898001900034X
PMID:30859926
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10260586/
Abstract

OBJECTIVE

To identify risk behaviour patterns for chronic non-communicable diseases (NCD) in the Brazilian population and to investigate associated socio-economic and demographic factors.

DESIGN

Factor analysis was used to identify patterns considering the following risk behaviours: consumption of soft drinks/artificial juice, sweet foods, red meat with apparent fat, chicken skin; inadequate consumption of fruits and vegetables; alcohol abuse; smoking; absence of physical activity during leisure time; and time spent watching television. The χ 2 test was used to compare ratios. All analyses accounted for weighting factors and the study's complex sampling design effect. The socio-economic and demographic variables evaluated were gender, age, schooling level and macro region of residence.

SETTING

National Health Survey, a household survey with national representation, conducted in 2013 in Brazil.ParticipantsIndividuals (n 60202) aged 18 years or over.

RESULTS

Four risk behaviour patterns were identified: 'Physical inactivity in leisure time and Inadequate consumption of fruits and vegetables', 'Saturated fat', 'Alcohol and Smoking' and 'Sedentary behaviour and Sugar', explaining 52·01 % of the total variance. Overall, greater adherence to 'Saturated fat' and 'Alcohol and Smoking' patterns was observed among men and those with lower education level. The 'Sedentary behaviour and Sugar' and 'Physical inactivity in leisure time and Inadequate consumption of fruits and vegetables' patterns had greater adherence among younger individuals, and the first was associated with higher education whereas the second with less education among individuals residing in the North and Northeast regions.

CONCLUSIONS

Risk behaviour patterns for NCD were heterogeneous, reflecting the socio-economic and demographic differences in Brazil.

摘要

目的

识别巴西人群中慢性非传染性疾病(NCD)的风险行为模式,并探讨相关的社会经济和人口统计学因素。

设计

采用因子分析方法识别模式,考虑以下风险行为:软饮料/人工果汁、甜食、带明显脂肪的红肉、鸡皮的消费;水果和蔬菜摄入不足;酗酒;吸烟;闲暇时间缺乏体育活动;以及看电视的时间。 χ 2 检验用于比较比例。所有分析均考虑了加权因素和研究的复杂抽样设计效果。评估的社会经济和人口统计学变量包括性别、年龄、教育程度和居住的宏观区域。

地点

2013 年在巴西进行的一项具有全国代表性的家庭调查——国家健康调查。

参与者

年龄在 18 岁及以上的个体(n=60202)。

结果

确定了四种风险行为模式:“闲暇时间不活动和水果与蔬菜摄入不足”、“饱和脂肪”、“酒精和吸烟”和“久坐行为和糖”,解释了总方差的 52.01%。总体而言,男性和受教育程度较低的人更倾向于遵循“饱和脂肪”和“酒精和吸烟”模式。“久坐行为和糖”和“闲暇时间不活动和水果与蔬菜摄入不足”模式在年轻人中更为普遍,前者与较高的教育程度相关,而后者与北部和东北部地区受教育程度较低的人相关。

结论

NCD 的风险行为模式具有异质性,反映了巴西社会经济和人口统计学方面的差异。

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