Population Cancer Research Program, Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada.
Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
J Rural Health. 2020 Jan;36(1):111-119. doi: 10.1111/jrh.12363. Epub 2019 Mar 13.
To describe and compare the sociodemographic and lifestyle characteristics of urban and rural residents in Atlantic Canada.
Cross-sectional analyses of baseline data from the Atlantic Partnership for Tomorrow's Health cohort were conducted. Specifically, 17,054 adults (35-69 years) who provided sociodemographic characteristics, measures of obesity, and a record of chronic disease and health behaviors were included in the analyses. Multiple linear regression and logistic regression models were used to calculate the multivariable-adjusted beta coefficients (β), odds ratios (OR), and related 95% confidence intervals (CI).
After adjusting for age, sex, and province, when compared to urban participants, rural residents were significantly more likely to: be classified as very active (OR: 1.19, CI: 1.11-1.27), be obese (OR: 1.13, 1.05-1.21), to present with abdominal obesity (OR: 1.08, CI: 1.01-1.15), and have a higher body fat percentage (β: 0.40, CI: 0.12-0.68) and fat mass index (β: 0.32, CI: 0.19-0.46). Rural residents were significantly less likely to be regular or habitual drinkers (OR: 0.83, CI: 0.78-0.89). Significant differences remained after further adjustment for confounding sociodemographic, lifestyle, and health characteristics. No significant differences in smoking behavior, fruit and vegetable intake, multimorbidity, or waist circumference were found.
As expected, obesity prevalence was higher in rural Atlantic Canadians. In contrast to much of the existing literature, we found that rural participants were more likely to report higher levels of total physical activity and lower alcohol consumption. Findings suggest that novel obesity prevention strategies may be needed for rural populations.
描述和比较加拿大大西洋地区城乡居民的社会人口学和生活方式特征。
对未来健康大西洋伙伴关系队列的基线数据进行了横断面分析。具体来说，纳入了 17054 名年龄在 35-69 岁之间的成年人，他们提供了社会人口学特征、肥胖测量值以及慢性病和健康行为记录。使用多变量线性回归和逻辑回归模型计算多变量调整后的β系数（β）、比值比（OR）和相关 95%置信区间（CI）。
在调整了年龄、性别和省份后，与城市参与者相比，农村居民更有可能：被归类为非常活跃（OR：1.19，CI：1.11-1.27），肥胖（OR：1.13，1.05-1.21），表现出腹部肥胖（OR：1.08，CI：1.01-1.15），并且体脂肪百分比（β：0.40，CI：0.12-0.68）和脂肪质量指数（β：0.32，CI：0.19-0.46）更高。农村居民更不可能成为经常或习惯性饮酒者（OR：0.83，CI：0.78-0.89）。在进一步调整混杂的社会人口学、生活方式和健康特征后，差异仍然存在。吸烟行为、水果和蔬菜摄入量、多病和腰围没有发现显著差异。
与预期的一样，肥胖在加拿大大西洋地区农村居民中的患病率更高。与大部分现有文献不同，我们发现农村参与者更有可能报告更高水平的总体身体活动和更低的酒精摄入量。研究结果表明，可能需要针对农村人口制定新的肥胖预防策略。
