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印度尼西亚社区中老年女性对非传染性疾病预防的行为及其与身体健康状况的关系。

Behaviors toward Noncommunicable Diseases Prevention and their Relationship with Physical Health Status among Community-dwelling, Middle-aged and Older women in Indonesia.

机构信息

Graduate School of Health sciences ,Kobe University, Kobe 654-0142, Japan.

Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia.

出版信息

Int J Environ Res Public Health. 2020 Mar 30;17(7):2332. doi: 10.3390/ijerph17072332.

DOI:10.3390/ijerph17072332
PMID:32235631
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7177221/
Abstract

We aim to clarify the behaviors toward noncommunicable diseases (NCDs) prevention focusing on lifestyle-related diseases and physical health status and examine their relationship among community-dwelling women in Indonesia. This cross-sectional study included women aged 45 years and older. Data were collected through an interview using a structured questionnaire; the following parameters were also measured: height, weight, body mass index (BMI), blood pressure (BP), handgrip strength, and 10 m gait speed. This study found that the majority of women adopted one or more healthy behaviors to prevent NCDs, while few women practiced comprehensive behaviors. Age, satisfaction with house income, living alone, social support, social participation, and household decision making were the determinant factors for behaviors toward NCDs prevention. A high prevalence of underweight (26.4%), overweight (31.9%), obesity (5.6%), high systolic blood pressure (SBP) (62.5%), and low muscle strength (54.2%) were frequently observed. Eating well-balanced meals, avoiding fatty foods, and undergoing blood cholesterol testing had significant correlations with physical health status. It is concluded that the activities at Posyandu Lansia (health village posts for older adults) are necessary to help women with unhealthy eating behaviors and lower physical activity and unawareness of health checkups to maintain focus and to develop a more practical approach to NCDs prevention.

摘要

我们旨在澄清针对非传染性疾病(NCD)预防的行为,重点关注与生活方式相关的疾病和身体健康状况,并检查印度尼西亚社区居住女性之间的关系。这项横断面研究纳入了 45 岁及以上的女性。通过使用结构化问卷进行访谈收集数据;还测量了以下参数:身高、体重、体重指数(BMI)、血压(BP)、握力和 10 米步行速度。本研究发现,大多数女性采取了一种或多种预防 NCD 的健康行为,但很少有女性采取全面的行为。年龄、对家庭收入的满意度、独居、社会支持、社会参与和家庭决策是预防 NCD 行为的决定因素。观察到体重过轻(26.4%)、超重(31.9%)、肥胖(5.6%)、收缩压高(62.5%)和肌肉力量低(54.2%)的患病率较高。均衡饮食、避免高脂肪食物和进行血液胆固醇检测与身体健康状况有显著相关性。结论是,有必要在老年人健康村(Posyandu Lansia)开展活动,帮助女性纠正不良饮食习惯和减少身体活动,提高对健康检查的认识,以保持对 NCD 预防的关注并制定更实用的方法。