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欧洲社会分层中的体力活动障碍。

Physical activity barriers according to social stratification in Europe.

机构信息

University of Murcia, San Javier Campus, C/Santa Alicia s/n, 30720, Santiago de la Ribera, Murcia, Spain.

出版信息

Int J Public Health. 2020 Nov;65(8):1477-1484. doi: 10.1007/s00038-020-01488-y. Epub 2020 Sep 28.

Abstract

OBJECTIVES

To analyse relationships of social stratification on physical activity (PA) prevalence and barriers in the European population.

METHODS

Data were retrieved from Eurobarometer 88.4, a cross-sectional survey conducted in 2017 with 28,031 over 15-year-old inhabitants of the European Union. PA prevalence was calculated along with the probability to be physically inactive by social stratification. Logistic regressions were run in the inactive population to show the social class effect on each barrier adjusted by sociodemographic factors employing a propensity score matched method.

RESULTS

Low social class presented higher inactivity prevalence (43.11%), whilst the high social class reported the lowest prevalence (23.30%). Also, the low (OR 0.52; 95% CI 0.47-0.58) and middle (OR 0.71; 95% CI 0.64-0.79) social classes were less likely to be active compared to high social class. In the inactive population, the low social class had mostly higher odds to report each barrier.

CONCLUSIONS

Social class is a relevant factor for low PA, with more barriers in the lower social classes. Public health institutions should implement strategies on more influential PA barriers and disadvantaged social groups.

摘要

目的

分析社会阶层对欧洲人群体力活动(PA)流行率和障碍的关系。

方法

数据来自于 2017 年进行的横断面调查 Eurobarometer 88.4,该调查共涉及欧盟 28031 名 15 岁以上的居民。根据社会分层计算了 PA 流行率和体力活动不足的概率。对不活跃人群进行了逻辑回归,以显示社会阶层对每个障碍的影响,这些障碍通过倾向评分匹配方法,根据社会人口因素进行了调整。

结果

低社会阶层的不活跃率较高(43.11%),而高社会阶层的不活跃率最低(23.30%)。此外,与高社会阶层相比,低(OR 0.52;95%CI 0.47-0.58)和中(OR 0.71;95%CI 0.64-0.79)社会阶层不太可能活跃。在不活跃人群中,低社会阶层报告每个障碍的几率大多更高。

结论

社会阶层是 PA 水平较低的一个重要因素,较低社会阶层的障碍更多。公共卫生机构应实施针对更具影响力的 PA 障碍和弱势群体的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e20/7521567/54d1899eb700/38_2020_1488_Fig1_HTML.jpg

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