Erasmus School of Health Policy & Management, Erasmus University Rotterdam, 3000 DR Rotterdam, The Netherlands.
Shanghai Health Development Research Center (Shanghai Medical Information Center), Shanghai 200031, China.
Int J Environ Res Public Health. 2021 May 4;18(9):4894. doi: 10.3390/ijerph18094894.
: An understanding of factors associated with health behaviours is critical for the design of appropriate health promotion programmes. Important influences of social cohesion, education, and income on people's health behaviours have been recognised in Western countries. However, little is known about these influences in the older Chinese population. : To investigate associations of social cohesion and socioeconomic status (SES) with health behaviours among middle-aged and older adults in China. : We used data from the World Health Organization's Study on Global AGEing and Adult Health. Logistic regression and multivariate linear regression were performed. : Participants who reported greater social cohesion were more likely to have adequate vegetable and fruit (VF) consumption, be socially active, and less likely to smoke daily, but were not physically more active; participants with lower education levels were less likely to have adequate VF consumption and be socially active, and more likely to smoke daily; higher incomes were associated with decreased odds of daily smoking, increased odds of adequate VF consumption, increased likelihood to be socially active, but also less likelihood to have sufficient physical activity (PA). Associations of social cohesion and SES with health behaviours (smoking, PA, and VF consumption) differed between men and women. : Our findings are an essential step toward a fuller understanding of the roles of social cohesion and SES in protecting healthy behaviours among older adults.
: 了解与健康行为相关的因素对于制定适当的健康促进计划至关重要。在西方国家，社会凝聚力、教育和收入对人们的健康行为有重要影响。然而，关于这些因素对中国老年人群的影响知之甚少。: 目的：探讨社会凝聚力和社会经济地位（SES）与中国中年和老年人健康行为之间的关联。: 我们使用了世界卫生组织全球老龄化和成人健康研究的数据。进行了逻辑回归和多变量线性回归分析。: 报告社会凝聚力较高的参与者更有可能摄入足够的蔬菜和水果（VF）、更活跃、更少吸烟，但身体活动量没有增加；受教育程度较低的参与者摄入足够的 VF 以及参与社交活动的可能性较小，且更有可能每日吸烟；较高的收入与每日吸烟的几率降低、摄入足够的 VF 以及参与社交活动的几率增加有关，但身体活动的可能性也较低。社会凝聚力和 SES 与健康行为（吸烟、PA 和 VF 摄入）之间的关联在男性和女性之间存在差异。: 我们的发现是朝着更全面地理解社会凝聚力和 SES 在保护老年人健康行为方面的作用迈出的重要一步。
