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孟加拉国农村地区高血压患者对体力活动项目的了解程度及其参与意向,及其与社会人口统计学因素的关系:一项整群随机对照试验的初步调查。

Knowledge of and Intention to Participate in Physical Activity Programs and Their Associated Sociodemographic Factors in People with High Blood Pressure in a Rural Area of Bangladesh: Initial Investigation from a Cluster Randomized Controlled Trial.

机构信息

School of Health Sciences, Swinburne University of Technology, Melbourne, VIC 3122, Australia.

Organization for Rural Community Development (ORCD), Dariapur, Narail 7500, Bangladesh.

出版信息

Int J Environ Res Public Health. 2021 Sep 10;18(18):9561. doi: 10.3390/ijerph18189561.

DOI:10.3390/ijerph18189561
PMID:34574492
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8467109/
Abstract

This initial investigation aimed to investigate the knowledge of the health benefits of physical activity (PA) and attitudes towards participation in PA. The study recruited 307 people aged 30-75 years with hypertension as part of a cluster randomized controlled trial from a rural area in Bangladesh. Of the 307 participants, 135 participated less than 2.5 h of physical activity per week, from which we collected data on attitudes toward PA. Regression analysis and Rasch analysis were used. More than 85% of homemakers, employees or businesspersons were willing to take part in PA. Based on the combined score from the knowledge and attitude items, 46% of people endorsed PA programs; proportions were higher in men than women (53% vs. 41%). After adjusting for covariates, men (odds ratio, 95% confidence interval (CI) 3.50, 1.72-7.11) compared to women and people with at least primary levels of schooling (OR 3.06, 95% CI, 1.27-7.38) compared with those with no education were more likely to organize or take part in any PA programs. People have positive attitudes towards PA but do not feel obligated to participate in PA programs. Future programs are needed to promote awareness and motivational interventions for PA, especially targeting women and people with low education levels, should be developed and implemented.

摘要

本初步研究旨在调查人们对身体活动(PA)健康益处的了解程度以及对参与 PA 的态度。该研究从孟加拉国农村地区的一项群组随机对照试验中招募了 307 名年龄在 30-75 岁之间的高血压患者。在这 307 名参与者中,有 135 名参与者每周的身体活动量少于 2.5 小时,我们从这些参与者中收集了关于对 PA 的态度的数据。采用回归分析和 Rasch 分析。超过 85%的家庭主妇、员工或企业主愿意参加 PA。根据知识和态度项目的综合得分,46%的人支持 PA 计划;男性的比例高于女性(53%比 41%)。在调整了协变量后,与女性相比,男性(优势比,95%置信区间(CI)3.50,1.72-7.11)和至少接受过小学教育的人(OR 3.06,95% CI,1.27-7.38)比没有受过教育的人更有可能组织或参与任何 PA 计划。人们对 PA 持积极态度,但并不觉得有义务参加 PA 计划。需要开展未来的项目来提高对 PA 的认识和开展动机干预,特别是应针对女性和受教育程度较低的人群制定和实施此类项目。

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本文引用的文献

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Int J Environ Res Public Health. 2021 Jul 9;18(14):7365. doi: 10.3390/ijerph18147365.
2
Lowering blood pressure by changing lifestyle through a motivational education program: a cluster randomized controlled trial study protocol.通过动机教育计划改变生活方式降低血压:一项集群随机对照试验研究方案。
Trials. 2021 Jul 8;22(1):438. doi: 10.1186/s13063-021-05379-2.
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Effects of Attitude, Motivation, and Eagerness for Physical Activity among Middle-Aged and Older Adults.中老年人的态度、动机和体育活动积极性的影响。
J Healthc Eng. 2020 Aug 27;2020:1014891. doi: 10.1155/2020/1014891. eCollection 2020.
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Hypertension prevalence and its trend in Bangladesh: evidence from a systematic review and meta-analysis.孟加拉国的高血压患病率及其趋势:系统评价与荟萃分析的证据
Clin Hypertens. 2020 Jun 1;26:10. doi: 10.1186/s40885-020-00143-1. eCollection 2020.
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Sedentary Behavior and Public Health: Integrating the Evidence and Identifying Potential Solutions.久坐行为与公共健康:整合证据与识别潜在解决方案。
Annu Rev Public Health. 2020 Apr 2;41:265-287. doi: 10.1146/annurev-publhealth-040119-094201. Epub 2020 Jan 8.
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The Dose-Response Associations of Sedentary Time with Chronic Diseases and the Risk for All-Cause Mortality Affected by Different Health Status: A Systematic Review and Meta-Analysis.久坐时间与慢性病的剂量-反应关系以及不同健康状况对全因死亡率的影响:系统评价和荟萃分析。
J Nutr Health Aging. 2020;24(1):63-70. doi: 10.1007/s12603-019-1298-3.
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An assessment of awareness of mental health conditions and its association with socio-demographic characteristics: a cross-sectional study in a rural district in Bangladesh.一项关于心理健康状况意识及其与社会人口特征关联的评估:孟加拉国一个农村地区的横断面研究。
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