Department of General Internal Medicine, Saitama Medical University, Morohongo 38, Moroyama-machi, Saitama 350-0495, Iruma-gun, Japan.
Int J Environ Res Public Health. 2021 Dec 28;19(1):284. doi: 10.3390/ijerph19010284.
Stress is a primary target of national health promotion efforts such as Healthy Japan in the 21st century (HJ21). However, little is known about how the combination of perceived stress and coping adequacy influence health-related lifestyle behaviors in line with national health promotion. This study assessed the association between combined perceived stress and coping adequacy and multiple health-related lifestyle behaviors in HJ21 practices. This cross-sectional survey that included specialists in health management comprehensively assessed multiple health-related lifestyle behaviors in accordance with HJ21. Total health-related lifestyle behavior scores were calculated and perceived stress and coping adequacy were recorded and categorized into four groups with group 1 to 4 being high to none, and highly adequate to not at all, respectively. The average total lifestyle behavior scores (standard deviation [SD]) were 35.1 (3.5), 33.7 (3.6), 31.8 (3.8), and 30.5 (4.9) for groups 1 to 4 of coping adequacy ( < 0.001). Further, individuals who had higher stress coping adequacy had better multiple health-related lifestyle behaviors after adjusting for demographic factors and perceived stress in the linear trend among the groups. Stress coping skills might be an essential target for stress reduction, ultimately leading to health promotion for disease prevention and longevity.
压力是 21 世纪“健康日本 21”等国家健康促进活动的主要目标。然而，人们对感知压力和应对能力的组合如何与国家健康促进保持一致影响与健康相关的生活方式行为知之甚少。本研究评估了感知压力和应对能力的组合与“健康日本 21”实践中多种与健康相关的生活方式行为之间的关联。这项横断面调查包括健康管理专家，根据“健康日本 21”全面评估了多种与健康相关的生活方式行为。计算了总健康相关生活方式行为得分，并记录了感知压力和应对能力，并将其分为四组，第 1 组至第 4 组分别为高至无，高度充足至一点也不。应对能力从高到低的 4 组的平均总生活方式行为得分（标准差 [SD]）分别为 35.1（3.5）、33.7（3.6）、31.8（3.8）和 30.5（4.9）（<0.001）。此外，在调整了人口统计学因素和组间线性趋势中的感知压力后，具有更高压力应对能力的个体具有更好的多种与健康相关的生活方式行为。压力应对技能可能是减轻压力的重要目标，最终可以促进疾病预防和长寿的健康促进。
