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美国成年人中太极拳和气功的使用趋势及特征:2007 - 2017年国家健康访谈调查结果

Trends and characteristics of Tai Chi and Qi Gong use among U.S. adults: Results from the 2007-2017 National Health Interview Survey.

作者信息

Wang Claudia Chunyun, Li Kaigang, Gaylord A Susan

机构信息

School of Physical Education, Pingdingshan University, South Weilai Rd, Pingdingshan City New District, Pingdingshan, Henan Province 467000, People's Republic of China.

Colorado State University, Department of Health & Exercise Science, Fort Collins, CO 80523, USA.

出版信息

Complement Ther Med. 2022 Dec;71:102890. doi: 10.1016/j.ctim.2022.102890. Epub 2022 Sep 23.

Abstract

OBJECTIVE

To provide updated information about the prevalence, patterns, and predicting factors of Tai Chi and Qigong (TCQ) use among U.S. adults to better inform the future directions of TCQ application and research.

METHODS

Using 2007, 2012, and 2017 National Health Interview Survey, we examined the trends and characteristics of TCQ use by descriptive analysis, Wald F chi-square test, and multivariable logistic regression models among U.S. adults (n = 85,360), adjusting for the complex sampling design.

RESULTS

The prevalence use of TCQ among U.S. adults use was 1.17% in 2007, 1.27% in 2012, and 1.70% in 2017, which presents a 64% increase from 2007 to 2017 (p < 0.0001). Correlates of TCQ use are older adults (≥ 65 years old), Asians, having higher education levels, having lower income, and being more physically active (p < 0.001). The greater prevalence of TCQ use in 2017 than in 2012 occurred in some vulnerable demographic subgroups, including older adults, people with income less than $35,000/year, and those who were physically inactive. Those with delayed access to the conventional medical care system (e.g., had difficulty getting through on phone; couldn't get an appointment soon enough; had to wait too long to see doctor;)were also more likely to use TCQ (p < 0.001).

CONCLUSIONS

The use of TCQ has significantly increased among U.S. adults from 2007 to 2017. Given that the greatest increases in use of TCQ were among older adults, females, low-income individuals, and people who were physically inactive, TCQ may serve as age-appropriate, cost-effective, mind-body exercises for these groups of populations to help ameliorate health disparities.

摘要

目的

提供有关美国成年人中太极拳和气功(TCQ)使用情况的患病率、模式及预测因素的最新信息,以便更好地为TCQ应用和研究的未来方向提供参考。

方法

利用2007年、2012年和2017年的国家健康访谈调查,我们通过描述性分析、Wald F卡方检验以及多变量逻辑回归模型,对美国成年人(n = 85360)中TCQ的使用趋势和特征进行了研究,并针对复杂抽样设计进行了调整。

结果

2007年美国成年人中TCQ的使用率为1.17%,2012年为1.27%,2017年为1.70%,从2007年到2017年增长了64%(p < 0.0001)。TCQ使用的相关因素包括老年人(≥65岁)、亚洲人、教育水平较高、收入较低以及身体活动较多(p < 0.001)。2017年TCQ使用率高于2012年的情况出现在一些弱势群体亚组中,包括老年人、年收入低于35000美元的人群以及身体不活动的人群。那些难以获得常规医疗保健系统服务的人(例如,打电话困难;无法尽快预约;看医生等待时间过长)也更有可能使用TCQ(p < 0.001)。

结论

从2007年到2017年,美国成年人中TCQ的使用显著增加。鉴于TCQ使用增加最多的是老年人、女性、低收入个体以及身体不活动的人群,TCQ可能作为适合这些人群年龄、具有成本效益的身心锻炼方式,有助于改善健康差距。

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