Yu Liliang, Liu Min, Tan Qing, Wang Dan, Chen Xiaoyun, Zhao Mingming, Long Jiang, Fan Mingyue, Zheng Daikun
Department of Public Health and Management, Chongqing Three Gorges Medical College, Chongqing, China.
Infectious Disease Control Center, Chongqing Center for Disease Control and Prevention, Chongqing, China.
Front Public Health. 2024 Dec 11;12:1448984. doi: 10.3389/fpubh.2024.1448984. eCollection 2024.
Respiratory infectious diseases (RIDs) are a global public health problem, characterized by strong infectivity, high transmissibility, and a high incidence in the population. This study aimed to explore RID prevention behaviors among older adults and analyze their influencing factors.
A cross-sectional study was conducted to examine RID prevention behaviors among 2219 Chinese older adults. Analysis of variance and the Kruskal-Wallis test were used to compare behaviors among subjects with different characteristics. Pearson's correlation analysis was used to assess the relationships between knowledge, skills, and behavior, and a generalized linear model was used for multi-factor analysis.
The participants in this questionnaire survey were predominantly older adults individuals aged 65-70 years (45.65%), with no more than a primary school educational level (86.70%). Univariate analysis revealed statistically significant associations between age, education, place of residence, living condition, marital status, annual income in the past year, type of medical insurance, health status, smoking status, drinking status, weekly exercise durations, and sleep status in older adults and their RID prevention behavior. Pearson's correlation analysis indicated a moderate correlation between knowledge, skills, and behavioral scores. Multivariate analysis identified place of residence, annual income, smoking habits, alcohol consumption, exercise frequency, knowledge level, and skill level as influential factors for behaviors related to the prevention and control of RID in older adults.
Our results confirm the importance of a healthy lifestyle in RID prevention among older adults, especially in terms of smoking, alcohol consumption, and regular exercise, and provide empirical evidence for the development of health promotion programs for older adults people, particularly in rural areas.
呼吸道传染病是一个全球性的公共卫生问题,具有传染性强、传播速度快、人群发病率高的特点。本研究旨在探讨老年人呼吸道传染病的预防行为,并分析其影响因素。
采用横断面研究方法,对2219名中国老年人的呼吸道传染病预防行为进行调查。采用方差分析和Kruskal-Wallis检验比较不同特征受试者的行为。采用Pearson相关分析评估知识、技能和行为之间的关系,并采用广义线性模型进行多因素分析。
本次问卷调查的参与者以65-70岁的老年人为主(45.65%),文化程度不超过小学(86.70%)。单因素分析显示,老年人的年龄、教育程度、居住地点、生活条件、婚姻状况、过去一年的年收入、医疗保险类型、健康状况、吸烟状况、饮酒状况、每周锻炼时长和睡眠状况与呼吸道传染病预防行为之间存在统计学显著关联。Pearson相关分析表明,知识、技能和行为得分之间存在中等程度的相关性。多因素分析确定居住地点、年收入、吸烟习惯、饮酒、锻炼频率、知识水平和技能水平是老年人呼吸道传染病防控相关行为的影响因素。
我们的结果证实了健康生活方式在老年人预防呼吸道传染病中的重要性,特别是在吸烟、饮酒和定期锻炼方面,并为制定老年人健康促进项目提供了实证依据,尤其是在农村地区。