Fliss Isakov Naomi, Levi-Shahar Miri, Balmakov Yulia, Mahajni Yunis Ranaa, Endevelt Ronit, Blaychfeld Magnazi Moran
Nutrition Division, Department of Public Health, Ministry of Health, Jerusalem, Israel.
Department of Health Promotion, School of Public Health, Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
Int J Public Health. 2025 May 21;70:1607794. doi: 10.3389/ijph.2025.1607794. eCollection 2025.
Israel has forcibly displaced more than 200,000 people to hotels or apartments, due to armed conflict. Our study aimed to identify changes in health-promoting behaviors during displacement.
Two online surveys were conducted assessing health-promoting behaviors and body weight before and during displacement. Univariate and multivariate analyses were performed to compare displaced and non-displaced respondents.
A total of 997 and 153 participants completed the first and second surveys respectively. A significant decrease in diet quality (P < 0.001), physical activity frequency (P = 0.016), and an increase in diet quantity (P < 0.001) and weight (P = 0.001) were reported among displaced individuals, compared to non-displaced individuals. Living with children, and a healthy pre-war lifestyle were found to be independently protective of detrimental lifestyle change (OR = 0.46, 95% CI0.28-0.76 and OR = 0.63, 95% CI0.40-0.97), risk factors (OR = 2.40, 95% CI1.30-4.43 and OR = 3.54, 95% CI1.71-7.32), for detrimental lifestyle changes.
Detrimental changes to health promoting behaviors were reported in all study groups, although they were significantly higher in displaced individuals. Immediate changes did not differ between respondents staying in hotels or apartments, but were sustained only in hotels.
由于武装冲突，以色列已迫使20多万人流离至酒店或公寓。我们的研究旨在确定流离期间促进健康行为的变化。
进行了两项在线调查，评估流离前和流离期间的促进健康行为及体重。进行单变量和多变量分析以比较流离者和未流离者。
分别有997名和153名参与者完成了第一次和第二次调查。与未流离者相比，流离者的饮食质量显著下降（P<0.001）、身体活动频率下降（P=0.016），饮食量增加（P<0.001），体重增加（P=0.001）。发现与孩子同住以及战前健康的生活方式可独立保护人们免受有害生活方式变化的影响（比值比=0.46，95%置信区间0.28 - 0.76；比值比=0.63，95%置信区间0.40 - 0.97），这些是有害生活方式变化的风险因素（比值比=2.40，95%置信区间1.30 - 4.43；比值比=3.54，95%置信区间1.71 - 7.32）。
所有研究组均报告了促进健康行为的有害变化，尽管流离者中的变化显著更高。住在酒店或公寓的受访者之间即时变化没有差异，但仅在酒店中这种变化持续存在。
