拉萨地区藏族人群生活行为方式与自评健康状况的关联研究

doi:10.12183/j.scjpm.2021.0731

华南预防医学 ›› 2021, Vol. 47 ›› Issue (6): 731-735.doi: 10.12183/j.scjpm.2021.0731

拉萨地区藏族人群生活行为方式与自评健康状况的关联研究

次德吉¹, 曾春梅², 强巴³, 琼拉³, 杨明林⁴

1.拉萨市城关区疾病预防控制中心,西藏拉萨 850000;
2.四川大学华西公共卫生学院;
3.拉萨市城关区蔡公堂乡卫生院;
4.云南省疾病预防控制中心预防医学健康体检中心

收稿日期:2021-04-02 出版日期:2021-06-20 发布日期:2021-07-16
通讯作者: 杨明林,E-mail：13888257091@139.com
作者简介:次德吉（1974—）,女,大学专科,主管医师,主要从事生活行为方式研究工作
基金资助:
国家重点研发计划“西南区域高海拔地区世居高原自然人群队列研究（2017YFC0907302）”

Correlation between lifestyle behaviors and self-rated health status among Tibetans in Lhasa

Cideji¹, ZENG Chun-mei², Baqiang³, Qiongla³, YANG Ming-lin⁴

1. Lhasa Chengguan District Center for Disease Control and Prevention, Lhasa 850000, China;
2. West China School of Public Health, Sichuan University;
3. Caigongtang Township Health Center, Chengguan District, Lhasa;
4. Preventive Medicine Health Examination Center of Yunnan Provincial Center for Disease Control and Prevention

Received:2021-04-02 Online:2021-06-20 Published:2021-07-16

摘要/Abstract

摘要： 目的探讨拉萨地区藏族人群自评健康状况与常见生活行为方式暴露的关联,以期为该人群的健康促进工作提供依据。方法选取国家重点研发计划“西南区域自然人群队列”中拉萨地区藏族人群作为研究对象,以面对面电子问卷调查方式收集自评健康状况,采用全环境关联研究（EWAS）方法,全面探讨生活行为方式因素与自评健康状况的关联。结果 6 212名藏族人群中自评健康状况非常好占9.1%,较好占55.9%,一般占28.0%,较差或很差占6.9%。EWAS框架下的有序Logistic回归分析显示偶尔饮酒（OR=0.79）、经常饮酒（OR=0.66）、膳食评分（OR=0.97）、每周业余平均锻炼时长2~3 h（OR=0.72）、每周业余平均锻炼时长>3 h（OR=0.84）人群更易有好的自评健康状况。而重度环境烟雾暴露（OR=1.52）人群自评健康状况更差。结论藏族人群的自评健康状况总体较为乐观,多种生活行为因素与自评健康状况相关,为后续健康教育、促进方向提供理论依据。

关键词: 健康状况, 生活方式, 藏族, 全环境关联研究, 队列

Abstract: Objective To explore the correlation between self-rated health status and common lifestyle exposure of Tibetans in Lhasa, so as to provide basis for health promotion of Tibetan population. Methods Lhasa Tibetans in National Key R & D Program “Southwest Regional Natural Population Cohort” were selected as the research objects. Face to face electronic questionnaire was used to collect self-rated health status. The environment-wide association study （EWAS） method was used to comprehensively explore the correlation between lifestyle behaviors and self-rated health status. Results Among 6 212 Tibetans, 9.1% of them rated their self-rated health as excellent, 55.9% as good, 28.0% as fair, and 6.9% as poor or very poor. Ordinal Logistic regression analysis in the EWAS framework showed that occasional alcohol consumption （OR=0.79）, regular alcohol consumption （OR=0.66）, dietary score （OR=0.97）, average weekly leisure time exercise duration of 2-3 h （OR=0.72）, and average weekly leisure time exercise duration >3 h（OR=0.84） were more likely to have good self-rated health status. In contrast, people with heavy environmental smoke exposure （OR=1.52） had worse self-rated health status. Conclusion The overall self-rated health status of the Tibetans is optimistic, and a variety of life behavior factors are associated with self-rated health status, providing a theoretical basis for subsequent health education and health promotion.

Key words: Health status, lifestyle, Tibetan, Environment-wide association study, Cohort

中图分类号:

R195

次德吉, 曾春梅, 强巴, 琼拉, 杨明林. 拉萨地区藏族人群生活行为方式与自评健康状况的关联研究[J]. 华南预防医学, 2021, 47(6): 731-735.

Cideji, ZENG Chun-mei, Baqiang, Qiongla, YANG Ming-lin. Correlation between lifestyle behaviors and self-rated health status among Tibetans in Lhasa[J]. South China Journal of Preventive Medicine, 2021, 47(6): 731-735.

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拉萨地区藏族人群生活行为方式与自评健康状况的关联研究

Correlation between lifestyle behaviors and self-rated health status among Tibetans in Lhasa

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