2018年上海健康自我管理小组健康促进生活方式情况及影响因素分析

目的 了解参加"健康自我管理小组"的市民健康促进生活方式及其影响因素,以便采取相应的措施进一步提高健康自管小组的效果.方法 在上海全市16个区开展问卷调查.每个区调查6个健康自我管理小组,被抽取的小组内所有组员均作为调查对象.结果 共调查107个健康自我管理小组,调查人数1582人.健康促进生活方式总评分为(157.68±25.59);6个维度评分分别为:自我实现(26.76±5.24)、人际关系(28.67±4.71)、体育运动(22.90±4.98)、健康职责(27.42±5.18)、营养(28.69±4.46)、压力处理(23.85±4.42);性别、年龄、健康状况、参加小组时间、朋友支持和社区支持是健康促进生活方式的影响因素.结论 应加强社区行动,推进健康自我管理活动多元化、规范化发展,增强公众个人健康主体责任意识,提升居民健康意识、健康素养与自我管理能力.

Analysis of Health-promoting Lifestyle and Influencing Factors of Health Self-Management Group Members in 2018 in Shanghai

Objective To understand the profiles on health-promoting lifestyle of the“Health Self-Management Group”members and its influencing factors,to identify appropriate intervention measures for further improving the effectiveness of the Health Self-Management Group.Methods A questionnaire survey was conducted among“Health Self-Management Group”member in all 16 districts of Shanghai,which covers 6 groups in each district with all the members in the selected groups being participants.Results A total of 107 health self-management groups were surveyed,with a total of 1582 respondents.The survey results showed that the total score of health-promoting lifestyle was(157.68±25.59);a breakdown of the scores in 6 dimensions were(26.76±5.24)of self-realization,(28.67±4.71)of interpersonal relationship,(22.90±4.98)of physical activities,(27.42±5.18)of health responsibilities,(28.69±4.46)of nutrition,and(23.85±4.42)of stress management;gender,age,health status,group time,friend support,and community support were the influencing factor of the total score of health-promoting lifestyle.Conclusion To enhance the public's awareness of subjective responsibility for health,and enhance residents’health awareness,health literacy and self-management abilities,relevant departments should take some measures to strengthen community action,promote the diversified and standardized development of health self-management activities.