Exploring Factors and Strategies to Promote Chinese Elders’ Physical Activity

Fanghong Yao, Rui Zhang
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Abstract

This study was designed to explore factors and strategies to promote Chinese elders’ physical activity and cultivate healthy lifestyles. We collected the CHARLS survey 2011 baseline data, and selected 2647 cases of the elderly population in China. Based on the social ecosystem theory, the univariate analysis and ordered logistic regression were used. The model was analyzed for multivariate analysis. In the present study, the appropriate IRB approval has been obtained from Peking University. The theory of social ecology believes that individual behavior is influenced individual factors, inter-individual factors, organizational factors, community factors and policy factors. This article used the gender, age, marriage, education, and self-assessment of health status in the survey results as independent variables of individual factors, used whether to provide care for grandchildren, the frequency of participation in social activities as independent variables of inter-individual factors, used whether there are organizations that assist the elderly, the weak, the disabled population and whether there are elderly associations as the independent variables of organizational factors, then uses whether there is geriatric health service center as an independent variable of community factor. In this paper, physical activity participation intensity was used as the dependent variable, and single factor correlation analysis was performed with each independent variable. The other nine chi-square test significant independent variables except for age were included in the multiple regression model. The results showed that compared with other marital status, the physical activity intensity of the elderly population with spouses living together is greater; the elderly population who has better self-rated health scores and has higher social frequency, has stronger physical activity intensity; the elderly population who has geriatric health care service centers in their residence has stronger physical activity intensity. The following suggestions to promote health of Chinese elderly population can be made: the elderly population should establish their own awareness of health care and exercise; the children of the elderly population should strengthen their care for the elderly population; the community pension service organizations should take the initiative to play an active role to care the elderly population; the elderly population residence should strengthen the supporting hardware facilities.
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促进我国老年人体育活动的因素与策略探讨
本研究旨在探讨促进中国老年人体育活动,培养健康生活方式的因素和策略。我们收集CHARLS调查2011年基线数据,选取2647例中国老年人群。基于社会生态系统理论,采用单变量分析和有序逻辑回归。对模型进行多变量分析。在本研究中,已获得北京大学适当的IRB批准。社会生态学理论认为,个体行为受个体因素、个体间因素、组织因素、社区因素和政策因素的影响。本文以调查结果中的性别、年龄、婚姻、受教育程度、健康状况自评等作为个体因素的自变量,以是否照顾孙辈、参加社会活动的频率作为个体间因素的自变量,以是否有扶老、扶弱、残障人口和是否有老年协会作为组织因素的自变量,再以是否有老年卫生服务中心作为社区因素的自变量。本文以体力活动参与强度为因变量,对各自变量进行单因素相关分析。除年龄外,其余9个卡方检验显著自变量纳入多元回归模型。结果表明:与其他婚姻状况相比,配偶共同生活的老年人群体力活动强度更大;自评健康得分越高、社交频率越高的老年人群,身体活动强度越强;居住有老年保健服务中心的老年人口身体活动强度更强。促进我国老年人口健康可提出以下建议:老年人口应树立自身的保健和锻炼意识;老年人口子女应加强对老年人口的关爱;社区养老服务机构应主动发挥积极作用,照顾老年人口;老年人口住宅应加强硬件设施配套。
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