与非传染性疾病相关的生活方式和成年人预防服务的利用

Slađana Šiljak, L. Kovačević, D. Dragić
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摘要

非传染性疾病的主要行为风险因素是吸烟、有害使用酒精、缺乏身体活动和不健康的饮食。30至70岁人口中有一半以上每年死于非传染性疾病,可通过促进和预防措施加以预防。本文的目的是确定生活方式因素与非传染性疾病和预防服务的利用在初级卫生保健中心Zvezdara在贝尔格莱德。调查采用横断面研究,随机抽取210名成人为样本。使用统计数据处理程序SPSS 19.0 for Windows对调查数据进行分析。贝尔格莱德成年人中与非传染性疾病相关的生活方式因素包括吸烟(38.1%)、饮酒(32.9%)、不良饮食习惯(高盐摄入量,超过5克(29%)和进餐频率不足(61%)、工作时间久坐不动的生活方式(27.1%)和休闲时间(20.4%)。根据世卫组织的建议,只有16.7%的人口进行适度身体活动。利用预防服务的男性占三分之一,女性占五分之一,受教育程度高的人(p=0.001),生活在良好社会条件下的专业人员(p=0.007) (p=0.000)。预防服务的组织需要更灵活地结合公众舆论,利用电子服务、媒体和移动通信等现代保健教育方法。
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Lifestyles related to NCD and utilization of preventive services among adults
Leading behavioural risk factors for non communicable diseases (NCD) are smoking, harmful use of alcohol, physical inactivity and unhealthy diet. More than half of population between age 30 and 70 years die annually from NCDs which could be prevented by promotive and preventive measures. Goal of the paper is to determine lifesyle factors related to non communicable diseases and utilization of preventive services in primary health care center Zvezdara in Belgrade. Survey is cross sectional study with sample size of 210 adults randomly selected. The analysis of the survey data was performed using the statistical data processing program SPSS 19.0 for Windows. Lifestyles factors related to NCDs among adult population in Belgrade are smoking (38,1%), alcohol consumption (32,9%), poor eating habits with high salt intake, more than 5g (29%) and inadequate frequency of meals (61%), sedentary lifestyles during working time (27,1%) and during leisure time (20,4%). Only 16,7% of population have moderate physical activity according to WHO recommentations. Preventive services utilized each third men and each fifth women, people with high level of education (p=0.001), professionals (p=0.007) who are living in good social conditions (p=0.000). Preventive services need to be organized more flexible in relation to public opinion using modern methods of health education via electronic services, media and mobile communications.
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