CAJ | 학술논문

目的探讨浙江省成年人业余时间锻炼行为特征和影响因素。方法2010年对多阶段分层整群随机抽取的17437名18岁及以上浙江省常住居民进行问卷调查，调查内容包括社会人口学特征、主要慢性病史、过去6个月业余时间锻炼参与情况以及锻炼频度、时间和强度等。采用χ2检验和logistic回归分析成年人业余时间锻炼的影响因素。结果2010年浙江省成年人业余时间锻炼率为21.82%（95%CI：17.12%~27.38%），城市（29.04%，95%CI：23.46%~35.33%）高于农村（18.81%，95%CI：12.89%~26.61%）（χ2=222.06，P<0.05），女性（22.91%，95%CI：17.66%~29.15%）高于男性（20.56%，95%CI：16.39%~25.48%）（χ2=13.94，P<0.05），随年龄变化呈18～24岁、55～74岁较高的“双峰型”（χ2=266.73，P<0.05），不同职业以农业劳动者最低（5.33%，95%CI：3.99%~7.11%）（χ2=2078.40， P<0.05），随着文化程度和家庭人均年收入增高而升高（χ2=444.87、332.20，P均<0.05）。83.04%业余时间锻炼人群锻炼频度≥3次/周，90.08%锻炼时间≥30 min/次，30.67%锻炼强度达到中高强度，成年人业余时间经常锻炼率为5.38%（95%CI：3.85%~7.48%），多因素logistic回归分析显示年龄、文化程度、职业和主要慢病史是经常锻炼的影响因素。结论浙江省成年人业余时间锻炼水平较低，应重点关注低文化程度和低经济收入人群、中青年和在职人群特别是农业劳动者。
목적탐토절강성성년인업여시간단련행위특정화영향인소。방법2010년대다계단분층정군수궤추취적17437명18세급이상절강성상주거민진행문권조사，조사내용포괄사회인구학특정、주요만성병사、과거6개월업여시간단련삼여정황이급단련빈도、시간화강도등。채용χ2검험화logistic회귀분석성년인업여시간단련적영향인소。결과2010년절강성성년인업여시간단련솔위21.82%（95%CI：17.12%~27.38%），성시（29.04%，95%CI：23.46%~35.33%）고우농촌（18.81%，95%CI：12.89%~26.61%）（χ2=222.06，P<0.05），녀성（22.91%，95%CI：17.66%~29.15%）고우남성（20.56%，95%CI：16.39%~25.48%）（χ2=13.94，P<0.05），수년령변화정18～24세、55～74세교고적“쌍봉형”（χ2=266.73，P<0.05），불동직업이농업노동자최저（5.33%，95%CI：3.99%~7.11%）（χ2=2078.40， P<0.05），수착문화정도화가정인균년수입증고이승고（χ2=444.87、332.20，P균<0.05）。83.04%업여시간단련인군단련빈도≥3차/주，90.08%단련시간≥30 min/차，30.67%단련강도체도중고강도，성년인업여시간경상단련솔위5.38%（95%CI：3.85%~7.48%），다인소logistic회귀분석현시년령、문화정도、직업화주요만병사시경상단련적영향인소。결론절강성성년인업여시간단련수평교저，응중점관주저문화정도화저경제수입인군、중청년화재직인군특별시농업노동자。
Objective To understand the pattern of and influencing factors on leisure time physical exercises among adults in Zhejiang. Method Totally 17 437 residents aged 18 years and over selected by stratified cluster random sampling in Zhejiang in 2010 were investigated. Result Overall 21.82%(95%CI:17.12%-27.38%) of adults took part in leisure time physical exercises in 2010. The proportion was higher in urban (29.04%,95%CI:23.46%-35.33%) than in rural (18.81%,95%CI:12.89%-26.61%) (χ2=222.06, P<0.05) areas, and also higher in females (22.91%,95%CI:17.66%-29.15%) than in males (20.56%,95%CI:16.39%-25.48%) (χ2=13.94, P<0.05). Adults aged 18-24 and 55-74 years were more likely to take apart in physical exercises (χ2=266.73, P<0.05), and the lowest proportion was found among farmers (5.33%,95%CI:3.99%-7.11%) (χ2=2 078.40, P<0.05). These proportions both increased along with education level and family income increase (χ2=444.87, P<0.05;χ2=332.20, P<0.05). Overall 83.04%and 90.08%of physical exercisers took part in exercises at least 3 times per week and 30 minutes per time, only 30.67% of those reached moderate or vigorous intensity, and overall 5.38% (95%CI: 3.85%-7.48%) of adults took part in regular leisure time physical exercises in 2010. Multiple logistic regression showed that age, education level, occupation and chronic disease history have influence on regular physical exercises. Conclusion The leisure time physical exercises level was generally low among adults in Zhejiang. Young and middle-aged adults with less education and low income especially farmers should be put on emphasis.