Study on health-related behaviors among males in rural and urban residents from Guangdong province
10.3760/cma.j.issn.0254-6450.2010.12.009
- VernacularTitle:广东省男性居民健康相关行为的城乡不公平性研究
- Author:
Hui-Yan XIE
1
;
Yong-Hui ZHANG
;
Wen-Jun MA
;
Yan-Jun XU
;
Xiao-Jun XU
;
Qiu-Mao CAI
;
Xiu-Ling SONG
;
Hao-Feng XU
;
Shao-Ping NIE
Author Information
1. 暨南大学医学院
- Keywords:
Health related behaviors;
Rural-urban differentials;
Concentration index
- From:
Chinese Journal of Epidemiology
2010;31(12):1363-1367
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the magnitude of inequities in health-related behaviors among males in Guangdong province, and to investigate the extent of the disparities. Methods Data sets available from the Guangdong Chronic Diseases and Risk Factors Survey 2007 are used.Concentration index (C) and concentration curve are employed to measure the differential of males'health-related behaviors across urban and rural areas in Guangdong. Odds ratios of 6 health-related behaviors among different areas are derived from 4 logistic models, after adjusting for age, married state, educational status, occupation and income. Results Results from Cs reveal that the inequality gradients disadvantageous to men in rural areas are: smoking(C=-0.075, P=0.000), alcohol intake (C=-0.023, P=0.002), blood pressure (C=0.106, P=0.000), blood sugar(C=0.114, P=0.000)and weight (C= 0.107, P= 0.000 ), while lack of physical activity (C= 0.044, P= 0.000) concentrates in the more affluent areas. The magnitudes of these inequalities appear to be higher on health-seeking behaviors than on health-risk behaviors. After adjusting for age and marital status, there is still strong evidence showing the rural-urban differences in the health related behaviors among males in Guangdong province. When educational status, occupation and income are added to the logistic model as control factors, the results have led to a loss of statistical significance on such rural-urban inequalities, indicating that socioeconomic factors play an important role on these health-related behaviors which leads to the inequalities among males in Guangdong province. Conclusion To reduce the gaps in health-related behaviors seen in the rural and urban areas, effective policies should be developed to change the social determinants of rural-urban differences in health and to strengthen the implementation of health-related programs on those vulnerable groups.
