Impact Of Healthy City On Physical Activity In Luzhou

[Objective]To analyze the changes in physical activity of Luzhou residents after two years healthy city construction,understand the impact of healthy city on physical activity.To explore the influencing factors of physical activity under the background of healthy city,and provide reference for clarifying the key population and work direction of healthy city in the next stage.[Methods]This study is based on the project of"Evaluation of the Healthy City Project in Luzhou City" in Sep.2015 and Jan.2018.Two rounds of evaluation residents(age from 18-75)and national fitness project indicators between 2015-2017 were used as research object.subdistricts/towns and communities/villages were randomly sampled from each district/county by a multi-stage sampling,and permanent residents(those who had resided locally for six months or above)aged 18 to 75 were recruited from each sampled community/village by a convenience sampling,and finally 6984(2015)and 9653(2018)residents participated in the survey.Information,including(1)basic characteristics;(2)physical activity:measured by GPAQ;(3)sports venues of residences.(4)satisfaction with the Healthy City project in Luzhou consisting of dimensions of community environments,public cultural/sport activities,public health education,healthcare services and public safety;(5)awareness of the Healthy City project in Luzhou,was collected via self-administrated questionnaires or inquiry of investigators.Using IPW to calculate weights according to the age and gender composition of Luzhou in 2016.Single factor analysis was used to compare the differences of physical activity between 2015 and 2018,and weighted multilevel logistic regression models with cluster-robust standard errors were fitted to analyze the influencing factors of physical activity under the background of healthy city.[Results]After implemented of the healthy city project,the physical activity standard achieving rate was increased from 52.00%(in 2015)to 59.49%(in 2018).Among them,the physical standard achieving rate of female residents has increased 10.86%,residents aged from 18-44 increased 15.44%,urban residents increased 25.57%,civil servants and staff of enterprises and institutions increased 26.03%.Residents’feedback on the provision rate of sports venues in their residences increased from 33.43%in 2015 to 73.97%in 2018.The weighted multi-level logistic regression model shows that age,occupation,self-rated health status,satisfaction of medical service,satisfaction of social security,awareness rate of healthy city are the protective factors of physical activity,while satisfaction of public cultural/sport activities,satisfaction rate of community environment and street type are the risk factors of physical activity.[Conclusions]After two year implementation of healthy city project,the physical activity standard achieving rate of Luzhou city has significantly improved,and achieved remarkable results in some key groups.At the same time,we found that physical activity promotion is a systematic project,which needs the cooperation and efforts of many departments and fields to promote residents’ physical activity level.In the next stage,it is necessary to focus on the physical activities promotion of the elderly,workers and peasants,enterprises and public servants.At the same time,it is also necessary to strengthen departmental cooperation,improve the participation of residents in the construction of healthy city,carry out diversified fitness and entertainment activities,improve the community environment,and further improve the physical activities level of residents.