| Objectives:The purpose of this study was to understand the characteristics of physical activity behavior of older adults in Hebei Province.And based on a multilevel model,it extensively explored the factors influencing older adults’physical activity behavior at multiple levels,including individual,community and environmental levels.It provides a basis for developing and implementing intervention countermeasures and measures for the promotion of older adults’physical activity behavior in Hebei Province and similar areas.Method:A stratified-whole-group sampling method was used to select people aged 60 years or older or who were residents of Hebei province with household registration or who had lived in Hebei province for 12 months or longer as the study population.The questionnaire was designed by ourselves.A total of 1980 questionnaires were distributed,and 1799 valid questionnaires were returned,with a valid questionnaire return rate of 90.86%.Epi Data 3.1 software was used to enter the questionnaire data and establish the database.SPSS 20.0 software was used for statistical descriptive and influential factor analysis of the data,?~2 test was used for one-way analysis,and logistic regression model was used for one-level multi-factor analysis.Stata 11.0 software was used to construct a two-level logistic random intercept model for multifactor analysis.Result:1.Of the 1799 respondents,48.7%and 51.3%were male and female,respectively.Of the1799 respondents,48.7%and 51.3%were male and female,respectively.The average age was about 71.6±3.7 years old,and 60.4%were over 70 years old.In terms of education level,the top three percentages were elementary school,junior high school and illiterate or illiterate.52.1%lived in rural areas and 47.9%lived in urban areas.43.2%of the elderly had a monthly income of less than 1,000 yuan.The proportion of older adults with spouses was 56.6%.22.2%of older adults smoked,24.3%drank alcohol,59.4%suffered from chronic diseases,and 83.4%"considered themselves healthy or relatively healthy".2.The social support level of the elderly in Hebei Province is at the middle to lower level,among which the family support level is the highest and the message support level is the lowest.3.The satisfaction level of public sports services for the elderly in Hebei Province is at a medium level,among which the satisfaction level of public sports venues is the highest and the satisfaction level of public sports service instructors is the lowest.4.Gender,age,marital status,education level,place of residence,income level,health self-assessment status,smoking behavior,drinking behavior,social support and satisfaction with public sports services were the influencing factors of physical activity behavior of elderly people in Hebei province.Older adults who were male,of low age,had a spouse,lived in an urban area,had a high education level,had a high income level,had a good health self-assessment status,did not smoke,did not drink alcohol,had a high level of social support,and had a high level of satisfaction with public sports services were more likely to have regular physical activity behavior.5.The results of multifactor analysis showed that gender,age,marital status,education level,place of residence,income level,health self-assessment status,smoking behavior,drinking behavior,total level of social support,and total level of satisfaction with public sports services were related to physical activity behavior of older adults.6.The two-level multi-factor logistic model was used to compare the influencing factors with the one-level multi-factor logistic model,and it was found that the one-level model analysis was flawed,and the influencing factors such as education level,smoking behavior and drinking behavior could not be found,and the standard errors of the one-level model were all slightly larger than those of the two-level model.Conclusion:1.33.11%of elderly people in Hebei province had regular physical exercise behavior,and the level of physical exercise was low,and their physical exercise programs were mainly walking and dancing.2.The social support level of the elderly in Hebei Province is in the middle to low level,with the highest level of family support and the lowest level of message support.3.The satisfaction level of public sports services for the elderly in Hebei Province is in the middle level,among which the satisfaction level of public sports venues is the highest and the satisfaction level of public sports service instructors is the lowest.4.Gender,age,marital status,education level,place of residence,income level,health self-assessment status,smoking behavior,drinking behavior,social support and satisfaction with public sports services were the influencing factors of physical activity behavior of elderly people in Hebei province.Older adults who were male,of low age,had a spouse,lived in an urban area,had a high education level,had a high income level,had a good health self-assessment status,did not smoke,did not drink alcohol,had a high level of social support,and had a high level of satisfaction with public sports services were more likely to have regular physical activity behavior. |
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