长沙市居民健康相关行为及健康投资现状
Current Health-Related Behavior and Health Investment of Residents in Changsha City

目的：了解长沙市居民健康相关行为及健康投资现状，为社区居民健康生活方式的建立提供科学依据和建议。方法：采用多阶段分层整群随机抽样法，设计调查问卷并进行调查，采用卡方检验进行统计推断分析，二分类多因素非条件logistic回归模型分析健康投资影响因素。结果：吸烟率为28.9%，饮酒率为51.0%，不合理膳食达53.8%，睡眠不足占22.7%，体力活动充足占70.9%，半年内患有已经医院确诊的慢性疾病的居民占16.8%，心血管系统疾病最常见，购买医疗保险是居民主要的健康投资方式，半年内居民健康投资低于1000元占55.1%，影响健康投资的主要因素为性别﹑年龄﹑受教育程度﹑职业﹑健康状况。结论：长沙市居民在饮食、吸烟、饮酒、运动等方面均存在相当程度的不健康生活方式，建议据此科学制定居民健康生活方式的策略，针对不同特点的人群加强健康教育，提高健康投资的力度。
Objective: To find out about the health-related behavior and health investment status of residents in Changsha, and provide scientific basis and suggestions scientific basis for the establishment of healthy lifestyle. Methods: Multistage stratified random cluster sampling, designed and conducted the questionnaires are adopted. The chi-square test was used to analyze the data. Binary multi-variate unconditional logistic regression was used to analyse the influencing factors of health in-vestment. Results: The rate of smoking and drinking was 28.9% and 51.0%; undesirable diet was 53.8%; sleep deprivation was 22.7%; adequate physical activity was 70.9%; residents diagnosed with chronic diseases within six months was 16.8%; cardiovascular diseases are the most common; purchasing medical insurance is the main way for residents to invest in health; health investment less than 500 yuan within six months was 55.1%. The main factors influencing health investment were gender, age, education, occupation and health status. Conclusion: Residents in Changsha had a considerable degree of unhealthy lifestyle in diet, smoking, drinking and exercise. Therefore, strategies for healthy lifestyle can be formulated scientifically based on the above data, and ac-cording to different characteristics of the population to strengthen health education, improve the intensity of health investment.