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首页> 外文期刊>Journal of Health Disparities Research and Practice >Healthy Lifestyle Behaviors and Disparities between the United States mainland compared to Puerto Rico, Guam, and United States Virgin Islands (i. e., United States territories)
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Healthy Lifestyle Behaviors and Disparities between the United States mainland compared to Puerto Rico, Guam, and United States Virgin Islands (i. e., United States territories)

机译：美国大陆与波多黎各，关岛和美属维尔京群岛（即美国领土）之间的健康生活方式行为和差异

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Background: No studies have compared the lifestyle behaviors between Puerto Rico, Guam, and the U. S. Virgin Islands to that of the United States mainland. Documenting and addressing health disparities between these geographically and culturally distinct areas are important public health objectives. Differences in health status between and among the United States mainland and territories merit systematic and careful analyses. Methods: Four key healthy lifestyle characteristics include tobacco use, body mass index, physical activity, and fruit/vegetable consumption. Data from the 2009 Behavioral Risk Factor Surveillance System (N=420,481) were used to examine United States mainland and territorial differences among the four key healthy lifestyle behaviors. Descriptive statistics were summarized with chi-square tests for independence and multiple adjusted logistic regression models were used to examine differences in health compliance rates while controlling for age, gender, income, and education. Frequencies determined whether Healthy People 2010 goals were met by each location. Results: Differences were found between the United States mainland and territories for smoking rates, body mass index, physical activity, and consumption of fruit/vegetables. None of the countries met all four Healthy People 2010 goals. Discussion: Even though, each location had unique challenges, Puerto Ricans’ health behaviors were significantly less favorable than residents in the other countries. We document prevalence rates and differences by country for each of the four healthy lifestyle characteristics. This study highlights the need for more research in these understudied areas as well as the importance of effective health promotion and disease prevention programs for all United States citizens including the mainland and all territories.
机译：背景：尚无研究将波多黎各，关岛和美属维尔京群岛之间的生活方式与美国本土进行比较。记录和解决这些地理和文化上不同区域之间的卫生差异是重要的公共卫生目标。美国大陆和领土之间以及它们之间的健康状况差异值得系统和仔细的分析。方法：健康生活方式的四个关键特征包括吸烟，体重指数，体育锻炼和水果/蔬菜消费。使用2009年行为危险因素监测系统（N = 420,481）的数据检查了美国四种主要的健康生活方式行为在美国大陆和地区的差异。用卡方检验总结描述性统计数据的独立性，并使用多种调整的逻辑回归模型检查健康依从率的差异，同时控制年龄，性别，收入和教育程度。频率确定了每个地点是否都达到了“健康人2010”的目标。结果：发现美国大陆和地区之间的吸烟率，体重指数，体育锻炼和水果/蔬菜的消费存在差异。没有一个国家达到了“健康人2010”的全部四个目标。讨论：尽管每个地点都面临独特的挑战，但波多黎各人的健康行为明显不如其他国家/地区的居民好。我们记录了四种健康的生活方式特征中每个国家的患病率和差异。这项研究强调了在这些未被充分研究的领域中进行更多研究的必要性，以及对包括大陆和所有领土在内的所有美国公民进行有效的健康促进和疾病预防计划的重要性。

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