The relationship of stage of change for smoking cessation to stage of change for fruit and vegetable consumption and physical activity in a health plan population

The relationship of stage of change for smoking cessation to stage of change for fruit and vegetable consumption and physical activity in a health plan population
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DOI:
10.4278/0890-1171-19.2.118
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发表时间:
2004-11-01
影响因子:
2.7
通讯作者:
Manley, MW
Manley, MW
中科院分区:
医学4区
文献类型:
--
作者:
Garrett, NA;Alesci, NL;Manley, MW

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目的。本研究的目的是检验戒烟的改变阶段与(1)水果和蔬菜消费的改变阶段和(2)体育活动的改变阶段之间的关系。数据来自对健康计划成员分层随机抽样的横断面电话调查(n = 9675)。这项研究是在一个混合模式的健康计划中进行的,大约有100万成年成员。受访者是18岁及以上的成年人,他们随机从五个健康计划产品组中选择:商业全额保险、商业自我保险、两个公共补贴计划和医疗保险补充保险。这些组的应答率从74.7%到90.1%不等。评估包括人口统计和戒烟的变化阶段,体育活动,水果和蔬菜的摄入量。使用列联表分析变量之间的二元关系。在控制其他因素的情况下,采用有序逻辑回归检验了水果和蔬菜消费的变化阶段和体育活动对吸烟变化阶段的影响。吸烟的变化阶段与水果和蔬菜消费的变化阶段的关系更为明显(chi(2) = 161.3, p
Purpose. The purpose of this study was to examine the relationship between stage of change for smoking cessation and stage of change for (1) fruit and vegetable consumption and (2) physical activity.Design. The data come from a cross-sectional telephone survey administered to a stratified random sample of health plan members (n = 9675).Setting. This study was conducted at a mixed-model health plan with approximately 1 million adult members.Subjects. Respondents were adults age 18 and older, who were randomly selected from five health plan product groups: commercial fully insured, commercial self-insured, two publicly subsidized plans, and Medicare supplemental insurance. Response rates ranged from 74.7% to 90.1% across these groups.Measures. The assessment included demographics and stage of change for smoking cessation, physical activity, and,fruit and vegetable intake. Bivariate relationships among variables were analyzed with the use of contingency tables. Ordered logistic regression was used to examine the effects of stage of change for fruit and vegetable consumption and physical activity on stage of change for smoking while controlling for other factors.Results. Stage of change for smoking is more clearly related to stage of change for fruit and vegetable consumption (chi(2) = 161.3, p