PDF(Pubmed)
Abstract：
BACKGROUND: Health lifestyles exert a substantial influence on the quality of everyday life, primarily affecting health maintenance and enhancement. While health-related practices during the COVID-19 pandemic may have positively altered the health lifestyles of Canadians to a certain degree, government reports indicate that issues related to health behaviors, such as cigarette smoking, physical inactivity, and alcohol consumption, continue to pose challenges to the health of Canadians. Social determinants of these health behaviors thus hold significant academic value in the formulation of policy guidelines.
OBJECTIVE: The aim of this study is to scrutinize the social determinants of health with respect to social factors that have may have impacts on the health-related behaviors of Canadians. We tested health behaviors including cigarette use, alcohol consumption, and participation in physical exercise, which are integral to the promotion and improvement of individual health.
METHODS: To examine the social determinants of Canadians\' health lifestyles, we utilized nationally representative data from the 2017-2018 Canadian Community Health Survey annual component. Our data analysis involved the bootstrapping method with two-level mixed-effect logistic regressions, ordered logistic regressions, and negative binomial regressions. Additionally, we conducted several robustness checks to confirm the validity of our findings.
RESULTS: The findings show that demographic background, socioeconomic status, social connections, and physical and mental health conditions all play a role in Canadians\' smoking, physical activity, and drinking behaviors. Noticeably, the association patterns linking to these social determinants vary across specific health lifestyles, shedding light on the complex nature of the social determinants that may influence young and middle-aged Canadians\' health lifestyles. Moreover, in the context of Canada, the health-region level demographic, socioeconomic, and working conditions are significantly linked to residents\' health lifestyles.
CONCLUSIONS: Investigating the social determinants of health lifestyles is pivotal for policymakers, providing them with the necessary insights to create effective interventions that promote healthy behaviors among specific demographic groups. It is recommended that health education and interventions at the community level targeting smoking, physical inactivity, and alcohol consumption be introduced. These interventions should be tailored to specific subgroups, considering their demographic and socioeconomic characteristics, social networks, and health status. For instance, it is imperative to focus our attention on individuals with lower educational attainment and socioeconomic status, particularly in relation to their smoking habits and physical inactivity. Conversely, interventions aimed at addressing alcohol consumption should be targeted towards individuals of a higher socioeconomic status. This nuanced approach allows for a more effective and tailored intervention strategy.
OBJECTIVE: The aim of this study is to scrutinize the social determinants of health with respect to social factors that have may have impacts on the health-related behaviors of Canadians. We tested health behaviors including cigarette use, alcohol consumption, and participation in physical exercise, which are integral to the promotion and improvement of individual health.
METHODS: To examine the social determinants of Canadians\' health lifestyles, we utilized nationally representative data from the 2017-2018 Canadian Community Health Survey annual component. Our data analysis involved the bootstrapping method with two-level mixed-effect logistic regressions, ordered logistic regressions, and negative binomial regressions. Additionally, we conducted several robustness checks to confirm the validity of our findings.
RESULTS: The findings show that demographic background, socioeconomic status, social connections, and physical and mental health conditions all play a role in Canadians\' smoking, physical activity, and drinking behaviors. Noticeably, the association patterns linking to these social determinants vary across specific health lifestyles, shedding light on the complex nature of the social determinants that may influence young and middle-aged Canadians\' health lifestyles. Moreover, in the context of Canada, the health-region level demographic, socioeconomic, and working conditions are significantly linked to residents\' health lifestyles.
CONCLUSIONS: Investigating the social determinants of health lifestyles is pivotal for policymakers, providing them with the necessary insights to create effective interventions that promote healthy behaviors among specific demographic groups. It is recommended that health education and interventions at the community level targeting smoking, physical inactivity, and alcohol consumption be introduced. These interventions should be tailored to specific subgroups, considering their demographic and socioeconomic characteristics, social networks, and health status. For instance, it is imperative to focus our attention on individuals with lower educational attainment and socioeconomic status, particularly in relation to their smoking habits and physical inactivity. Conversely, interventions aimed at addressing alcohol consumption should be targeted towards individuals of a higher socioeconomic status. This nuanced approach allows for a more effective and tailored intervention strategy.
摘要：
背景：健康生活方式对日常生活质量产生重大影响，主要影响健康维护和增强。虽然COVID-19大流行期间与健康相关的做法可能在一定程度上积极改变了加拿大人的健康生活方式，政府报告表明，与健康行为有关的问题，比如吸烟，缺乏身体活动，和酒精消费，继续对加拿大人的健康构成挑战。因此，这些健康行为的社会决定因素在制定政策指南中具有重要的学术价值。
目的：本研究的目的是就可能对加拿大人的健康相关行为产生影响的社会因素，仔细研究健康的社会决定因素。我们测试了健康行为，包括吸烟，酒精消费,参加体育锻炼，这是促进和改善个人健康不可或缺的一部分。
方法：为了研究加拿大人健康生活方式的社会决定因素，我们利用了2017-2018年加拿大社区健康调查年度组成部分的全国代表性数据.我们的数据分析涉及具有两级混合效应逻辑回归的自举方法，有序逻辑回归，和负二项回归。此外,我们进行了几项稳健性检查,以确认我们的研究结果的有效性.
结果：研究结果表明，人口统计学背景，社会经济地位,社会关系,以及身体和精神健康状况都在加拿大人吸烟中起作用，身体活动,和饮酒行为。值得注意的是，与这些社会决定因素相关的关联模式因特定的健康生活方式而异，阐明了可能影响加拿大年轻人和中年健康生活方式的社会决定因素的复杂性。此外，在加拿大的背景下，卫生区域一级的人口统计，社会经济,工作条件与居民的健康生活方式密切相关。
结论：调查健康生活方式的社会决定因素对政策制定者来说至关重要，为他们提供必要的见解，以创建有效的干预措施，促进特定人口群体的健康行为。建议在社区一级进行针对吸烟的健康教育和干预措施，缺乏身体活动，并引入酒精消费。这些干预措施应针对特定的亚组，考虑到他们的人口和社会经济特征，社交网络,和健康状况。例如,我们必须把注意力集中在受教育程度和社会经济地位较低的个人身上，特别是与他们的吸烟习惯和缺乏体力活动有关。相反，旨在解决饮酒问题的干预措施应针对社会经济地位较高的个人.这种细致入微的方法允许更有效和量身定制的干预策略。
目的：本研究的目的是就可能对加拿大人的健康相关行为产生影响的社会因素，仔细研究健康的社会决定因素。我们测试了健康行为，包括吸烟，酒精消费,参加体育锻炼，这是促进和改善个人健康不可或缺的一部分。
方法：为了研究加拿大人健康生活方式的社会决定因素，我们利用了2017-2018年加拿大社区健康调查年度组成部分的全国代表性数据.我们的数据分析涉及具有两级混合效应逻辑回归的自举方法，有序逻辑回归，和负二项回归。此外,我们进行了几项稳健性检查,以确认我们的研究结果的有效性.
结果：研究结果表明，人口统计学背景，社会经济地位,社会关系,以及身体和精神健康状况都在加拿大人吸烟中起作用，身体活动,和饮酒行为。值得注意的是，与这些社会决定因素相关的关联模式因特定的健康生活方式而异，阐明了可能影响加拿大年轻人和中年健康生活方式的社会决定因素的复杂性。此外，在加拿大的背景下，卫生区域一级的人口统计，社会经济,工作条件与居民的健康生活方式密切相关。
结论：调查健康生活方式的社会决定因素对政策制定者来说至关重要，为他们提供必要的见解，以创建有效的干预措施，促进特定人口群体的健康行为。建议在社区一级进行针对吸烟的健康教育和干预措施，缺乏身体活动，并引入酒精消费。这些干预措施应针对特定的亚组，考虑到他们的人口和社会经济特征，社交网络,和健康状况。例如,我们必须把注意力集中在受教育程度和社会经济地位较低的个人身上，特别是与他们的吸烟习惯和缺乏体力活动有关。相反，旨在解决饮酒问题的干预措施应针对社会经济地位较高的个人.这种细致入微的方法允许更有效和量身定制的干预策略。
