Analysis of the impact of exercise education interventions on middle-aged and elderly people in Central-western rural Ch
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Analysis of the impact of exercise education interventions on middle‑aged and elderly people in Central‑western rural China Zhanhong Zong1 · Yong Wen2 · Xiaoming Sun1 Received: 6 May 2020 / Accepted: 5 July 2020 © China Population and Development Research 2020
Abstract This study aims to analyze the impact of health education effort that promote exercise activities have had on middle-aged and older people in central-western rural China. The Project for Family Health Care (PFHC) of the population in central and western China used questionnaires completed anonymously to survey 4217 randomly selected respondents in the baseline year of 2011, and 4529 in the end-line year of 2015. We used bivariate and multivariate analyses to examine the associations between several factors and regular exercise activities. The 2011 baseline year sample indicated that 90.5% of respondents knew the functions of regular exercise, but that only 45.4% participated in regular exercise activities. In the baseline multivariate model, a number of factors were positively associated with the prevalence of participation in regular exercise activities. Respondents who were women, older, retired, lived with children, had chronic diseases, and self-reported better health were more likely to participate in regular exercise. The proportion of those participating in regular exercise increased to 75.9% among the end-line year respondents after health education. This study revealed that health education interventions effectively encouraged rural middle-aged and elderly people to participate in regular exercise activities. Health education efforts of this sort for rural middle-aged and older adults should be further strengthened, and more public facilities for exercise should be provided. Keywords Middle-aged and elderly people · Regular exercise · Intervention · Central-western rural china
* Zhanhong Zong [email protected] Extended author information available on the last page of the article
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1 Introduction While China has experienced rapid social and economic development since the early 1980s, population aging began to proceed at a much higher speed beginning in the year 2000. The number of Chinese aged 65 and above increased dramatically from 88.21 million in 2000 to 118.94 million in 2010; the growth in the proportion of older adults aged 65 or above from 7.0% of the total population in 2000 and 8.9% in 2010 indicates that China has begun the process of rapid aging (NBS 2012). Aging has occurred more rapidly in rural areas, with the proportion of elderly people to total population in rural China increasing from 7.5% in 2000 to 9.55% in 2005 and 10.6% in 2010. In urban areas, the proportion of elderly to total population grew from 6.42% in 2000 and 8.49% in 2005 before dropping to 7.8% in 2010 (Zheng 2014). Differences in policies for urban and rural development have resulted in obvious disparities in health. Rural residents had no health care insurance coverage until 2003. A telling example of urban–rural h
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