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- W4386692145 abstract "Abstract Background: Multiple health-related behaviors has been found to have a significant association with morbidity and life expectancy, highlighting the importance of adopting healthy lifestyles. Zhiguo ethnic groups, commonly known as “the directly-entering-socialism ethnic groups”, represent Chinese ethnic minorities who have undergone a unique social development trajectory by transforming directly from primitive societies to the socialist stage. In recent decades, significant lifestyle transformations have occurred among Zhiguo ethnic groups due to poverty alleviation efforts implemented by the Chinese government. Understanding their health lifestyles can play a strategic role in China's pursuit of universal health coverage. This study aims to examine patterns of health-related lifestyle in Zhiguo ethnic groups and explore whether sociodemographic features and specific indicators related to health status are associated with particular class. Methods: A cross-sectional study was conducted in Yunnan Province, China, from July to December 2022. Stratified random sampling method was employed to recruit residents belonging to six Zhiguo ethnic groups aged between 15 and 64. Latent class analysis was performed to identify clusters of health-related behaviors within each ethnic group. Logistic regression was utilized to determine the predictors of health lifestyles. Results: A total of 1,588 individuals from the Zhiguo ethnic groups participated in this study. Three latent classes representing prevalent health lifestyles among the Zhiguo ethnic groups were identified, including unhealthy lifestyle (31.80%), mixed lifestyle (57.36%), and healthy lifestyle (10.83%). In the overall population, individuals belonging to the “unhealthy lifestyle” group exhibited a higher likelihood of being farmers ( OR : 2.607, 95% CI : 1.537-4.421), males ( OR : 20.833, 95% CI : 13.312-32.605) and those who had to travel more than 15 minutes on foot to reach the nearest health facility ( OR : 2.032, 95% CI : 1.350-3.058). Conclusions: A considerable proportion of the Zhiguo ethnic groups have not adapted healthy lifestyles. Targeted interventions aimed at improving health outcomes within the Zhiguo ethnic communities should prioritize addressing the clustering phenomenon of unfavorable health behaviors, with particular emphasis on male farmers, and expanding healthcare coverage for individuals residing more than 15 minutes away from accessible facilities." @default.
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- W4386692145 date "2023-09-12" @default.
- W4386692145 modified "2023-09-30" @default.
- W4386692145 title "Health Lifestyles of Six Zhiguo Ethnic Groups in China: A Latent Class Analysis" @default.
- W4386692145 doi "https://doi.org/10.21203/rs.3.rs-3263077/v1" @default.
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