| Objective:To understand the current status and the aggregation of women’s health-related knowledge and behavior,and to explore the factors affecting the grouping of latent classes of women’s health-related knowledge and behavior,it would provide a basis for improving women’s health literacy,carrying out family health promotion actions and achieving a higher level of health for all.It would also provide information for the relevant departments to carry out precise interventions and health management.Methods:Between September 2021 and March 2022,a convenience sampling was conducted using a questionnaire survey of medical examiners,patients and their families aged 18 and above at a medical examination center in Taiyuan,a hospital in Yuncheng city and a hospital in Linfen city,Shanxi Province.3628 questionnaires were distributed,of which3460 were valid.The clusters of women’s health-related knowledge and behavior were explored using latent category analysis,and their influencing factors were analyzed using a multinomial logistic regression analysis model.Results:(1)A total of 3460 women were surveyed in this study,with a mean age of(35.08± 11.36)years,and the overweight/obesity rate of the surveyed subjects was 26.9%.34.3% of the women had an uneven balanced nutrition habit,including vegetarian(21.6%)and non-vegetarian(12.7%);24.1% and 23.1% had irregular breakfasts and three meals respectively;76% of the women did not drink enough water.53.8% of women had less physical exercise.As to the scores on hygiene practices,knowledge of breast cancer and cervical cancer,the overall situation was good,but there was a wide gap between individuals’ scores;breast cancer and cervical cancer screening behavior was not optimistic.(2)The current status of the aggregation of general lifestyle behaviors can be divided into three categories: the better behavior group(29.1%),the medium behavior group(26.7%)and the poor behavior group(44.2%).Women in the poor behavior group had an unbalanced diet,other cooking preferences(salty,light,sweet,greasy),alcohol consumption,insufficient water consumption and high occupational stress.Women in the medium behavior group had more alcohol consumption,insufficient water consumption,high occupational stress and a low variety of social activities.Women in the good behavior group showed other cooking preferences,alcohol consumption and low physical activity.Age,education and occupation,younger women,less educated,working in health services and corporate workers more likely to be in the moderate behavior group.The influencing factors for the poor behavior group were age and place of residence,with women who were younger and had a rural place of residence.(3)According to the current state of aggregation of hygiene practices,knowledge about breast and cervical cancer,and behavior,they can be divided into three categories:low risk group(45.8%),medium risk group(26.5%)and high risk group(27.7%).Women in the high-risk group showed low knowledge of breast and cervical cancer and had never done breast self-examination,breast and cervical cancer screening.Women in the medium-risk group showed no breast self-examination,breast and cervical cancer screening.Women in the low-risk group had low knowledge of cervical cancer.Rural residence,unmarried,lower income level,no history of chronic diseases,less social activities,students and less physical activity were risk factors for the intermediate risk group.Rural residence,unmarried,lower income level,no history of chronic disease,lower education level,moderate occupational stress,and less social activity were risk factors for the high-risk group.Conclusion:(1)The aggregation of various health risk behaviors was common among women in Shanxi Province.women could be divided into the good behavior group,the medium behavior group and the poor behavior group according to the aggregation of general lifestyle behaviors.The poor behavior group was mainly characterized by an unbalanced diet,other preferences in cooking,drinking alcohol,not drinking enough water and occupational stress.Health education on balanced diet,less oil and salt,sugar control and alcohol restriction should be strengthened so as to change poor eating habits and develop a healthy lifestyle.(2)According to the current situation of hygiene habits,knowledge and behavior related to breast and cervical cancer,women could be divided into low-risk,medium-risk and high-risk groups.The high-risk group was characterized by low knowledge of breast and cervical cancer,never having done breast self-examination,breast and cervical cancer screening,so differentiated interventions should be adopted for different groups,so as to improve women’s health literacy level and popularize healthy.(3)Health education should be strengthened for rural,less educated,younger women and those in the health care sector.Public facilities such as fitness venues should be improved,and the role of grassroots community health institutions in the management of residents’ health.rural,unmarried,lower income level women with no history of chronic diseases should focus on health education on breast cancer,cervical cancer and other health-related knowledge and behaviors,while student groups should be focused on screening.education,while the student population should focus on the promotion of screening behavioral patterns. |
