Effect of long-term personalized health management on health intervention for people with high risk of chronic diseases in government organs and public institutions in Chongqing
Objective To evaluate the impact of long-term personalized health management on the cognition of chronic disease risk factors,lifestyle and health indicators among people with high risk of chronic diseases in government offices and public institutions in Chongqing,and provide the basis for further optimization of health management models in people of government offices and public institutions.Methods From 2017 to 2019,four main urban areas with economic and cultural similarity in Chongqing were selected and randomly divided into intervention group and control group.Each group had 2 districts,and 15 government institutions were randomly selected in each district.All employees of the selected units were included in the screening,and 314 and 447 high-risk personnels from government offices and public institutions were included in the study,respectively.The intervention group underwent personalized health management for 2 years according to the risk classification,and the control group had no intervention measures.Pairedx2test was used to analyze the data.The net effect before and after the intervention was analyzed by fitting the logistic regression models with the fold difference method.The used software was SPSS 25.0.Results The average ages of the intervention group and the control group were(41.3±9.5)and(39.6±9.2)years old,respectively.The results of the fold difference method regression analysis showed that two-year personalized health management could improve the daily awareness rate of adult salt intake among the study subjects(OR=3.040,95％CI:1.952-4.734);reduce smoking rate(OR=0.267,95％CI:0.155-0.460),alcohol consumption rate(OR=0.317,95％CI:0.169-0.594)and insufficient proportion of vegetables and fruits(OR=0.475,95％CI:0.298-0.757);increase the excess intake of red meat(OR=3.399,95％CI:2.200-5.253);reduce the proportions of pre-hypertension(OR=0.387,95％CI:0.242-0.617),and central obesity(OR=0.616,95％CI:0.394-0.963).Conclusion Through long-term personalized health management,people with high risk of chronic diseases in government organs and public institutions can effectively improve the awareness rate of some dietary knowledge,promote the formation of related health behaviors,improve health indicators,and reduce the high risk level of chronic diseases.
Long-termhealth managementHigh risk of chronic diseasesDouble difference methodGovernment offices and public institutions
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