Abstract

Physical inactivity is a strong risk factor of non-communicable diseases (NCD). In China, there are 250 million migrant factory workers, who are susceptible to physical inactivity and hence NCD because of work nature and setting. With random stratified sampling, 807 such workers of the light industry were recruited in Shenzhen, China and completed a self-administered questionnaire with informed consent. The prevalence of inadequate physical activity (defined according to the World Health Organization’s recommendation on level of moderate/vigorous physical activity) was 95.4%. Of all participants, 69.1% showed “a very low level of physical activity” (VLLPA), defined as ≤30 minutes of weekly moderate/vigorous physical activity, which was significantly associated with female sex (Odds ratio [OR]=1.65), lower education level (OR=0.10 to 0.33, primary education as the reference group) and married status (OR=0.63, single status as the reference group). Adjusted for these factors, perceived social support (Adjusted OR=0.87) was negatively associated with VLLPA, while job stress due to workload, which was significant in the univariate analysis (OR=0.98), became non-significant (p=0.184). Significant interaction between perceived social support and perceived job stress onto VLLPA was found (p=0.044), implying that the negative association between job stress and VLLPA, which might reflect a potential response to cope with stress by performing exercises, was stronger among those with weaker social support. The extremely low level of physical activity rings an alarm, as it implies high risk of NCD, and as there are no existing programs promoting physical activity in this group. Interventions need to take into account social support, potential coping to job stress, and structural factors of the factory setting, while involving factories’ management.

Highlights

  • Prevalence of non-communicable diseases (NCD) keeps increasing sharply in China [1,2]

  • Considering potential importance of promoting physical activity among migrant factory workers in China, the present study investigated the prevalence of physical inactivity among factory workers who were internal migrants living in Shenzhen, Guangdong province, southern China

  • Like other studies (e.g. Parks, 2003)[70], we found that lower education levels were associated with very low level of physical activity” (VLLPA), possibly due to association between education level and health value/literacy [71,72]

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Summary

Introduction

Prevalence of non-communicable diseases (NCD) keeps increasing sharply in China [1,2]. There are reports that health promotion programs can effectively increase physical activity in various populations [13,14]. The average time spent on physical activity per week among adults in China decreased by 32% from 1991 to 2006 [15]. Moderate exercise was described to the participants as “activities that require moderate physical effort and cause small increases in breathing or heart rate”. This question has been used in other published studies [62,63,64]. WHO (2010) [65] recommends people to perform 150 minutes of moderate or vigorous physical activities per week. Age group (years) < 20 20–29 30–39 40 Highest education level attained Primary Junior high school Senior high school Bachelor degree or higher Current marital status Single Divorced/ widowed Married Type of worker Production line Office Others Working hours (per week) 48 49–60 61–69 70–75 76 Psychosocial factors Perceived Social Support Scale (Mean, SD) Workload Subscale score (Job stress) (Mean, SD) Physical activity level (moderate/vigorous) None 0.5 hr/week 0.5–1 hr/week 1–1.5 hr/week 1.5–2 hr/week 2–2.5 hr/week >2.5 hr/week Total 807(100)

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