title: Health-related lifestyle behaviors among male and female rural-to-urban migrant workers in Shanghai, China.
abstract: BACKGROUND
  Lifestyle behaviors significantly impact health, yet remain poorly defined in Chinese rural-to-urban migrants.
  
  
  METHODS
  In a cross-sectional study of health-related behaviors of 5484 rural-to-urban migrants who had worked in Shanghai for at least six months, we assessed the contribution of demographics and physical and mental health to lifestyle behaviors in male and female participants by multiple stepwise cumulative odds logistic regression.
  
  
  RESULTS
  Respondents were 51.3% male. 9.9% exhibited abnormal blood pressure; 27.0% were overweight or obese; 11.2% reported abnormal mental health; 36.9% reported healthy lifestyle. Multiple stepwise cumulative odds logistic regression indicated that men working in manufacturing reported less unhealthy lifestyle than those in hospitality (cumulative odds ratio (COR) = 1.806, 95%CI 1.275-2.559) or recreation/leisure (COR = 3.248, 95%CI 2.379-4.435); and women working in manufacturing and construction reported less unhealthy lifestyle than those in all other sectors. Unhealthy lifestyle was associated with small workplaces for men (COR = 1.422, 95%CI 1.154-1.752), working more than 8 or 11 hours per day for women and men, respectively, and earning over 3500 RMB in women (COR = 1.618, 95%CI 1.137-2.303). Single women and women who had previously resided in three or more cities were more likely to report unhealthy lifestyle (COR = 2.023, 95%CI 1.664-2.461, and COR = 1.311, 95%CI 1.072-1.602, respectively). Abnormal mental status was also correlated with unhealthy lifestyle in men (COR = 3.105, 95%CI 2.454-3.930) and women (COR = 2.566, 95%CI 2.024-3.252).
  
  
  CONCLUSIONS
  There were different risk factors of unhealthy lifestyle score in male and female rural-to-urban migrants, especially in number of cities experienced, salary, marital status, work place scale. Several demographic groups: employment sectors (e.g. hospitality and recreation/leisure), working conditions (e.g. long hours) and abnormal mental status were associated with unhealthy lifestyle behaviors in Chinese rural-to-urban migrants, and health interventions should be targeted to these groups.
authors.affiliation: Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.
authors.forename: Hua
authors.initials: H
authors.lastname: Yang
authors.affiliation: Department of General Practice, Xinjing Community Health Service Center, Shanghai, China.
authors.forename: Fang
authors.initials: F
authors.lastname: He
authors.affiliation: Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.
authors.forename: Tianhao
authors.initials: T
authors.lastname: Wang
authors.affiliation: Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.
authors.forename: Yao
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.
authors.forename: Yao
authors.initials: Y
authors.lastname: Shen
authors.affiliation: Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Gong
authors.affiliation: Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Dai
authors.affiliation: Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Zhou
authors.affiliation: Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Gu
authors.affiliation: Department of General Practice, Yinhang Community Health Service Center, Shanghai, China.
authors.forename: Yimin
authors.initials: Y
authors.lastname: Tu
authors.affiliation: Department of General Practice, Sanlin Community Health Service Center, Shanghai, China.
authors.forename: Tianying
authors.initials: T
authors.lastname: Wang
authors.affiliation: Department of Preventive Medicine, Huaxin Community Health Service center, Shanghai, China.
authors.forename: Lei
authors.initials: L
authors.lastname: Shen
authors.affiliation: Department of General Practice, Changzheng Community Health Service Center, Shanghai, China.
authors.forename: Yumiao
authors.initials: Y
authors.lastname: Wu
authors.affiliation: Department of General Practice, Huangdu Community Health Service Center, Anting Town, Shanghai, China.
authors.forename: Xiuping
authors.initials: X
authors.lastname: Xia
authors.affiliation: Department of General Practice, Caohejing Community Health Service center, Shanghai, China.
authors.forename: Donghao
authors.initials: D
authors.lastname: Xu
authors.affiliation: Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.
authors.forename: Zhigang
authors.initials: Z
authors.lastname: Pan
authors.affiliation: Department of General Practice, Zhongshan Hospital of Fudan University, Shanghai, China.
authors.forename: Shanzhu
authors.initials: S
authors.lastname: Zhu
mesh_terms: D000328:Adult; D002681:China; D005260:Female; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D008297:Male; D012424:Rural Population / Q000706:statistics & numerical data*; D012737:Sex Factors; D012959:Socioeconomic Factors; D014171:Transients and Migrants / Q000706:statistics & numerical data*; D014505:Urban Population / Q000706:statistics & numerical data*