【摘要】：目的了解我國城市職業(yè)人群的慢性病患病狀況及影響因素,并評價(jià)不同社會(huì)經(jīng)濟(jì)地位(socioeconomic status,SES)職工的慢性病患病公平性。方法采用分層整群抽樣的方法,在北京、廈門、泉州和呼和浩特4個(gè)城市共5類工作場所中抽取3 553名職工進(jìn)行問卷調(diào)查。結(jié)果調(diào)查對象的慢性病總體患病率為14.8%(男性16.7%,女性12.5%)。Logistic回歸分析顯示,年齡越大,慢性病患病風(fēng)險(xiǎn)越高(均有P0.05);本科/大專及以上文化程度(OR=2.020,95%CI:1.567~2.605)、高職業(yè)緊張(OR=1.328,95%CI:1.091~1.617)、超重/肥胖(OR=1.530,95%CI:1.249~1.875)、吸煙(OR=1.436,95%CI:1.148~1.798)和飲酒(OR=1.976,95%CI:1.409~2.771)是慢性病患病的危險(xiǎn)因素,而外地戶籍(OR=0.756,95%CI:0.604~0.945)為保護(hù)因素。按性別分層分析,不同SES職工的慢性病患病率差異均有統(tǒng)計(jì)學(xué)意義(均有P0.05),慢性病患病集中指數(shù)均為正值,且收入集中指數(shù)最高。結(jié)論研究人群慢性病患病率相對較低,慢性病患病與年齡、文化程度、職業(yè)緊張和生活方式相關(guān),且不同SES的職工患病狀況存在不公平性。
[Abstract]:Objective to investigate the prevalence of chronic diseases in urban occupational population and its influencing factors, and to evaluate the equity of chronic disease prevalence among workers with different socioeconomic status (socioeconomic status,SES). Methods A questionnaire survey was conducted among 3 553 workers in 5 kinds of workplaces in Beijing, Xiamen, Quanzhou and Hohhot by stratified cluster sampling. Results the overall prevalence of chronic diseases was 14.8% (16.7% for males and 12.5% for females). Logistic regression analysis showed that the older the patients were, the older they were. The higher the risk of chronic disease (P0.05), the higher the education level (OR=2.020,95%CI:1.567~2.605), high occupational stress (OR=1.328,95%CI:1.091~1.617), overweight / obesity (OR=1.530,95%CI:1.249~1.875), smoking (OR=1.436,95%CI:1.148~1.798) and drinking alcohol (OR=1.976,95%CI:1.409~2.771) were the risk factors of chronic disease, while OR=0.756,95%CI:0.604~0.945 was the protective factor. According to gender stratification analysis, the prevalence of chronic diseases in different SES workers were significantly different (P0.05), the concentration index of chronic disease was positive, and the income concentration index was the highest. Conclusion the prevalence of chronic diseases in the study population is relatively low, and the prevalence of chronic diseases is related to age, education, occupational stress and lifestyle, and there is unfairness in the prevalence of chronic diseases among workers with different SES.
【作者單位】： 北京大學(xué)公共衛(wèi)生學(xué)院社會(huì)醫(yī)學(xué)與健康教育系;
【分類號(hào)】：R13

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