Health status and its risk factor among civil servants in seven Chinese cities
-
摘要: 目的了解中国公务员身体健康状况及影响因素,为制定公务员健康管理方案提供实证依据。方法随机抽取爱康国宾健康体检数据库2011年中国7个城市21 125份公务员体检数据进行分析,并对其中242人进行问卷调查。结果88.5%(18 081/20 419)公务员检出≥1项体检指标异常;异常检出率排名前3位的体检指标分别为:超重或肥胖48.6%(5 797/11 939)、血脂异常44.3%(8 762/19 793)、脂肪肝37.9%(7 509/19 804);不同特征公务员比较,不同性别、年龄、地区公务员8项汇总指标中≥1项异常检出率不同,差异均有统计意义(P<0.001);多因素logistic回归分析结果表明,年龄较大(OR=0.961,95%CI=0.934~0.988)是公务员自评健康状况的危险因素,男性(OR=2.824,95%CI=1.478~5.397)、工作满意度较高(OR=1.199,95%CI=1.075~1.338)和健康生活习惯较多(OR=1.369,95%CI=1.134~1.653)是公务员自评健康状况的保护因素。结论中国公务员健康状况较差;年龄、性别、工作满意度和健康生活习惯是公务员自评健康状况的影响因素。Abstract: ObjectiveTo examine the health status and its influencing factors in civil servants and to provide empirical evidence for health management among Chinese civil servants. MethodsThe physical check-up data of 21 125 civil servants from seven cities in 2011 were collected and a self-administered questionnaire survey about health condition and relevant factors was conducted among 242 persons randomly selected from the civil servants. ResultsAmong the civil servants,88.5% had at least one abnormal indicator of health status.The top three abnormal indicators were obesity-overweight (48.6%,5797/11 939),dyslipidemia (44.3%,8 762/19 793),and fatty liver (37.9%,7 509/19 804).The results of multivariate logistic regression revealed that age (odds ratio [OR]=0.961,95% confidence interval [CI]=0.934-0.988) was a risk factor of low self-report health status;male gender (OR=2.824,95%CI=1.478-5.397),work satisfaction (OR=1.199,95%CI=1.075-1.338),and healthy habits (OR=1.369,95%CI=1.134-1.653) were protective factors of self-report health. ConclusionChinese civil servant's health is not in good status.The elder age is a risk factor for civil servants' health,while male,better work satisfaction and more healthy living habits are protective factors.
-
Key words:
- civil servant /
- health status /
- influencing factor
-
[2] 聂雪琼,李英华,马昱,等.我国6省市5类城市职业人群自测健康状况及影响因素研究[J].中国健康教育,2009,27(6):403-406. [3] 魏凤江,高伟,刘俊,等.天津市公务员亚健康状况及影响因素分析[J].中国公共卫生,2010,26(5):589-590. [6] Benyamini Y,Blumstein T,Lusky A,et al.Gender differences in the self-rated health-mortality association:Is it poor self-rated health that predicts mortality or excellent self-rated health that predicts survival? [J].Gerontologist,2003,43(3):396-405. [7] Mavaddat N,Kinmonth AL,Sanderson S,et al.What determines Self-Rated Health (SRH)? A cross-sectional study of SF-36 health domains in the EPIC-Norfolk cohort[J].Journal of Epidemiology and Community Health,2011,65(9):800-806. [8] 孟雪萍,刘竹生.高校教师亚健康状况年龄分布及干预对策[J].护理学杂志:外科版,2007(5):64-66. [9] Deeg DJH,Kriegsman DMW.Concepts of self-rated health:specifying the gender difference in mortality risk[J].Gerontologist,2003,43(3):376-386. [10] Spiers N.,Jagger C,Clarke M,et al.Are gender differences in the relationship between self-rated health and mortality enduring?Results from three birth cohorts in Melton Mowbray,United Kingdom[J].Gerontologist,2003,43(3):406-411. [11] Matud MP.Gender differences in stress and coping styles[J].Personality and Individual Differences,2004,37(7):1401-1415. [12] Brunner EJ,Chandola T,Marmot MG,Prospective effect of job strain on general and central obesity in the Whitehall II Study[J].American Journal of Epidemiology,2007,165(7):828-837. [13] Kouvonen A,Stafford M,De Vogli R,et al.Negative aspects of close relationships as a predictor of increased body mass index and waist circumference:the Whitehall II Study[J].American Journal of Public Health,2011,101(8):1474-1480. [14] Ferrie JE,Head J,Shipley MJ,et al.BMI,obesity,and sickness absence in the Whitehall II study[J].Obesity,2007,15(6):1554-1564.
点击查看大图
计量
- 文章访问数: 2454
- HTML全文浏览量: 167
- PDF下载量: 4543
- 被引次数: 0